Rehabilitation Effect of Zhidai Huadu Decoction Combined with Chitosan Treatment on Cervical Lesions Patients After Loop Electrosurgical Excision Procedure Surgery
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Rehabilitation Effect of Zhidai Huadu Decoction Combined with Chitosan Treatment on Cervical Lesions Patients After Loop Electrosurgical Excision Procedure Surgery
Chinese Journal of Experimental Traditional Medical FormulaeVol. 20, Issue 22, Pages: 228-231(2014)
ZHANG Xun, ZHANG Xiao-dan. Rehabilitation Effect of Zhidai Huadu Decoction Combined with Chitosan Treatment on Cervical Lesions Patients After Loop Electrosurgical Excision Procedure Surgery[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(22): 228-231.
DOI:
ZHANG Xun, ZHANG Xiao-dan. Rehabilitation Effect of Zhidai Huadu Decoction Combined with Chitosan Treatment on Cervical Lesions Patients After Loop Electrosurgical Excision Procedure Surgery[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(22): 228-231. DOI: 10.13422/j.cnki.syfjx.2014220228.
Rehabilitation Effect of Zhidai Huadu Decoction Combined with Chitosan Treatment on Cervical Lesions Patients After Loop Electrosurgical Excision Procedure Surgery
Objective:To discuss recovery effect of Zhidai Huadu decoction combined with chitosan biological sponge dressing on patients after loop electrosurgical excision procedure (LEEP) and to observe its influence on local secretion of cervical such as interleukin-2 (IL-2)
interleukin-4 (IL-4)
interleukin-10(IL-10) and tumour necrosises factor-α (TNF-α). Method: One hundred and sixty patients with cervical intraepithelial neoplasia (CIN) after LEEP were randomly divided into control group (80 cases) and observation group (80 cases) by random number table. Patients in control group received externally mercurochrome on wound
orally 0.5 g azithromycin tablets once daily for 5 days
and orally 10 mL Leonurus Japonicus Houtt. Oral Liquid 3 times daily. Patients in observation group received externally of chitosan biological sponge dressing. Orally 0.5 g azithromycin tabletsonce daily for 5 days
and orally 1 dose Zhidai Huadu decoction divided twice daily. The patients in two groups received 1 8-week period of treatment. Time and volume of vaginal discharge
vaginal bleeding and intention status of wounds were recorded during the follow-up. Human papilloma virus (HPV) and desoxyribonucleic acid (DNA) in mucus and secretion around cervix were detected before and after 12 weeks of operation. Levels of IL-2
IL-4
IL-10 and TNF-α of cervical partial discharge were detected before and after 8 weeks of operation. Complications such as late hemorrhage
postoperative infection
cervical scar formation
adhesion and stenosis were recorded. Result: The curative effect of observation group was superior to that of control group (P<0.05) through ordinal data card test. The average time and amount of vaginal bleeding in observation group were less than those in control group after treatment (P<0.01). The average time and amount of vaginal discharge in observation group were less than those in control group (P<0.01). Positive rate of HPV DNA in observation group was 8.75%
which was lower than 23.75% in control group after 8-week treatment (P<0.01). Levels of IL-4
IL-10 and TNF-α in cervical partial discharge of observation group were decreased
which was obviously lower than those of control group. The level of IL-2 in observation group was increased
which was higher than that in control group after treatment (P<0.01). The cumulative incidence of complications of 7.5% in observation group was significant less than that of 27.5% in control group (P<0.01). Conclusion: Using Zhidai Huadu decoction combined with chitosan sponge dressing could reduce the average vaginal bleeding/discharge time and vaginal discharge blood/liquid volume
remove HPV residual infection
reduce complications incidence in cervical lesions patients after LEEP surgery. The action mechanism may be related to regulating imbalance of Thl/Th2 and improving antiviral ability.
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Related Author
He-jun HU
De-wang CHEN
Hai-lang LE
Xiong-wei DENG
Yang CHEN
Yang YU
Yu WANG
Fang LIU
Related Institution
Hongdu Traditional Chinese Medcine(TCM) Hospital Affiliated to Jiangxi University of TCM
Puding County Hospital of TCM
Guizhou University of TCM
The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine(TCM)