解毒汤加减方联合重组人干扰素α2a治疗慢性宫颈炎合并HPV感染病人71例

    Modified Jiedu decoction combined with recombinant human interferon α2a for treatment of 71 patients with chronic cervicitis and HPV infection

    • 摘要: 目的:研究解毒汤加减方联合重组人干扰素α2a治疗对慢性宫颈炎合并人乳头瘤病毒(HPV)感染病人免疫功能以及细胞角蛋白19片段抗原(CYFRA21-1)、E2F转录因子-1(E2F-1)水平的影响。方法:选择142例慢性宫颈炎合并HPV感染病人,依据随机对照表法分为观察组(71例)及对照组(71例)。对照组接受重组人干扰素α2a治疗,观察组接受解毒汤加减方联合重组人干扰素α2a治疗。比较2组临床疗效、中医证候评分、不良反应,以及治疗前后免疫功能指标因子、CYFRA21-1、E2F-1水平变化情况。结果:观察组总有效率、HPV转阴率均高于对照组(P<0.05)。2组治疗后带下、阴部瘙痒、小腹坠痛或隐痛、小便短赤评分均明显降低,其中观察组各评分均低于对照组(P<0.05)。观察组治疗后血清IgA、IgG、IgM均明显高于对照组(P<0.05)。2组治疗后血清CYFRA21-1、宫颈组织E2F-1表达水平均明显降低,其中观察组CYFRA21-1、E2F-1水平均明显低于对照组(P<0.05)。2组不良反应发生率差异无统计学意义(P>0.05)。结论:解毒汤加减方联合重组人干扰素α2a治疗慢性宫颈炎合并HPV感染疗效显著,可降低CYFRA21-1、E2F-1水平,改善病人免疫功能,提高HPV转阴率,安全性较好。

       

      Abstract: Objective: To study the effect of modified Jiedu decoction combined with recombinant human interferon α2a on immune function and levels of cytokeratin 19 fragment antigen (CYFRA21-1) and E2F transcription factor(1E2F-1) in patients with chronic cervicitis complicated with human papillomavirus (HPV) infection. Methods: A total of 142 patients with chronic cervicitis complicated with HPV infection were randomly divided into observation group (71 cases) and control group (71 cases).The control group was treated with recombinant human interferon α2a,and the observation group was treated with modified Jiedu decoction combined with recombinant human interferon α2a.The clinical efficacy,TCM syndrome score,immune function index factors,adverse reactions,CYFRA21-1,E2F-1 levels before and after treatment were compared between the two groups. Results: The total effective rate of the observation group and HPV negative rate were higher than that of the control group (P<0.05).After treatment,the scores of leukorrhea,vaginal pruritus,abdominal pain or dull pain,and short red urine decreased significantly,and the scores of the observation group were significantly lower than those of the control group (P<0.05).After treatment,serum IgA,IgG and IgM in the observation group were significantly higher than those in the control group (P<0.05).After treatment,the expression levels of CYFRA21-1 in serum and E2F-1 in cervical tissue were significantly decreased,and the levels of CYFRA21-1 and E2F-1 in observation group were significantly lower than those in control group (P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusions: Modified Jiedu decoction combined with recombinant human interferon α2a has a significant effect on chronic cervicitis complicated with HPV infection,which can reduce the levels of CYFRA21-1 and E2F-1,improve the immune function of patients,and improve the negative rate of HPV with good safety.

       

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