首页|抗HPV生物蛋白敷料联合保妇康栓对慢性宫颈炎合并HR-HPV感染患者的疗效及对阴道微生态的影响

抗HPV生物蛋白敷料联合保妇康栓对慢性宫颈炎合并HR-HPV感染患者的疗效及对阴道微生态的影响

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目的 探究抗人乳头瘤病毒(HPV)生物蛋白敷料联合保妇康栓对慢性宫颈炎合并高危型HPV感染(HR-HPV)的疗效及对阴道微生态的影响,为该类患者的治疗提供参考。方法 选取2021年10月至2022年3月我院收治的106例慢性宫颈炎合并HR-HPV感染患者为研究对象,采用随机数表法分为观察组和对照组,各53例。对照组患者采用保妇康栓治疗,观察组患者采用抗HPV生物蛋白敷料联合保妇康栓治疗。比较2组患者疗效、治疗后3个月和6个月HPV转阴率、治疗前后辅助性T细胞(Th)l[白细胞介素-2(IL-2)、白细胞介素-3(IL-3)]、Th2[白细胞介素-4(IL-4)、白细胞介素-10(IL-10)]相关细胞因子水平、阴道微生态情况[菌群密集度、菌群多样性、pH值]及不良反应发生率。结果 观察组患者总有效率(94。34%)高于对照组(79。25%)(P<0。05);观察组患者治疗后3个月、6个月HPV转阴率均高于对照组(均P<0。05);治疗后观察组患者血清IL-2、IL-3水平高于对照组,IL-4、IL-10水平低于对照组(均P<0。05);治疗后观察组患者阴道菌群多样性、菌群密集度、pH值均优于对照组(均P<0。05);2组患者不良反应发生率差异无统计学意义(P>0。05)。结论 慢性宫颈炎合并HR-HPV感染患者采用抗HPV生物蛋白敷料联合保妇康栓治疗效果显著,可有效提升HPV转阴率,促进Th1/Th2免疫功能平衡,改善阴道微生态,安全性高。
Effect of anti-HPV biological protein dressing combined with Bao-fu-kang Suppository in treatment of chronic cervicitis complicated with HR-HPV infection and its influence on vaginal microecology
Objective To explore the effect of anti-human papillomavirus(HPV)bioprotein dressing(BPD)combined with Bao-fu-kang Suppository in the treatment of chronic cervicitis(CC)complicated with high-risk HPV infection(HR-HPV)and its influence on vaginal microecology.Methods A total of 106 patients with CC complicated with HR-HPV infection admitted to our hospital from October 2021 to March 2022 were selected and divided into observation group and control group randomly,with 53 cases in each group.The control group was treated with Bao-fu-kang suppository alone,while the observation group was treated with anti-HPV BPD combined with Bao-fu-kang suppository.The efficacy,HPV negative conversion rate at 3 months and 6 months after treatment,the levels of T helper l(Thl)[interleukin-2(IL-2),in-terleukin-3(IL-3)],Th2[interleukin-4(IL-4),interleukin-10(IL-10)]related cytokines before and after treatment,vaginal microecology(flora density,flora diversity,pH),and incidence of adverse reactions were compared between the two groups.Results The total efficiency rate in observation group was higher than that in control group(94.34%vs 79.25%,P<0.05).The negative rate of HPV in observation group was higher than that in control group at 3 months and 6 months after treatment(all P<0.05).After treatment,the levels of IL-2 and IL-3 in observation group were higher,while those of IL-4 and IL-10 were lower than in control group,respectively(all P<0.05).After treatment,the bacterial diversity,bacterial density and pH value in observation group were better than those in control group(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion For patients with chronic cervicitis complicated with HR-HPV infection,anti-HPV biological protein dressing combined with Bao-fu-kang supposit-ory can effectively improve the negative rate of HPV,promote the balance of Th1/Th2 immune function,and improve va-ginal microecology,with high safety.

Anti HPV biological protein dressingBao-fu-kang suppositoryChronic cervicitisHigh risk HPV infectionVaginal microecology

古力其曼·艾孜木江、赵骏达、马俊旗

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新疆医科大学第一附属医院妇科中心,新疆乌鲁木齐 830011

抗HPV生物蛋白敷料 保妇康栓 慢性宫颈炎 高危型HPV感染 阴道微生态

国家自然科学基金

81960463

2024

中国微生态学杂志
中华预防医学会 大连医科大学

中国微生态学杂志

CSTPCD北大核心
影响因子:1.115
ISSN:1005-376X
年,卷(期):2024.36(1)
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