首页> 中文期刊> 《中国性科学》 >重组人干扰素α-2b 凝胶联合伐昔洛韦对复发性生殖器疱疹患者细胞免疫功能的影响及预防复发作用

重组人干扰素α-2b 凝胶联合伐昔洛韦对复发性生殖器疱疹患者细胞免疫功能的影响及预防复发作用

         

摘要

To discuss the influence and prevention reoccurrence function of recombinant hu-man interferonα-2b Gel combined with Valaciclovir on cellular immune function of patients with recrudescent geni-tal herpes (GH).Methods:84 patients with recrudescent GH were selected and divided into control group and ob-servation group at random.The patients in two groups were given 300mg Valaciclovir capsules twice a day through the mouth with empty stomach before dinner for 4 weeks.The patients in observation group were additionally given recombinant human interferonα-2b Gel,which was greased locally four times a day for 10 days.Except for recom-binant human interferon α-2b Gel,the patients in control group were given the same medical treatment as that in observation group.The changes of peripheral blood T lymphocyte subsets of patients in two groups before and after medical treatment were observed,and reoccurrence rates of 6 months’and 1 year’s following-up was compared. Results:After 4 weeks’medical treatment,the peripheral blood CD4 +levels and CD4 +/CD8 +ratio of patients in observation group obviously higher than before,while CD8 +level obviously declined (P<0.05 and P<0.01 ), and no obvious difference appeared in control group before and after medical treatment (P>0.05).According to 6 months’and 1 year’s following -up,the reoccurrence rates of patients in observation group were 26.19% and 47.62%,which were all much lower than those in control group (47.62 %and 73.81 %)(χ2 =4.14 and 6.04, P<0.05).Conclusion:The treatment of recombinant human interferon α-2b Gel combined with valaciclovir on recrudescent GH,can adjust the functional disorder of peripheral blood T lymphocyte subsets and strengthen the cel-lular immune function,which,therefore,reduces the reoccurrence rate and can prevent reoccurrence.%目的:探讨重组人干扰素α-2 b凝胶联合伐昔洛韦对复发性生殖器疱疹(GH )患者细胞免疫功能的影响及预防复发作用。方法:选择复发性GH患者共84例,随机分为两组(对照组与观察组)。两组患者均予以伐昔洛韦胶囊300mg,2次/d,饭前空腹口服,连用4周。观察组患者加用重组人干扰素α-2b凝胶局部涂擦,4次/d,连用10d。对照组患者除不使用重组人干扰素α-2b凝胶外余治疗同观察组。观察两组患者治疗前和治疗4周后外周血T淋巴细胞亚群的变化,并比较治疗后随访6个月及1年内的复发率。结果:治疗4周后,观察组患者外周血CD4+水平和CD4+/CD8+比值较前明显上升,CD8+水平较前明显下降(P<0.05或P<0.01),而对照组治疗前后比较差异不明显(P>0.05)。治疗后随访6个月及1年,观察组的复发率分别为26.19%和47.62%,均明显低于对照组的47.62%和73.81%(χ2=4.14和6.04,P<0.05)。结论:重组人干扰素α-2 b凝胶联合伐昔洛韦治疗复发性GH能调节外周血T淋巴细胞亚群功能紊乱,增强其细胞免疫功能,从而能降低其复发率,具有预防复发作用。

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