1. 浙江省杭州市中医院中医妇科,浙江,杭州,310007
2. 浙江省慈溪市人民医院妇科,浙江慈溪,315300
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徐新亚, 张科群. 健脾化湿解毒方联合西药治疗慢性宫颈炎合并高危型HPV感染的临床研究[J]. 上海中医药杂志, 2018,52(10):54-56.
XU Xinya, ZHANG Kequn. Clinical study of Jianpi Huashi Jiedu Decoction combined with western medicine in treating chronic cervicitis complicated with high risk HPV infection[J]. Shanghai Journal of Traditional Chinese Medicine, 2018,52(10):54-56.
徐新亚, 张科群. 健脾化湿解毒方联合西药治疗慢性宫颈炎合并高危型HPV感染的临床研究[J]. 上海中医药杂志, 2018,52(10):54-56. DOI: 10.16305/j.1007-1334.2018.10.014.
XU Xinya, ZHANG Kequn. Clinical study of Jianpi Huashi Jiedu Decoction combined with western medicine in treating chronic cervicitis complicated with high risk HPV infection[J]. Shanghai Journal of Traditional Chinese Medicine, 2018,52(10):54-56. DOI: 10.16305/j.1007-1334.2018.10.014.
目的:观察健脾化湿解毒方联合重组人干扰素α-2b凝胶治疗慢性宫颈炎合并高危型人乳头瘤病毒(HPV)感染的临床疗效。 方法:将188例慢性宫颈炎合并高危型HPV感染的患者,随机分为治疗组和对照组,每组94例。对照组予重组人干扰素α-2b凝胶治疗,治疗组在对照组治疗措施基础上加服健脾化湿解毒方。两组疗程均为2个月,随访6个月,观察HPV转阴率、复发率及不良反应情况,比较HPV 病毒载量、临床症状与体征的变化情况。 结果:①治疗前后组内比较,两组HPV病毒载量差异有统计学意义,均明显降低(P<0.05);组间治疗后比较,治疗组HPV病毒载量明显低于对照组(P<0.05)。组间HPV转阴率比较,差异有统计学意义(P<0.05),治疗组明显高于对照组。②治疗前后组内比较,两组腰骶部酸痛、白带量多、接触性出血、脓性分泌物出现比例差异有统计学意义(P<0.05),均明显降低;组间治疗后比较,治疗组腰骶部酸痛、白带量多、接触性出血、脓性分泌物出现比例明显低于对照组(P<0.05)。③组间复发率比较,差异有统计学意义(P<0.05),治疗组明显低于对照组。④组间不良反应发生率比较,差异无统计学意义(P>0.05)。 结论:健脾化湿解毒方联合重组人干扰素α-2b凝胶治疗慢性宫颈炎伴高危型HPV感染,可明显提高HPV转阴率,降低疾病的复发率,改善临床症状与体征,且不良反应较少。
Objective:To observe the clinical efficacy of Jianpi Huashi Jiedu Decoction combined with recombinant human interferon α-2b gel in the treatment of chronic cervicitis complicated with high risk human papillomavirus (HPV) infection. Methods188 patients of chronic cervicitis with high risk HPV infection were randomly divided into the treatment group and control group, 94 cases in each group. The control group was treated with recombinant human interferon α-2b gel, and the treatment group was additionally treated with Jianpi Huashi Jiedu Decoction based on the treatment for the control group, with a treatment course of 2 months and follow-up of 6 months. The negative conversion rate and recurrence rate of HPV and adverse reactions were observed. The changes on HPV viral load, clinical symptoms and signs of patients were compared. Results:①In both groups, there was statistically significant difference on the HPV viral load between treatment before and after, and the HPV viral load was obviously decreased in both groups after treatment (P<0.05). After treatment, the HPV viral load in the treatment group was obviously lower than that in the control group (P<0.05). There was statistically significant difference on the HPV negative conversion rate between the two groups, and the HPV negative conversion rate in the treatment group was obviously higher than that in the control group (P<0.05). ②In both groups, there were statistically significant differences on the occurrence rates of lumbosacral pain, leucorrhea with large amount, contact bleeding and purulent secretion between treatment before and after, and the occurrence rates were decreased in both groups after treatment (P<0.05). After treatment, the occurrence rates of lumbosacral pain, leucorrhea with large amount, contact bleeding and purulent secretion in the treatment group were obviously lower than those in the control group (P<0.05). ③There was statistically significant difference on the recurrence rate between the two groups, and the recurrence rate in the treatment group was obviously lower than that in the control group (P<0.05). ④There was no statistically significant difference on the incidence rate of adverse reactions between the two groups (P>0.05). Conclusion:Jianpi Huashi Jiedu Decoction combined with recombinant human interferon α-2b gel in the treatment of chronic cervicitis with high risk HPV infection can obviously increase the HPV negative conversion rate, reduce the recurrence rate and improve the clinical symptoms and signs, with fewer adverse reactions.
慢性宫颈炎人乳头瘤病毒干扰素健脾化湿解毒法转阴率
chronic cervicitishuman papillomavirus (HPV)interferontherapy of invigorating spleen and eliminating dampness and detoxificationnegative conversion rate
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