波姆红外光合并中药治疗慢性宫颈炎合并HPV感染疗效观察

张建华

[摘要] 目的 探讨波姆红外光联合中药治疗慢性宫颈炎伴HPV感染的临床疗效。方法 66例慢性宫颈炎伴HPV感染患者随机分为A、B、C三组，A组予以波姆红外光治疗，B组予以逍遥散加减治疗，C组予以波姆红外光联合逍遥散加减治疗，比较三组的临床疗效。结果 A、B、C三组的治疗总有效率依次为84.4%、78.1%、100.0%，HPV转阴率依次为62.5%、68.8%、93.8%，C组的治疗有效率及HPV转阴率均显著高于A组和B组（P<0.05），A组与B组间无明显差异（P>0.05）；三组不良反应率分别为12.5%、6.2%、9.4%，无明显差异（P>0.05）。 结论 波姆红外光联合中药治疗慢性宫颈炎伴HPV感染具有显著疗效，不良反应少，值得推广应用。

[关键词] HPV感染；慢性宫颈炎；波姆红外光；中药

[中图分类号] R711.3 [文献标识码] B [文章编号] 2095-0616（2014）04-171-03

Efficacy observation of bohm infrared ray combined with Chinese medicine for the treatment of HPV infection with chronic cervicitis

ZHANG Jianhua

Department of Obstetrics and Gynecology，the TCM Hospital of Ningyang County，Ningyang 271400，China

[Abstract] Objective To evaluate the efficacy of bohm infrared ray combined with chinese medicine for the treatment of HPV infection with chronic cervicitis. Methods 66 cases of chronic cervicitis patients with HPV infection were randomly divided into 3 groups of A， B， C.The group A received bohm infrared ray therapy， group B received Xiaoyaosan plus or minus，group C received bohm infrared ray combined with Xiaoyaosan，the clinical efficacy of 3 groups were compared. Results The total effective rate of group A， B， C were 84.4%， 78.1%， 100.0%， HPV seroconversion rates were 62.5%， 68.8%， 93.8%，the effective rate and HPV seroconversion rate in group C were significantly higher than that in group A and group B（P<0.05）， there were no significant difference between group A and group（P>0.05）； the adverse reaction rates were 12.5%， 6.2%， 9.4%， all were significant difference（P>0.05）.Conclusion Bohm infrared ray combined with chinese medicine for the treatment of HPV infection combined with chronic cervicitis has significant efficacy， adverse reactions， should be widely applied.

[Key words] HPV infection；Chronic cervicitis；Bohm infrared ray；Chinese medicine

慢性宫颈炎是临床常见妇科疾病之一，也是诱发宫颈癌的一种高危因素。本病的疗程较长，严重影响了患者的生活质量[1]。目前，临床治疗慢性宫颈炎的方法较多，常用的有重铬酸钾治疗、波姆光、CO激光以及红外线疗法等，疗效尚可。但当慢性宫颈炎合并人乳头瘤病毒（HPV）感染时，治疗难度将大大增加，且将增加癌变风险。我院对慢性宫颈炎伴HPV感染患者应用波姆红外光联合中药逍遥散治疗，获得了较好的疗效，现报道如下。

1 资料与方法

1.1 一般资料

收集我院2012年1月～2014年1月期间收治的慢性宫颈炎伴HPV感染者66例，均符合慢性宫颈炎诊断标准，均经HPV荧光定量法检测显示为HPV阳性。除外合并阴道炎、宫颈上皮瘤变以及宫颈癌者。患者均自愿并知情，均签署了知情同意书，研究经医院伦理委员会批准。年龄36～58岁，平均（43.6±5.7）岁；病……