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中国初级卫生保健:2020,34(5):73-77
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宫颈高危型HPV持续感染者基于中医体质的中西医治疗*
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中文摘要: 目的 探讨宫颈高危型HPV持续感染者基于中医体质的中药内服联合宫颈局部用药的疗效。方法 将280例宫颈高 危型HPV持续感染者结合中医体质随机分为研究组与对照组各140例。对照组给予保妇康栓、辛复宁交替阴道放药,研究组 在对照组用药基础上,根据体质加用中药内服,两组均治疗3个周期,第4周期评估疗效。结果 研究组与对照组总有效率分 别为 80.71%和 45.71%,痰湿质患者中,研究组与对照组有效率分别为 80.00%和 50.00%;湿热质患者中,研究组与对照组有 效率分别为81.25%,46.88%;气虚质患者中,研究组与对照组有效率分别为80.00%和50.00%;阳虚质患者中,研究组与对照 组有效率分别为80.00%,45.00%;阴虚质患者中,研究组与对照组有效率分别为80.00%和40.00%;气郁质患者中,研究组与 对照组有效率分别为 77.78%和 33.33%;血瘀质患者中,研究组与对照组有效率分别为 88.89%和 33.33%,差异有统计学意义 (P<0.05)。结论 对于宫颈高危型HPV持续感染者,宫颈局部用药联合基于中医体质的中药内服,可改善疗效。
Abstract:OBJECTIVE The aim is to investigate the clinical efficacy of the treatment (orally traditional Chinese medicine compound de⁃ coctions according to TCM constitution combined with cervical local application of drugs) on the patients with cervical high-risk HPV persistent infection. METHODS A total of 280 patients with persistent high-risk HPV infection were randomly divided into study group and control group, of them, Baofukang suppository and human recombinant interferon α-2b vaginal effervescent capsules were alternately given to the control group. On the basis of local application of drugs, the treatment of orally traditional Chinese medicine compound decoctions according to TCM constitution was added to the study group for a total of 3 menstrual cycles. The efficacy was evaluated in the fourth cycle. RESULTS The total effective rate of the treatment group and the control group were 80.71% and 45.71%, respectively. Among them, the effective rate of the treatment group and the control group were 80% and 50%, for the patients with the constitution of phlegm-dampness, respectively; 81.25% and 46.88% for the patients with the constitution of damp-heat quali⁃ ty, respectively; 80% and 50% for the patients with the constitution of qi-deficiency, respectively; 80% and 45% for the patients with the constitution of yang-deficiency, respectively; 80% and 40% for the patients with the constitution of yin-deficiency, respectively; 77.78% and 33.33% for the patients with the constitution of qi-stagnation, respectively; 88.89% and 33.33% for the patients with the constitution of blood-putum, respectively. The effective rate were compared by rank sum test, all P<0.05, and the differences were statistically significant. CONCLUSION For patients with persistent high-risk HPV infection in the cervix, on the basis of local applica⁃ tion of drugs of cervix, orally traditional Chinese medicine compound decoctions according to TCM constitution could significantly im⁃ prove the therapeutic effect.
文章编号:3202005022     中图分类号:R1-9    文献标志码:
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