首页|重组人干扰素α-2b阴道泡腾片联合保妇康栓治疗宫颈癌前病变合并高危型HPV感染的疗效

重组人干扰素α-2b阴道泡腾片联合保妇康栓治疗宫颈癌前病变合并高危型HPV感染的疗效

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目的 探究重组人干扰素α-2b阴道泡腾片(RHIα2b-VEC)联合保妇康栓治疗宫颈癌前病变(CIN)合并高危型人乳头瘤病毒(HPV)感染的临床价值.方法 收集2020年7月-2023年1月泰和县妇幼保健计划生育服务中心收治的66例CIN合并高危型HPV感染者,经随机数字表法分为对照组(33例)与观察组(33例).对照组行保妇康栓治疗,观察组在其基础上联合RHIα2b-VEC治疗,比较两组HPV清除疗效、综合疗效、血清炎症指标[白细胞介素-4(IL-4)、白细胞介素-12(IL-12)]、T淋巴细胞水平(CD8+、CD4+、CD4+/CD8+)、不良反应.结果 观察组HPV清除有效率为63.64%,高于对照组的39.39%(P<0.05);观察组综合治疗有效率为60.61%,高于对照组的33.33%(P<0.05);观察组治疗后IL-4、CD8+低于对照组,IL-12、CD4+、CD4+/CD8+水平高于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 RHIα2b-VEC联合保妇康栓治疗CIN合并高危型HPV感染的疗效良好,可提高其HPV转阴效果,调节细胞因子,改善免疫功能,且不增加不良反应发生几率.
Efficacy of Recombinant Human Interferon α-2b Vaginal Effervescent Capsule Combined with Baofukang Suppository in the Treatment of Cervical Precancerous Lesions with High-risk HPV Infection
Objective To explore the clinical value of recombinant human interferon α-2b vaginal effervescent capsule(RHIα2b-VEC)combined with Baofukang suppository in the treatment of cervical precancerous lesions(CIN)complicated with high-risk human papillomavirus(HPV)infection.Methods A total of 66 patients with CIN complicated with high-risk HPV infection admitted to Taihe County Maternal and Child Health Family Planning Service Center from July 2020 to January 2023 were collected and divided into control group(33 patients)and observation group(33 patients)by random number table method.The control group was treated with Baofukang suppository,and the observation group was treated with RHIα2 b-VEC on the basis of the control group.The HPV clearance efficacy,comprehensive efficacy,serum inflammatory indexes[interleukin-4(IL-4),interleukin-12(IL-12)],T lymphocyte levels(CD8+,CD4+,CD4+/CD8+)and adverse reactions were compared between the two groups.Results The effective rate of HPV clearance in the observation group was 63.64%,which was higher than 39.39%in the control group(P<0.05).The effective rate of comprehensive treatment in the observation group was 60.61%,which was higher than 33.33%in the control group(P<0.05).After treatment,the levels of IL-4 and CD8+in the observation group were lower than those in the control group,and the levels of IL-12,CD4+and CD4+/CD8+in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion RHIα2b-VEC combined with Baofukang suppository is effective in the treatment of CIN complicated with high-risk HPV infection,which can improve the negative conversion effect of HPV,regulate cytokines,improve immune function,and do not increase the incidence of adverse reactions.

Cervical precancerous lesionsHigh-risk HPV infectionRecombinant human interferon α-2b vaginal effervescent capsuleBaofukang suppository

刘晓莲

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泰和县妇幼保健计划生育服务中心妇女保健部,江西 泰和 343700

宫颈癌前病变 高危型HPV感染 重组人干扰素α-2b阴道泡腾片 保妇康栓

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(6)
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