首页|子午流注开穴法联合干扰素治疗持续性宫颈HR-HPV感染及对患者阴道微生态的影响

子午流注开穴法联合干扰素治疗持续性宫颈HR-HPV感染及对患者阴道微生态的影响

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目的 探讨子午流注开穴法联合重组人干扰素α2b治疗持续性宫颈HR-HPV感染的疗效.方法 收集2021年10月至2022年12月于广州中医药大学深圳医院(福田)就诊的宫颈HR-HPV感染患者60例,随机分为研究组(n=30)及对照组(n=30),研究组进行子午流注开穴法联合重组人干扰素α2b阴道泡腾片治疗,对照组给予重组人干扰素α2b阴道泡腾片治疗,比较两组HPV转阴率、中医证候及阴道微生态的改善情况.结果 治疗后两组患者的HPV转阴率、中医证候及阴道微生态均较治疗前改善.①治疗后研究组21例转阴,转阴率70.00%,对照组11例转阴,HPV转阴率36.67%,研究组HPV转阴率优于对照组(P<0.01);②研究组中医证候方面改善较为显著(P<0.01);③两组阴道微生态各项指标均有改善,研究组的白细胞酯酶、乙酰氨基葡萄糖苷酶及pH值改善优于对照组(P<0.05);④ 研究组临床总有效率显著高于对照组(P<0.001).结论 子午流注开穴法联合干扰素治疗宫颈HR-HPV感染临床疗效确切,与单纯西药治疗相比,能明显改善患者的阴道微生态及中医证候,提高HR-HPV转阴率,安全可靠,建议推广应用.
The therapeutic effect of Ziwu Liuzhu acupoint method and interferon on persistent cervical HR-HPV infection and its impact on the vaginal microecology of patients
Objective To investigate the therapeutic effect of Ziwu Liuzhu acupoint method combined with recombinant human interferon α2b on persistent cervical HR-HPV infection.Methods Collected 60 cervical HR-HPV infection patients who visited Shenzhen Hospital(Fu Tian)of Guangzhou University of Chinese Medicine from October 2021 to December 2022,and randomly divided into the study group(n=30)and the control group(n=30),and the study group was treated with meridian flow injection acupoint method combined with recombinant human interferon α2b vaginal effervescent tablets,while the control group received recombinant human interferon α2b vaginal effervescent tablets.The improvement of HPV negative conversion rate,traditional Chinese medicine syndrome,and vaginal microbiota were compared between the two groups.Results The HPV negative conversion rate,traditional Chinese medicine syndromes,and vaginal microbiota of the two groups of patients were improved after treatment compared with before treatment.① After treatment,21 cases in the study group turned negative,with a conversion rate of 70.00%.11 cases in the control group turned negative,with a HPV conversion rate of 36.67%.The HPV conversion rate of the study group was better than that of the control group(P<0.01);② The study group was more significant in terms of improving Chinese medicine symptoms(P<0.01);③Both groups showed improvement in various indicators of vaginal microbiota,the study group showed better improvement in white blood cell esterase,acetylglucosidase,and pH value than the control group(P<0.05);④ The total clinical effective rate of the study group significantly higher than that of the control group(P<0.001).Conclusion The combination of meridian flow injection and acupoint opening method with interferon in the treatment of cervical HR-HPV infection has a definite clinical effect,compared with simple Western medicine treatment,this method can significantly improve the vaginal microecology and traditional Chinese medicine syndromes of patients,increase the negative conversion rate of HR-HPV,and is safe and reliable,it is recommended to promote its application.

persistent HR-HPV infectionmeridian flow injection acupoint opening methodrecombinant human interferon α2b vaginal effervescent tabletsHPV conversion rate

孙荣华、马睿、胡桂华、侯琳、李慧敏、靳彩云、毛东伟

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518000 广东 深圳,广州中医药大学深圳医院(福田)妇科

510006 广东 广州,广州中医药大学第六临床医学院

持续HR-HPV感染 子午流注开穴法 重组人干扰素α2b阴道泡腾片 HPV转阴率

广东省深圳市福田区卫生公益性科研项目

FTWS2021034

2024

中国计划生育和妇产科
中国医师协会 四川省医学情报研究所

中国计划生育和妇产科

CSTPCD
影响因子:1.116
ISSN:1674-4020
年,卷(期):2024.16(10)