Lee Soon Hyung, Seo Byong Seol, Cho Seung Yull, Kang Shin Yong
Department of Parasitology, College of Medicine, Chung-Ang University, Seoul, Korea.
Kisaengchunghak Chapchi. 1976 Jun;14(1):25-31. doi: 10.3347/kjp.1976.14.1.25.
The present clinical trial was conducted to determine the efficacy and tolerance of oxantel(CP-14, 445), one of pyrimidine derivative, in the treatment of Trichocephalus trichiurus infection. One hundred eighty two cases who harboured T. trichiurus were treated with oxantel in a single dose of 10 to 25 mg/kg of body weight. For the evaluation, the negative conversion rate and egg reduction rate were calculated before and 22 days after the treatment. The results obtained were as follows: 1. The prevalence rate of T. trichiurus infection in present study was 64.2% by examining 1,536 fecal specimens collected. 2. The overall negative conversion rate was 66.5%, while the highest rate(93.3%) was obtained in the group treated with 20 mg/kg of oxantel (Group III). The lowest rate(56.6%) was observed in Group I (10 mg/kg). 3. The overall egg reduction rate on present study was 90.3%. The highest rate, 100% of egg reduction was also obtained in Group III (20 mg/kg). 4. From the observation of 1,244 expelled worms, it was known that 45.0% of collected worms were expelled on the first of post-treatment day, and male and female worms were about the same in number(1.03 : 1). Average worm burden per capita was 11.1 in this observation. 5. The medication was readily accepted and tolerated by all the treated cases. On the hemograms, urinalysis and liver function tests, no significant differences were noted before and after the drug administration. Side reactions were so mild and transient that none required specific treatment.
本次临床试验旨在确定嘧啶衍生物奥克太尔(CP - 14,445)治疗毛首鞭形线虫感染的疗效和耐受性。182例毛首鞭形线虫感染者接受了单剂量10至25mg/kg体重的奥克太尔治疗。为进行评估,计算了治疗前和治疗后22天的阴转率和虫卵减少率。结果如下:1. 通过检查收集的1536份粪便标本,本研究中毛首鞭形线虫感染的患病率为64.2%。2. 总体阴转率为66.5%,而在接受20mg/kg奥克太尔治疗的组(第三组)中阴转率最高(93.3%)。在第一组(10mg/kg)中观察到最低阴转率(56.6%)。3. 本研究的总体虫卵减少率为90.3%。第三组(20mg/kg)的虫卵减少率也最高,达到100%。4. 通过观察1244条排出的虫体可知,45.0%的收集到的虫体在治疗后第一天排出,雌雄虫数量大致相同(1.03:1)。本次观察中人均平均虫负荷为11.1条。5. 所有接受治疗的病例对该药物都易于接受且耐受性良好。在血常规、尿液分析和肝功能检查中,给药前后未发现显著差异。副作用非常轻微且短暂,无需特殊治疗。