网络首发:2001-09-20,
纸质出版:2000
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重组干扰素γ预防尖锐湿疣复发的效果分析[J]. 中山大学学报(医学科学版), 2000,21(5).
Analysis of Effect of Interferon-γon Preventing Relapse of Condyloma Acuminatum[J]. Journal of Sun Yat-sen University (Medical Sciences), 2000, 21(5).
【目的】研究干扰素-γ(IFN-γ)对预防尖锐湿疣(CA)复发的效果。【方法】收集了76 例确诊为CA 的患者
排除 伴有自身免疫性疾病和其他过敏性疾病、严重的系统性疾病、其他病毒感染性疾病、1 年内用过免疫增强剂或免疫抑制剂的患 者。全部病例电灼除疣
电灼后随机分两组:治疗组38 例
继以IFN-γ肌注治疗;对照组38 例
采用聚肌胞肌注治疗;两组随 访6 个月。治疗组在电灼前及治疗后均用APAAP 法检测患者的T 淋巴细胞亚群(CD3 、CD4 、CD8)。【结果】治疗组的复发率 为15.8 %
对照组的复发率为36.8%;治疗组6 个月内未复发的32 例患者
T 细胞恢复正常。复发的6 例
治疗前后T 细胞 亚群无明显变化。【结论】治疗组的复发率低于对照组(χ2 =4.34
P <0.05)。IFN-γ是防治CA 的一种有效的细胞因子。
【Objective】To study the effect of Interferon-γ(IFN-γ)on preventing relapse of condyloma acuminatum (CA).【Method】Seventy-six patients were diag nosed as CA .The patients having connective tissue disease
allergic disease
serious sy stemat ic disease
other virus disease
immuno-modulatory drug o r immunosuppressive drug to be used in one year were excluded .The rash of all pat ients w ere eliminated wi th elect rofulgurat ion .The patients were divided into two g roups :IFN-γand control.Thirty-eight cases of patients wi th CA w ere treated w ith IFN-γand were compared w ith 38 patients t reated w ith Poly I :C .The T-cell subpopulation (CD3 、CD4 、CD8)in peripheral blood of patients treated w ith IFN-γw ere determined by APAAP before elect rofulguration and af ter therapy .All the patients were followed-up fo r 6 months .【Results】The result s showed that the relapse rate was 15.8 %in IFN-γgroup
w hile i t w as 36.8 %in the cont rol in 6 months af ter therapy . In 32 patients
w ho had no relapse in 6 months af ter therapy
the T-cell recovered to normal .While there w as no significant change in 6 patient s wi th relapse in 6 months af ter therapy .【Conclusion】It indicates that the relapse rate of the therapy g roup is signif icantly lower than the control (χ2 =4.34
P <0.05).IFN-γis a cell factor effective to prevent and cure CA .
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