益气清毒方联合人干扰素α2a 栓治疗宫颈环形电切术后持续性HPV 感染临床研究
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R737.33

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嵊州市科技计划项目(2023004008)


Clinical Study on Yiqi Qingdu Prescription Combined with Human Interferon α2a Suppository for Persistent HPV Infection After Loop Electrosurgical Excision Procedure
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    摘要:

    目的:观察益气清毒方联合人干扰素α2a栓治疗宫颈环形电切术(LEEP) 术后持续性HPV感染患 者的临床疗效。方法:选取2022年1月—2023年12月嵊州市中医院收治的90例行LEEP术治疗后3个月复查仍 有HPV感染患者,按随机数字表法分为观察组和西药组各45例,根据剔除标准,最终观察组纳入43例(剔除 2例),西药组纳入43例(剔除2例)。2组均行LEEP治疗,西药组术后给予人干扰素α2a栓,观察组在西药组 基础上联合益气清毒方治疗,治疗3个月经周期。评价2组临床疗效,比较2组中医证候积分、HPV感染转阴 率及免疫功能(T淋巴细胞亚群CD3+、CD4+、CD8+、CD4+/CD8+比值),并随访3个月、6个月统计2组复发情 况。结果:观察组总有效率为88.37%(38/43),高于西药组69.77%(30/43)(P<0.05)。观察组HPV转阴率为 81.40%(35/43),高于西药组60.47%(26/43)(P<0.05)。治疗后,2组中医证候积分(主症、次症及总积分) 较治疗前降低(P<0.05),且观察组中医证候积分(主症、次症及总积分) 低于西药组(P<0.05)。治疗后, 2组CD3+、CD4+、CD4+/CD8+水平较治疗前提高,且观察组高于西药组(P<0.05);2组CD8+水平较治疗前降 低,且观察组低于西药组(P<0.05)。观察组随访3个月、6个月的复发率分别为2.86% (1/35)、8.57% (3/ 35),分别低于西药组的19.23% (5/26)、30.77% (8/26),差异均有统计学意义(P<0.05)。结论:益气清毒 方联合人干扰素α2a栓治疗LEEP术后持续性HPV感染患者效果较好,可提高HPV感染转阴率,有效缓解患者 带下症状,提升患者机体免疫力,进而降低HPV感染复发率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination use of Yiqi Qingdu Prescription and human interferon α2a Suppository on persistent HPV infection after loop electrosurgical excision procedure (LEEP). Methods:A total of 90 patients who were reviewed and still had HPV infection three months after LEEP were selected from Shengzhou Traditional Chinese Medicine Hospital from January 2022 to December 2023. They were divided into the observation group and the western medicine group according to the random number table method,with 45 cases in each group. According to the exclusion criteria,finally 43 cases were respectively included in the observation group and the western medicine group with two cases being excluded in each group. Both groups were treated with LEEP. The western medicine group was treated with human interferon α2a Suppository after LEEP, and the observation group was additionally treated with Yiqi Qingdu Prescription based on the treatment in the western medicine group. Both groups were treated for three menstrual cycles. The clinical effects in the two groups were evaluated. The traditional Chinese medicine syndrome scores,negative conversion rates of HPV infection and the levels of immune function indexes (Tlymphocyte subsets CD3+ , CD4+ and CD8+ , and CD4+/CD8+ ratio) were compared between the two groups. The recurrence in the two groups was followed up for three and six months. Results:The total effective rate was 88.37%( 38/ 43) in the observation group, higher than that of 69.77% (30/43) in the western medicine group (P<0.05). The negative conversion rate of HPV infection was 81.40% (35/43) in the observation group, higher than that of 60.47%( 26/43) in the western medicine group( P<0.05). After treatment,the traditional Chinese medicine syndrome scores (main symptoms, secondary symptoms and total scores) in the two groups were reduced when compared with those before treatment (P<0.05),and the above scores in the observation group were lower than those in the western medicine group (P<0.05). After treatment, the levels of CD3+ , CD4+ , and CD4+/CD8+ in the two groups were elevated when compared with those before treatment, and the above three levels in the observation group were higher than those in the western medicine group (P<0.05);the CD8+ levels in the two groups were dwindled when compared with those before treatment, and the CD8+ level in the observation group was lower than that in the western medicine group( P<0.05). The recurrence rates were respectively 2.86%( 1/35) and 8.57%( 3/35) in the observation group after three and six months of follow-up, lower than those of 19.23% (5/26) and 30.77% (8/26) in the western medicine group, differences being significant (P<0.05). Conclusion: The combination use of Yiqi Qingdu Prescription and human interferon α2a Suppository has a great curative effect on patients with persistent HPV infection after LEEP, which can improve the negative conversion rate of HPV infection, effectively relieve the symptoms of gynecological disease,enhance the immunity of patients,and then reduce the recurrence rate of HPV infection.

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周丽,陈剑红.益气清毒方联合人干扰素α2a 栓治疗宫颈环形电切术后持续性HPV 感染临床研究[J].新中医,2025,57(9):164-169

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  • 在线发布日期: 2025-05-12
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