柴归汤联合重组人干扰素α-2a 栓治疗宫颈HR-HPV 感染临床研究
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R711.74

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台州市黄岩区科技计划项目(2021061)


Clinical Study on Chaigui Decoction Combined with Recombinant Human Interferon α-2a Suppository for Cervical HR-HPV Infection
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    摘要:

    目的:观察柴归汤联合重组人干扰素α-2a 栓治疗宫颈高危型人乳头瘤病毒(HR-HPV) 感染的临 床疗效及对血清炎症因子的影响。方法:选取宫颈HR-HPV 感染患者80 例,依随机数字表法分为对照组和研 究组各40 例。对照组给予重组人干扰素α-2a 栓阴道置药治疗,研究组在对照组基础上给予柴归汤口服治 疗。2 组均治疗3 个月经周期,比较2 组临床疗效、中医证候评分、HR-HPV 转阴率、炎症感染消失率、血清 炎症因子[肿瘤坏死因子-α(TNF-α)、超敏C-反应蛋白(hs-CRP)、白细胞介素-4(IL-4)、白细胞介素- 12(IL-12)] 水平及用药安全性。结果:研究组总有效率为95.00%,对照组为75.00%,2 组比较,差异有统 计学意义(P<0.05)。治疗后,研究组HR-HPV 转阴率为82.50%、炎症感染消失率为97.50%,对照组分别为 62.50%、77.50%,2 组比较,差异均有统计学意义(P<0.05)。治疗后,2 组带下量、带下色、带下质、带下 气味、接触性出血、腰腹坠痛、小便涩痛、阴痒、口苦咽干等中医证候评分均较治疗前下降(P<0.05),且研 究组上述各项评分均低于对照组(P<0.05)。治疗后,2 组TNF-α、hs-CRP、IL-4 水平均较治疗前降低(P< 0.05),IL-12 水平较治疗前升高(P<0.05);且研究组TNF-α、hs-CRP、IL-4 水平低于对照组(P<0.05), IL-12 水平高于对照组(P<0.05)。治疗期间,研究组不良反应发生率为5.00%,对照组为10.00%,2 组比 较,差异无统计学意义(P>0.05)。结论:柴归汤结合重组人干扰素α-2a 栓治疗宫颈HR-HPV 感染能提高临 床疗效,有效抑制机体炎症反应,改善机体免疫功能及中医证候,且不良反应相对较少。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chaigui Decoction combined with recombinant human interferon α-2a suppository for cervical high-risk human papillomavirus (HR-HPV) infection and its effect on serum inflammatory factors. Methods: A total of 80 cases of patients with cervical HR- HPV infection were selected and divided into the control group and the study group according to the random number table method,with 40 cases in each group. The control group was treated with vaginal application with recombinant human interferon α-2a suppository,and the study group was additionally given the oral administration of Chaigui Decoction based on the treatment of the control group. Both groups were treated for three menstrual cycles. The clinical effects,the traditional Chinese medicine (TCM) syndrome score,the negative conversion rate of HR- HPV,the disappearance rate of inflammation and infection,the levels of serum inflammatory factors [tumor necrosis factor- α (TNF- α), hypersensitive C- reactive protein (hs- CRP),interleukin-4 (IL-4),interleukin-12 (IL-12)],and the medication safety were compared. Results: The total effective rate was 95.00% in the study group and 75.00% in the control group, the difference being significant (P<0.05). After treatment, the negative conversion rate of HR- HPV and the disappearance rate of inflammation and infection was 82.50% and 97.50% respectively in the study group, and 62.50% and 77.50% respectively in the control group, differences being significant (P<0.05). After treatment,the TCM syndrome scores including leucorrhea volume,leucorrhea color,leucorrhea texture feeling, leucorrhea smell, contact bleeding, falling sensation of waist and abdomen, painful urination, vaginal itch,and bitter taste and dry throat in the two groups were decreased when compared with those before treatment (P<0.05),and the above scores in the observation group were lower than those in the control group (P<0.05).After treatment,the levels of TNF-α,hs-CRP,and IL-4 in the two groups were decreased when compared with those before treatment (P<0.05),and IL-12 levels were increased when compared with those before treatment (P<0.05);the levels of TNF- α,hs- CRP,and IL- 4 in the study group were lower than those in the control group (P<0.05),and the IL-12 level was higher than that in the control group (P<0.05). During treatment, the incidence of adverse reactions was 5.00% in the study group and 10.00% in the control group,there being no significant difference between the two groups (P> 0.05). Conclusion:Chaigui Decoction combined with recombinant human interferon α- 2a suppository for cervical HR- HPV infection can improve the clinical effect and effectively inhibit the inflammatory responses, improve the body's immune function and the TCM syndrome, with relatively fewer adverse reactions.

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苏丹,郭蕊.柴归汤联合重组人干扰素α-2a 栓治疗宫颈HR-HPV 感染临床研究[J].新中医,2023,55(16):117-121

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  • 在线发布日期: 2023-08-31
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