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Observation of the intervention effect of Xinfuning combined with life style on cervical HR-HPV persistent infection |
CHEN Haiyan SHI Yun |
Department of Gynaecology, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100013, China |
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Abstract Objective To investigate the combined effect of Xinfuning and life style intervention on cervical high-risk human papillomavirus (HR-HPV) persistent infection. Methods Screening of gynecological clinic in Dongzhimen Hospital of Beijing University of Chinese Medicine from February 2014 to January 2016, 200 patients who were eligible for inclusion and exclusion criteria for cervical HR-HPV persistent infection were selected. According to the sequence of random number tables, they were divided into four groups: union group (50 cases), treatment group (50 cases), intervention group (50 cases), control group (50 cases), the union group was treated with Xinfuning combined with life style intervention. The treatment group was treated with Xinfuning, the intervention group was given life style intervention, the control group would not adopt any interference, the intervention effect(negative conversion situation of HR-HPV) was compared among each groups. Results The total effective rate of the union group after 6 months was 86.0%, 66.0% in treatment group, 58.0% in intervention group, 32.0% in control group. The total effective rate of combined treatment group was higher than the treatment group, the intervention group and the control group. The difference was statistically significant (P < 0.05). According to the age group, the highest peak of the persistent infection of the cervix occurred in the group over 50 years old (32%), and the second was the group less than 20 years old (29%), but there was no statistical difference between age groups (P > 0.05). Conclusion Xinfuning united with life style intervention in the treatment of cervical HR-HPV persistent infection can increase negative conversion rate, and it is significant to improve the treatment of the patients.
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[1] 谢建渝,余娟,董国强.762例妇女宫颈高危型HPV感染与宫颈病变的相关性研究[J].检验医学与临床,2012,9(20):2533-2535.
[2] 温金锁,戚玉琴,姚乐毅,等.宝鸡市恶性肿瘤流行趋势分析[J].中国疾病控制杂志,2012,16(10):839-841.
[3] 董航,刘华章,林国桢,等.广州市2000-2011年宫颈癌发病趋势及年龄分布特征[J].中国疾病控制杂志,2015, 19(5):451-453.
[4] 吕倩灵,张玲,林伟平.高危型人乳头状瘤病毒及病毒载量对宫颈癌癌前病变的相关性分析[J].中华医院感染学杂志,2014,24(4):804-805,856.
[5] Burd EM. Human papilloma virus and cervical cancer [J]. Clin Microbiol Rev,2003,16(1):1-17.
[6] 吴翠霞,张艳红,葛小花,等.高危型HPV感染与宫颈癌前病变与宫颈癌的相关性研究[J].中华医院感染学杂志,2016,26(11):2568-2570.
[7] 张佳立,郜红艺,张江宇,等.HPV多重感染与宫颈癌及癌前病变发生、发展的关系研究[J].中国妇幼保健,2010, 25(23):3270-3274.
[8] 来菊英.辛复宁治疗女性生殖道HPV感染的临床研究[J].中国现代应用药学,2008,25(s2):759-759.
[9] 施丽娜,胡秀华,等.药物联合心里和行为干预在宫颈高危型HPV感染中的应用[J].中国现代医生,2015,53(6):103-105.
[10] 李风艳,于利君.高危型人乳头瘤病毒载量与宫颈癌前病变及宫颈癌的相关性分析[J].中国妇幼保健,2017, 32(16):3735-3737.
[11] 赵孟军,毕冬华,魏文红.微波联合保妇康栓治疗宫颈柱状上皮异位伴人乳头瘤病毒感染的临床研究[J].中国煤炭工业医学杂志,2012,15(2):173-175.
[12] 邵为荣,张雪涛,李凡.PCR和免疫组化SP法评估重组人干扰素α-2b阴道泡腾片治疗攻击糜烂患者相关病毒感染的疗效[J].中国妇幼保健,2007,36(8):185.
[13] Jeong NH,Lee NW,Lee NW,Kim HJ,et al. High-risk human papillama-virus testing for monitoring patients tre?鄄ated for high-grade cervical intraepithelial neoplasia [J]. J Obstet Gynae col Res,2009,35(4):706-711.
[14] 赵广荣.重组人干扰素的研究进展[J].中国生物制品学杂志,2010,23(12):1384.
[15] 杨雪萍.重组人干扰素α-2b凝胶配合微波治疗宫颈持续HPV感染性疾病的临床疗效观察[J].中国妇幼保健,2013,28(11):1817-1819.
[16] 乐杰.妇产科学[M].7版.北京:人民卫生出版社,2008:261-263.
[17] 李筱梅,郑英,张庆.宫颈癌发病的年轻化趋势与人乳头状瘤病毒感染的关系[J].中国实用妇科与产科杂志,2000,16(12):37-38.
[18] 彭雪,胡丽娜.HPV感染及危险因素研究[J].实用妇产科杂志,2010,26(3):168.
[19] 杨慧伦,张宗峰.人乳头瘤病毒16型E5蛋白的生物学活性研究进展[J].疑难病杂志,2015,(10):1084-1087.
[20] 王娟,李燕,赵骏达,等.人乳头状瘤病毒L1壳蛋白和人端粒酶RNA基因联合检测在宫颈癌筛查中的意义[J].中国医药导报,2015,(17):60-63.
[21] 崔丽阳,岳天孚.高危型HPV持续感染的影响因素探讨[J].天津医科大学学报,2014,20(3):209.
[22] 雷雨,阚延静,潘连军.女性人乳头瘤病毒持续感染的现状分析[J].中国妇幼保健,2012,27(33):5405.
[23] Clarke MA,Rodriguez ADC,Gage JC,et al. A large population-based study of age-related associations between vaginal pH and human papillomavirus infection [J]. BMC,Infect Dis,2012,12:33.
[24] 张莹,任占平.病毒感染与乳腺癌关系的研究进展[J].中国医药导报,2015,12(15):46-49,62.
[25] 倪倩,周跃华,倪云翔,等.高危HPV检测联合液基细胞学检查在妊娠期妇女宫颈疾病筛查中的价值[J].中国医药导报,2017,14(18):109-112. |
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