HPV疫苗无治疗作用
HPV疫苗无治疗作用
一位美国研究人员认为:HPV-16/18型疫苗不该应用于HPV患者。
马里兰州贝瑟斯塔市国立癌症研究所的AllanHildesheim和她的同事在哥斯达黎加的一个涵盖2189例HPVDNA阳性患者的调查中发现:没有任何证据表明HPV疫苗能有效清除体内病毒。
这项研究发表在AmericanMedicalAssociation上,同时其上附有亚特兰大疾病控制与防护中心的Lauri博士的评论,他在评论中讲到:“这种疫苗无任何治疗作用,因此在性行为之前注射疫苗将毫无意义。”中国人民解放军总医院第一附属医院皮肤科邹先彪
Forwomenwithhumanpapillomavirus(HPV)infection,useoftheHPV-16/18vaccinewillnotacceleratereductionofthevirusandshouldnotbeusedtotreattheinfection,accordingtoastudyintheAugust15issueofJAMA.
meresearchhassuggestedthatHPVvaccinescouldhelpclearthevirusinwomenalreadyinfected,accordingtobackgroundinformationinthearticle.
Allanhildesheim,Ph.D.,oftheNationalCancerInstitute,Bethesda,Md.,andcolleaguesconductedastudytoaddressthequestionofwhetherwomenpositiveforHPVDNAshouldbeencouragedtoreceiveHPV-16/etrialwasconductedintwoprovincesofCostaRicaandincluded2,rticipantswererandomlyassignedtoreceivethreedosesofHPV-16/18vaccine(n=1,088)oracontrolhepatitisAvaccine(n=1,101)over6months.
the6-monthvisit,ratesofclearancewere33.4percentvs.31.6percentforHPV-16/18amongparticipantswhoreceivedtheHPVvaccineandthecontrolvaccine,the12-monthvisit,ratesofclearanceamongparticipantsintheHPVgroupandthecontrolgroup,respectively,were48.8percentvs.49.8percentforHPV-16/18.
Therewasnoevidenceofvaccineeffectswithfurtheranalysisonselectedstudyentrycharacteristicsreflectiveofdiseaseextent,includingHPV-16/18antibodyresults,cytologicresults,milarly,noevidenceofvaccineeffectswasobservedinanalysesstratifiedbyotherstudyentryparametersthoughttopotentiallyinfluenceclearanceratesandefficacyofthevaccine,includingtimesincesexualinitiation,oralcontraceptiveuse,cigarettesmoking.
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