关键词: 阴道炎, 阴道微生态, 微生物, 乳杆菌

Abstract:

The vaginal microbiome is a unique and dynamic system，any disruption of which will lead to a series of problems，such as vaginitis.Vaginal microenvironment varies in response to numerous factors，including anatomical structure，microbial flora，local immunity and endocrine regulation.At present，the treatment strategy of vaginal infections is changing gradually from simply effectively killing various pathogenic microorganisms to treat vaginitis，to restoring the vaginal defense function and reconstructing vaginal microecology.Reconstruction therapy for abnormal vaginal microenvironment mainly consists of five aspects，including the recovery of vaginal pH value，the establishment of dominant flora in the vagina，the repair of vaginal mucosa and endocrine modulation，and the restoration of vaginal local immunity.Reconsidering vaginal infectious diseases，comprehensively evaluating the infectious and post-treatment status of vaginal microbiome，and recovering vaginal microenvironment using a variety of means and managements are the important treatment strategy of vaginal infections in the future.

Key words: vaginitis, vaginal microecology, microbiome, lactobacilli