首页|干扰素联合瑞贝生治疗宫颈高危型HPV持续感染患者的疗效及对其免疫水平的影响

干扰素联合瑞贝生治疗宫颈高危型HPV持续感染患者的疗效及对其免疫水平的影响

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目的 分析宫颈高危型人乳头瘤病毒(HPV)持续感染患者采用女性抗毒洁阴复合剂(商品名:瑞贝生)以及干扰素联合治疗的临床疗效及对其免疫水平的影响。方法 根据采用治疗方法的不同,将240例宫颈高危型HPV持续感染患者评价分配至观察组和对照组中,每组120例。对照组患者在月经之后3 d开始使用重组人干扰素 α2b栓治疗,观察组患者在对照组的治疗基础上同时应用瑞贝生进行治疗。对比两组患者随访6个月的HPV转阴情况、无不良反应发生率、治疗前后的肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平。结果 在治疗效果方面,观察组清除率为78。33%,对照组总清除率仅为31。67%。特别是在HPV的完全清除率方面,观察组的66。67%显著优于对照组的23。33%,总清除率同样高出许多(78。33%对比31。67%),这些差异都具有统计学意义(P<0。05)。关于安全性,观察组的无不良反应发生率为70。00%,而对照组稍高为76。67%。尽管两组的安全性表现相似,但统计分析显示这一差异并不显著(P>0。05)。在生物标志物的变化上,两组患者在治疗后的TNF-α水平均显著低于治疗前,而IL-6水平则显著高于治疗前。值得注意的是,观察组的TNF-α平均水平(89。32±23。21)ng/L低于对照组(106。32±22。76)ng/L,IL-6平均水平(9。01±3。43)ng/L则高于对照组(6。54±3。32)ng/L,显示出治疗后生物标志物的差异性也具有统计学意义(P<0。05)结论干扰素联合瑞贝生在宫颈高危型HPV持续感染患者的治疗中能够起到良好的效果,用药安全性高,具有较高的推广价值。
Efficacy of interferon combined with Rebacin in the treatment of patients with persistent cervical high-risk HPV infection and its influence on their immune level
Objective To analyze the clinical efficacy of interferon combined with Rebacin in the treatment of patients with persistent cervical high-risk human papillomavirus (HPV) infection and its influence on their immune level. Methods 240 patients with persistent cervical high-risk HPV infection were divided into an observation group and a control group according to the differences in treatment modalities,with 120 patients in each group. Patients in the control group were treated with recombinant human interferon α-2b suppository 3 d after menstruation,and patients in the observation group were treated with Rebacin on the basis of the control group. Both groups were compared in terms of HPV negative-conversion status after 6 months of follow-up,the incidence of no adverse reactions,and the levels of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) before and after treatment. Results In terms of treatment efficacy,the observation group had a clearance rate of 78.33%,while the control group had a total clearance rate of only 31.67%. Especially in terms of the complete clearance rate of HPV,the observation group's 66.67% was significantly better than the control group's 23.33%,and the total clearance rate was also much higher (78.33% compared to 31.67%),and these differences were statistically significant (P<0.05). Regarding safety,the observation group had a no adverse reaction incidence rate of 70.00%,while the control group had a slightly higher rate of 76.67%. Although the safety performance of the two groups was similar,statistical analysis showed that the difference was not significant (P>0.05). In terms of changes in biomarkers,both groups of patients had significantly lower levels of TNF-α after treatment compared to before treatment,while IL-6 levels were significantly higher than before treatment. It is worth noting that the average level of TNF-α in the observation group (89.32±23.21) ng/L was lower than that in the control group (106.32±22.76) ng/L,while the average level of IL-6 (9.01±3.43)ng/L was higher than that in the control group (6.54±3.32) ng/L,indicating statistically significant differences in biomarkers after treatment (P<0.05). Conclusion Interferon combined with Rebacin can play a good effect in the treatment of patients with persistent cervical high-risk HPV infection,and it has high drug safety and high promotion value.

InterferonRebacinHuman papillomavirusImmune level

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362500 德化县医院

干扰素 女性抗毒洁阴复合剂 人乳头瘤病毒 免疫水平

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)