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氯喹那多-普罗雌烯阴道片与妇炎栓对慢性HPV宫颈炎炎症因子及免疫功能影响的比较

Comparison of Chlorquinaldol-Promestriene Vaginal Tablets and Opin Suppositories Effect on Inflammatory Factors and Immune Function in Chronic HPV Cervicitis.

作者信息

Chen Xiaoping, Guo Hongwei

机构信息

Department of Gynecology, Xi'an Sports Trauma Hospital, Shaanxi, 710068, China.

Department of Gynaecology and Obstetrics, People's Hospital of Zhouzhi County, Shaanxi, 710400, China.

出版信息

J Coll Physicians Surg Pak. 2019 Feb;29(2):115-118. doi: 10.29271/jcpsp.2019.02.115.

Abstract

OBJECTIVE

To compare the effects of chlorquinaldol-promestriene vaginal tablets and opin suppositories on serum inflammatory factors and immune function in patients with chronic cervicitis complicated with HPV infection.

STUDY DESIGN

An experimental study.

PLACE AND DURATION OF STUDY

Department of Gynaecology and Obstetrics, People's Hospital of Zhouzhi County, Shaanxi, China, from January 2016 to June 2017.

METHODOLOGY

A total of 98 patients with chronic cervicitis complicated with HPV infection were randomly divided into the observation group and the control group with 49 cases in each group. Control group received vaginal administration of opin suppositories, and the observation group received chlorquinaldol-promestriene vaginal tablets. After treatment, the HPV-DNA negative conversion rate, levels of serum inflammatory factors (IL-1, IL-6 and hs-CRP) and indices of immune function (CD3 +,CD4 +, CD8 + and CD4 +/CD8 +) were compared between the two groups.

RESULTS

At 6 and 9 months after treatment, the HPV-DNA negative conversion rate in the observation group was higher than that in the control group (p=0.001 and p<0.001, respectively). At 6 months after treatment, serum IL-1, IL-6, and hs-CRP levels in the observation group were lower than those in the control group (p<0.001, p=0.001 and p=0.002, respectively); serum CD3 +,CD4 +, CD8 + and CD4 +/CD8 + levels in the observation group were higher than those in the control group (all p<0.001).

CONCLUSION

Chlorquinaldol-promestriene vaginal tablet is more effective than opin suppository in the treatment of patients with chronic cervicitis complicated with HPV infection. It can effectively improve the HPV-DNA negative conversion rate, reduce the level of serum inflammatory factors and improve the body's immune function.

摘要

目的

比较氯喹那多-普罗雌烯阴道片与奥平栓对慢性宫颈炎合并HPV感染患者血清炎症因子及免疫功能的影响。

研究设计

一项实验研究。

研究地点及时间

中国陕西省周至县人民医院妇产科,2016年1月至2017年6月。

方法

将98例慢性宫颈炎合并HPV感染患者随机分为观察组和对照组,每组49例。对照组阴道给予奥平栓,观察组阴道给予氯喹那多-普罗雌烯阴道片。治疗后,比较两组的HPV-DNA转阴率、血清炎症因子(IL-1β、IL-6和hs-CRP)水平及免疫功能指标(CD3+、CD4+、CD8+和CD4+/CD8+)。

结果

治疗后6个月和9个月,观察组的HPV-DNA转阴率高于对照组(分别为p = 0.001和p < 0.001)。治疗后6个月,观察组血清IL-1β、IL-6和hs-CRP水平低于对照组(分别为p < 0.001、p = 0.001和p = 0.002);观察组血清CD3+、CD4+、CD8+和CD4+/CD8+水平高于对照组(均p < 0.001)。

结论

氯喹那多-普罗雌烯阴道片治疗慢性宫颈炎合并HPV感染患者的效果优于奥平栓。它能有效提高HPV-DNA转阴率,降低血清炎症因子水平,提高机体免疫功能。

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