何氏扶正祛毒汤预防宫颈病变术后复发及对淋巴细胞的影响
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R273

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浙江省中医药科技计划项目(2023ZF184)


Effect of HE's Fuzheng Qudu Decoction on Prevention of Recurrence of Cervical Lesions After Surgery and Lymphocytes
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    摘要:

    目的:观察何氏扶正祛毒汤联合重组人干扰素治疗脾虚湿毒蕴结型高级别鳞状上皮内病变(HSIL) 宫颈锥切术后患者的临床疗效。方法:选取2023年1月—2025年2月在义乌市妇幼保健院行宫颈锥切术的 100例脾虚湿毒蕴结型HSIL患者作为研究对象,采用随机数字表法分为对照组及试验组各50例。对照组采用 人干扰素α2a栓阴道给药治疗,试验组采用何氏扶正祛毒汤联合人干扰素α2a栓治疗。2组均治疗3个月经周 期,治疗结束后随访6个月。治疗前后评估中医证候评分,检测T淋巴细胞亚群指标(CD3+、CD4+、CD8+、 CD4+/CD8+比值) 及自然杀伤(NK) 细胞,比较2组的临床疗效、人乳头瘤病毒(HPV) 转阴率及宫颈病变复 发率。结果:治疗后,2组中医证候积分均较治疗前降低(P<0.05)。试验组中医证候积分低于对照组(P< 0.05)。2组CD3+、CD4+水平及CD4+/CD8+比值均较治疗前升高,CD8+水平均较治疗前下降,差异均有统计学意 义(P<0.05)。试验组NK细胞水平较治疗前下降(P<0.05)。试验组CD3+、CD4+水平及CD4+/CD8+比值均高于 对照组,CD8+、NK细胞水平均低于对照组,差异均有统计学意义(P<0.05)。试验组总有效率、HPV转阴率 均高于对照组(P<0.05)。试验组的宫颈病变复发率低于对照组,但差异无统计学意义(P>0.05)。结论:采 用何氏扶正祛毒汤联合重组人干扰素治疗脾虚湿毒蕴结型HSIL宫颈锥切术后患者,可有效改善带下情况以及 脾虚湿毒蕴结证相应中医证候,提升HPV转阴率,提高临床疗效,呈现降低术后复发率的趋势。何氏扶正祛 毒汤可能通过对TBNK淋巴细胞亚群的调节,激活并增强机体的细胞免疫功能,发挥抗病毒作用。

    Abstract:

    Abstract:Objective:To observe the clinical effect of HE's Fuzheng Qudu Decoction combined with recombinant human interferon on patients with high-grade squamous intraepithelial lesion (HSIL) of spleen deficiency with damp-toxin accumulation type after cervical conization. Methods:A total of 100 HSIL patients of spleen deficiency with damp-toxin accumulation type after cervical conization admitted to Yiwu Maternity and Children Hospital from January 2023 to February 2025 were selected and divided into the control group and the trial group by the random number table method,with 50 cases in each group. The control group was treated with vaginal administration of human interferon α2a suppository. The trial group was treated with HE's Fuzheng Qudu Decoction combined with human interferon α2a suppository. Both groups were treated for three menstrual cycles and then followed up for six months. Before and after treatment,the traditional Chinese medicine syndrome scores were evaluated,the indicators of T lymphocyte subsets (CD3+,CD4+, CD8+ , CD4+/CD8+ ratio) and natural killer (NK) cells were detected, and the clinical effects, human papillomavirus( HPV) negative conversion rate and recurrence rate of cervical lesions were compared between the two groups. Results:After treatment,the traditional Chinese medicine syndrome scores in both groups were reduced when compared with those before treatment (P<0.05),and the traditional Chinese medicine syndrome scores in the trial group were lower than those in the control group (P<0.05). The levels of CD3+,CD4+,and the CD4+/CD8+ ratio in both groups were increased when compared with those before treatment,and the levels of CD8+ were decreased when compared with those before treatment,differences being significant (P<0.05). The level of NK cells in the trial group was reduced when compared with that before treatment (P<0.05). The levels of CD3+,CD4+,and the CD4+/CD8+ ratio in the trial group were significantly higher than those in the control group,the levels of CD8+ and NK cells were lower than those in the control group,differences being significant (P<0.05). The total effective rate and HPV negative conversion rate in the trial group were both higher than those in the control group (P<0.05). The recurrence rate of cervical lesions in the trial group was lower than that in the control group,but the difference was not statistically significant (P>0.05). Conclusion: Treating HSIL patients of spleen deficiency and damp-toxin accumulation type after cervical conization with HE's Fuzheng Qudu Decoction combined with recombinant human interferon can effectively improve leukorrhea symptoms and the corresponding traditional Chinese medicine syndromes of spleen deficiency and damp-toxin accumulation,increase the HPV negative conversion rate,enhance the clinical efficacy,and shows a trend of reducing the postoperative recurrence rate. HE's Fuzheng Qudu Decoction may exert its antiviral effect by regulating the TBNK lymphocyte subsets,activating and enhancing the body's cellular immune function.

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杨艳芳,王志军,冯玉,徐霞,刘庆华.何氏扶正祛毒汤预防宫颈病变术后复发及对淋巴细胞的影响[J].新中医,2026,58(7):52-57

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  • 在线发布日期: 2026-04-20
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