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Effects of Zizhu Xiaoliu San on the Expression of P16/Ki67 in Cervical Low-Grade Squamous Intraepithelial Neoplasia 紫竹消流散对宫颈低级别鳞状上皮内瘤P16/Ki67表达的影响
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.122028
秋燕 陈
Objective: To observe the curative effect of Zizhu Xiaoliu Powder in the treatment of patients with cervical low-grade squamous intraepithelial neoplasia (LSIL) of damp-heat stasis type, and to pro-vide a reference for clinical application of traditional Chinese medicine in the treatment of LSIL. Methods: Selected from August 2020 to January 2022 in our hospital's gynecological outpatient clinic, confirmed by histopathology that LSIL complicated with HR-HPV infection, P16/Ki67 double staining was positive, and a total of 120 patients with TCM syndrome matching with damp-heat stasis syndrome were selected. The traditional Chinese medicine treatment group applied Zizhu Xiaoliu Powder to the cervix and cervical canal for 3 courses of treatment, while the western medicine treatment group applied recombinant human interferon α -2b vaginal effervescent capsules (Xinfuning®) to the fornix of the vagina for 3 courses of treatment. In the blank control group, no treatment was taken, and the negative conversion of high-risk HPV virus and the expression of P16/Ki67 were compared before and after treatment. Results: The HR-HPV negative conversion rate in the traditional Chinese medicine treatment group was higher than that in the western medicine treatment group and the blank group, and the difference was statistically significant ( P < 0.05). The HR-HPV negative conversion rate in the western medicine group was higher than that in the blank group, but the difference was not statistically significant ( P < 0.0167). After treatment, the negative rate of P16/Ki67 double staining in the traditional Chinese medicine treatment group was higher than that in the western medicine treatment group and the blank group, and the difference was statistically significant ( P < 0.05). The negative rate of P16/Ki67 double staining in the western medicine treatment group was higher than that in the blank group, but the difference was not statistically significant ( P < 0.0167). Conclusion: Zizhu Xiaoliu San and interferon can re-verse HR-HPV infection to a certain extent, but Zizhu Xiaoliu San has more advantages in resisting HPV infection and reversing the progress of LSIL, and it is worthy of clinical promotion.
目的:观察紫竹消流散治疗湿热瘀型宫颈低级别鳞状上皮内瘤变(LSIL)的疗效,为中医治疗LSIL的临床应用提供参考。方法:选取2020年8月至2022年1月在我院妇科门诊就诊,经组织病理学证实LSIL合并HR-HPV感染,P16/Ki67双染色阳性的患者,共选取中医证型与湿热瘀证相匹配的患者120例。中药治疗组应用紫珠消流散于宫颈及宫颈管处治疗3个疗程,西药治疗组应用重组人干扰素α -2b阴道泡腾胶囊(心妇宁®)于阴道穹隆处治疗3个疗程。空白对照组不进行治疗,比较治疗前后高危HPV病毒阴性转化及P16/Ki67表达情况。结果:中药治疗组HR-HPV阴性转阴率高于西药治疗组和空白组,差异有统计学意义(P < 0.05)。西药组HR-HPV阴性转阴率高于空白组,但差异无统计学意义(P < 0.0167)。治疗后,中药治疗组P16/Ki67双染阴性率高于西药治疗组和空白组,差异有统计学意义(P < 0.05)。西药治疗组P16/Ki67双染阴性率高于空白组,但差异无统计学意义(P < 0.0167)。结论:紫竹消柳散联合干扰素可在一定程度上逆转HR-HPV感染,但紫竹消柳散在抵抗HPV感染和逆转LSIL进展方面更有优势,值得临床推广。
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引用次数: 0
Current Situation and New Progress of the Prevention and Treatment of Diabetic Macular Oedema 糖尿病性黄斑水肿防治现状及新进展
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.121012
丽连 刘
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引用次数: 0
Study on Electroacupuncture Assisted Nerve Block in Pain after Total Knee Arthroplasty 电针辅助神经阻滞治疗全膝关节置换术后疼痛的研究
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.122029
波 徐
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引用次数: 0
Advances in Magnetic Resonance Research on Vestibular Migraine 前庭偏头痛的磁共振研究进展
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.124048
虹 倪
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引用次数: 0
Analysis of Gene Detection Result of 1165 Cases of Thalassemia 1165例地中海贫血基因检测结果分析
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.121005
燕 陈
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引用次数: 0
Research Progress of Different Treatment Methods for Endometrial Polyps 子宫内膜息肉不同治疗方法的研究进展
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.123036
瑜 李
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引用次数: 0
Effect of Mifepristone on Recurrence after Laparoscopic Myomectomy 米非司酮对腹腔镜子宫肌瘤切除术后复发的影响
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.122026
霞飞 吕
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引用次数: 0
A Case Report of Türthle Cell Neoplasms and Related Literature Analysis <s:1>细胞瘤1例报告及文献分析
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.121004
孝丽 满
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引用次数: 0
A Case of Lymphoma with Multiple Serous Effusion as the First Symptom 以多发性浆液积液为首发症状的淋巴瘤1例
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.124047
萍 魏
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引用次数: 0
New Progress in Drug Treatment of Recurrent and Metastatic Cervical Cancer 宫颈癌复发转移药物治疗的新进展
Pub Date : 2022-01-01 DOI: 10.12677/md.2022.121001
宇 孟
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引用次数: 0
期刊
Journal of Veterinary Science & Medical Diagnosis
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