首页|干扰素联合炎复康洗液治疗宫颈高危型HPV感染的疗效分析

干扰素联合炎复康洗液治疗宫颈高危型HPV感染的疗效分析

扫码查看
目的 了解高危型人乳头瘤病毒(HR-HPV)感染与阴道微生态组成的关系,探讨通过中西医结合干预HR-HPV感染患者的治疗效果及阴道微生态的影响情况,寻求遏制宫颈上皮内瘤样病变进展的新方法.方法 选择2023年4-6月在陕西中医药大学第二附属医院妇科门诊就诊的HR-HPV感染患者100例进行前瞻性研究,按照随机数字表法分为对照组和观察组各50例.对照组接受干扰素治疗,观察组接受干扰素联合炎复康洗液治疗.对患者行阴道分泌物高通量DNA测序,比较两组治疗前后的阴道微生态组成差异及HR-HPV转阴情况.结果 观察组阴道微生态在多样性指数上、丰度上与对照组相比,提高了优势乳酸杆菌属的丰度,差异均有统计学意义(R=0.124、0.304、0.030,均P<0.05).治疗后观察组的转阴率和总有效率(转阴+有效)分别为44%(22/50)和68%(34/50),高于对照组的 20%(10/50)和 32%(16/50),差异有统计学意义(x2=12.98,P<0.05).两组不良反应发生率差异无统计学意义(x2=1.76,P>0.05).结论 干扰素联合炎复康洗液通过调控阴道微生态组成治疗HR-HPV感染,疗效显著,安全性良好,值得临床进一步应用.
Efficacy of interferon combined with Yanfukang Lotion in treating high-risk cervical human papillomavirus infection
Objective This study aims to investigate the relationship between high-risk human papillomavirus(HR-HPV)infection and the composition of vaginal microecology.It will analyze the efficacy of integrated traditional Chinese and Western medicine intervention in treating HR-HPV infection,as well as the effects of this combined approach on vaginal microecology.Additionally,the study seeks to identify new methods to inhibit the malignant progression of cervical intraepithelial lesions.Methods A prospective study was conducted involving 100 patients with HR-HPV infection who visited the Department of Gynecology,The Second Affiliated Hospital of Shaanxi University of Chinese Medicine from April to June 2023.The participants were randomly divided into a control group and an observation group,with 50 patients in each group using a random number table method.The control group received interferon treatment,while the observation group was treated with a combination of interferon and Yanfukang Lotion.High-throughput DNA sequencing of vaginal secretions was conducted to compare the differences in pre-and post-treatment vaginal microecological composition and the rate of HR-HPV clearance between the two groups.Results In the observation group,both the diversity index and the abundance of vaginal microecology showed significant improvements compared with the control group,particularly in the abundance of dominant Lactobacillus species.These differences were statistically significant(R=0.124,0.304,0.030,all P<0.05).The rates of HR-HPV clearance and overall effective rate(clearance+effective)in the observation group were 44%(22/50)and 68%(34/50),respectively,which were signifiicantly higher than those in the control group[20%(10/50),32%(16/50),x2=12.98,both P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(x2=1.76,P>0.05).Conclusion The combination of interferon and Yanfukang Lotion effectively treats HR-HPV infection by regulating the composition of vaginal microecology.This approach shows considerable efficacy and good safety,indicating its potential for further clinical application.

Cervical intraepithelial neoplasiaHuman papillomavirus DNA testsVaginaInterferon-alphaDrugs,Chinese herbal

王振威、孟瑶、邱育红、段宁娟、杜嘉怡、杜舒婷、冯敏琪、索夏莉、杨小芳

展开 >

陕西中医药大学第二附属医院妇科,咸阳 712000

陕西中医药大学公共卫生学院,咸阳 712000

宫颈上皮内瘤样病变 人乳头状瘤病毒DNA检测 阴道 干扰素α 中草药

2024

中国基层医药
中华医学会,安徽医科大学

中国基层医药

影响因子:1.003
ISSN:1008-6706
年,卷(期):2024.31(12)