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不同HPV基因分型尖锐湿疣的中西医辨证诊疗的临床研究

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目的 分析不同HPV基因分型尖锐湿疣的中西医结合诊疗情况。方法 选择皮肤科门诊初步确诊的68例尖锐湿疣患者,分成治疗组、对照组,每组34例。针对患者进行HPV基因分型检测,对照组采取局部物理治疗方式,治疗组根据中医证候的辨证关系与HPV基因分型关系,在局部物理治疗的基础上采取个性化中医治疗。分析中医辨证证候与HPV不同基本分型之间关系,观察患者治疗痊愈率及复发率;对比治疗前后两组外周血T细胞亚群变化。结果 尖锐湿疣症候肝经湿热证HPV 6分型比率最高,为80。65%;脾虚湿盛证HPV 11比率最高,为84。62%。治疗组治愈率(94。12%)高于对照组(73。53%),治疗组复发率(2。94%)低于对照组(20。59%),对比差异有统计学意义(P<0。05)。两组患者治疗后CD4+、CD4+/CD8+较治疗前升高,而治疗组指标高于对照组,治疗后CD8+较治疗前降低,治疗组低于对照组,对比差异有统计学意义(P<0。05)。结论 不同中医辨证分型的尖锐湿疣患者HPV基因分型存在差异,根据中医证候的辨证关系与HPV基因分型关系应用个性化中医治疗,可促进患者痊愈,减少复发率,提高患者的免疫功能。
Clinical Study on Traditional Chinese and Western Medicine Differentiation Treatment of Genital Genital Warts with Different HPV Genotypes
Objective To analyze traditional Chinese and western medicine differentiation treatment of genital warts based on different human papillomavirus(HPV)genotypes.Methods The paper chose 68 patients with genital warts preliminarily confirmed in dermatology outpatient department,and divided them into treatment group and control group,with 34 cases in each group.Patients were treated with HPV genotyping testing,control group with local physical therapy,while treatment group with personalized traditional Chinese medicine treatment based on relationship between traditional Chinese medicine syndrome differentiation and HPV genotyping.Relationship between traditional Chinese medicine syndrome differentiation and different basic subtypes of HPV was analyzed,and recovery rate and recurrence rate of patients after treatment was observed,changes in peripheral blood T cell subsets were compared between two groups before and after treatment.Results HPV 6 typing rate of liver meridian damp heat syndrome in genital warts syndrome was the highest of 80.65%;HPV 11 rate was the highest of 84.62%in the spleen deficiency dampness excess syndrome.Cure rate of treatment group was 94.12%,higher than 73.53%in control group.Cecurrence rate of treatment group was 2.94%,lower than 20.59%in control group.Difference in comparison was statistically significant(P<0.05).After treatment,CD4+and CD4+/CD8+was higher than before treatment,indicators in treatment group were higher than control group.After treatment,CD8+was lower than before treatment,that of treatment group was lower than control group,with statistical significance(P<0.05).Conclusion HPV gene typing of patients with genital warts based on different TCM syndrome differentiation types is different.Personalized TCM treatment according to relationship between TCM syndrome differentiation and HPV gene typing can promote recovery,reduce recurrence rate,and improve immune function of patients.

Human papillomavirusGenotypingGenital wartsTraditional Chinese and western medicine syndrome differentiation treatment

卢进冠、陈少锋、郑文亮、陈慧兰

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东莞三局医院,广东 东莞 523710

人乳头瘤病毒 基因分型 尖锐湿疣 中西医辨证治疗

东莞市社会发展科技项目

20211800903132

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(10)