LEEP/CKC术后应用重组人干扰素α2b阴道泡腾胶囊对伴HPV感染CIN病人阴道微环境及预后的影响

    Effect of recombinant human interferon α2b vaginal effervescent capsules on the vaginal microenvironment and prognosis of patients with CIN complicated with HPV infection after LEEP/CKC

    • 摘要: 目的:探讨宫颈环形电切术(LEEP)/冷刀锥切(CKC)术后应用重组人干扰素α2b阴道泡腾胶囊(RHIα2b-VEC)对伴人乳头状瘤病毒(HPV)感染的宫颈上皮内瘤变(CIN)病人阴道微环境及预后的影响。方法:选取接受LEEP/CKC治疗的86例伴HPV感染的CIN病人作为研究对象,按随机数字表法分为联合组(n=43)和单一组(n=43),术后首次月经结束后,单一组予以乳酸杆菌活菌胶囊治疗,联合组予以RHIα2b-VEC +乳酸杆菌活菌胶囊治疗,比较2组术后恢复情况(阴道出血时间、出血量、排液时间、宫颈创面愈合时间),比较2组治疗3个月后HPV转阴情况(转阴率、总有效率),比较2组治疗前及治疗3个月后阴道微环境(Nugent评分、阴道分泌物pH值)。结果:联合组阴道出血和排液时间、宫颈创面愈合时间均短于单一组,阴道出血量少于单一组(P<0.01);治疗3个月后,联合组转阴率、总有效率均高于单一组(P<0.05和P<0.01),2组Nugent评分、阴道分泌物pH值均较术前下降,且联合组低于单一组(P<0.01)。结论:对接受LEEP/CKC治疗的伴HPV感染的CIN病人术后予以RHIα2b-VEC治疗可有效促进阴道内环境恢复及HPV转阴,同时可减轻阴道炎症反应,具有较高的临床应用价值。

       

      Abstract: Objective: To explore the effects of recombinant human interferon α2b vaginal effervescent capsules(RHIα2b-VEC) on the vaginal microenvironment and prognosis of patients with cervical intraepithelial neoplasia(CIN) complicated with human papilloma virus(HPV) infection after loop eelectrosurgical excision procedure (LEEP)/cold knife conization(CKC). Methods: Eighty-six CIN patients complicated with HPV infection treated with LEEP/CKC were divided into the combined group(n=43) and single group(n=43) by the random number table method.After the first postoperative menstrual period,the single group were treated with lactobacillus live bacteria capsules,and the combined group were treated with RHIα2b-VEC combined with lactobacillus live bacteria capsules.The postoperative recovery status(vaginal bleeding time,bleeding volume,drainage time and cervical wound healing time),HPV negative conversion status(negative conversion rate and total effective rate) after 3 months of treatment,and vaginal microenvironment(Nugent score and pH value of vaginal secretion) before treatment and after 3 months of treatment were compared between two groups. Results: The vaginal bleeding time,drainage time and cervical wound healing time in the combined group were shorter than those in single group17 JIN Y,ZHOU TY,CAO JN,et al.MicroRNA-206 downregulates Connexin43 in cardiomyocytes to induce cardiac arrhythmias in a transgenic mouse modelJ.Heart Lung Circ,2019,28(11):1755. 18 JIN Y,ZHOU T,FENG Q,et al.Inhibition of microRNA-206 ameliorates ischemia-reperfusion arrhythmia in a mouse model by targeting Connexin43J.J Cardiovasc Transl Res,2020,13(4):584. 19 党亚南,党亚东.稳心颗粒对心肌梗死伴室性心律失常疗效及IL-17、hs-CRP水平的影响J.中西医结合心脑血管病杂志,2017,15(18):2299. (本文编辑 刘梦楠)(P<0.01).After 3 months of treatment,the negative conversion rate and total effective rate in the combined group were significantly higher than those in single group(P<0.05 and P<0.01).After treatment.the Nugent score and pH value of vaginal secretion in two groups decreased compared with those before surgery,and the above indicators in the combined group were lower than those in single group(P<0.01). Conclusions: The postoperative application of RHIα2b-VEC in CIN patients cpomlicated with HPV infection treated with LEEP/CKC can effectively promote the vaginal environment recovery and HPV negative conversion,relieve the vaginal inflammatory response,and it has high clinical application value.

       

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