完带汤联合重组人干扰素治疗慢性宫颈炎合并高危型人乳头瘤病毒感染脾虚湿盛证临床研究
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R711.32

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国家卫生健康委医药卫生科技项目(WKZX2024DNO133)


Clinical Study on Combination Use of Wandai Decoction and Recombinant Human Interferon for Chronic Cervicitis Complicated with High-Risk Human Papillomavirus Infection with Syndrome of Spleen Deficiency and Prevalence of Dampness
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    摘要:

    目的:观察完带汤联合重组人干扰素治疗慢性宫颈炎合并高危型人乳头瘤病毒(HR-HPV) 感染 脾虚湿盛证患者的临床效果。方法:选取2022年12月—2024年2月于东莞市中医院妇产科门诊就诊的66例慢 性宫颈炎合并HR-HPV感染脾虚湿盛证患者,按随机数字表法分为对照组和观察组各33例。对照组采用重组 人干扰素治疗,观察组在对照组基础上另给予完带汤治疗。评价2组临床疗效,比较2组中医证候积分、阴道 异常分泌物消失时间、HPV 病毒载量、宫颈灌洗液炎症因子水平及不良反应。结果:观察组总有效率为 90.91% (30/33),高于对照组69.70% (23/33)(P<0.05)。治疗后,2组各项中医证候评分均较治疗前降低 (P<0.05),且观察组治疗后各项评分均低于对照组(P<0.05)。观察组阴道异常分泌物消失时间短于对照组, 差异有统计学意义(P<0.05)。治疗后,2组HPV病毒载量较治疗前降低(P<0.05),且观察组HPV病毒载量 低于对照组(P<0.05)。治疗后,2组宫颈灌洗液白细胞介素(IL) -1β、IL-17、IL-23水平较治疗前降低 (P<0.05),且观察组宫颈灌洗液IL-1β、IL-17、IL-23水平低于对照组(P<0.05)。结论:完带汤联合重组人 干扰素可以改善慢性宫颈炎合并HR-HPV感染脾虚湿盛证患者临床症状,同时可以降低HPV病毒载量,减轻 炎症反应。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the combination use of Wandai Decoction and recombinant human interferon on chronic cervicitis complicated with high-risk human papillomavirus(HR-HPV)infection with syndrome of spleen deficiency and prevalence of dampness. Methods: A total of 66 patients with chronic cervicitis complicated with HR-HPV infection with syndrome of spleen deficiency and prevalence of dampness who were treated in the Obstetrics and Gynecology Clinic of Dongguan Traditional Chinese Medicine Hospital from December 2022 to February 2024 were selected and divided into the control group and the observation group according to the random number table method,with 33 cases in each group. The control group was treated with recombinant human interferon, and the observation group was additionally treated with Wandai Decoction based on the treatment in the control group. The clinical effects in the two groups were evaluated, and the traditional Chinese medicine syndrome scores, disappearance time of abnormal vaginal secretions, HPV viral load, levels of inflammatory factors in cervical lavage fluid and adverse reactions were compared between the two groups. Results: The total effective rate was 90.91% (30/33)in the observation group,higher than that of 69.70%(23/33)in the control group(P<0.05). After treatment, the traditional Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the traditional Chinese medicine syndrome scores in the observation group were lower than those in the control group(P<0.05). The disappearance time of abnormal vaginal secretions in the observation group was shorter than that in the control group,the difference being significant(P<0.05). After treatment,the HPV viral load in the two groups was reduced when compared with that before treatment(P<0.05),and the HPV viral load in the observation group was lower than that in the control group(P<0.05). After treatment,the levels of interleukin(IL)- 1β,IL-17 and IL-23 in cervical lavage fluid in the two groups were down-regulated when compared with those before treatment(P<0.05), and the above three levels in the observation group were lower than those in the control group (P<0.05). Conclusion:The combination use of Wandai Decoction and recombinant human interferon can improve the clinical symptoms of patients with chronic cervicitis complicated with HR-HPV infection with syndrome of spleen deficiency and prevalence of dampness, and meanwhile lower the HPV viral load and mitigate the inflammation responses.

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朱俊霞,赵春景,宫喜双,王乃平.完带汤联合重组人干扰素治疗慢性宫颈炎合并高危型人乳头瘤病毒感染脾虚湿盛证临床研究[J].新中医,2025,57(17):27-31

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  • 在线发布日期: 2025-09-05
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