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诺氟沙星治疗急性附睾炎的临床研究

[Clinical study of norfloxacin in the treatment of acute epididymitis].

作者信息

Arakawa S, Takagi S, Maeda H, Ka S, Matsumoto O, Kamidono S, Umezu K, Kawabata G, Fujii A, Morishita S

机构信息

Department of Urology, Kobe University School of Medicine.

出版信息

Hinyokika Kiyo. 1989 Jun;35(6):1089-95.

PMID:2678976
Abstract

The efficacy and safety of Norfloxacin were studied in the treatment of 20 patients with acute epididymitis. Norfloxacin was orally administered at a dose of 200 mg 3 times a day for 14 days. Clinical efficacy rate on the 7th day was 95% (19/20), excellent in 9 cases, moderate in 10 cases and poor in 1 case, and on the 14th day was 95% (18/19), excellent in 12 cases, moderate in 9 cases and poor in 1 case. On the 14th day, fever, pain and swelling had disappeared in 8 cases (in 2 cases on the 7th day). The efficacy on the 14th day was further investigated compared to that on the 7th day. Before treatment with Norfloxacin, in 13 of the 20 patients, pyuria was observed. Cultivating the bacteria was isolated in 4 of the 13 patients. Norfloxacin remarkably affected the treatment of these patients with pyuria and bacteriuria. In the treatment with Norfloxacin, the count of leukocytes, erythrocyte sedimentation rate and CRP were obviously improved. Side effects and abnormal clinical laboratory findings were not observed. From these results, Norfloxacin 600 mg/day, t.i.d was considered useful and safe in the treatment of acute epididymitis.

摘要

对20例急性附睾炎患者进行了诺氟沙星治疗的疗效和安全性研究。诺氟沙星口服给药,剂量为每日3次,每次200mg,共14天。第7天临床有效率为95%(19/20),其中显效9例,有效10例,无效1例;第14天有效率为95%(18/19),显效12例,有效9例,无效1例。第14天时,8例患者(其中2例在第7天时)发热、疼痛和肿胀消失。将第14天的疗效与第7天的疗效进行了进一步比较。在使用诺氟沙星治疗前,20例患者中有13例观察到脓尿。在这13例患者中,4例培养出细菌。诺氟沙星对这些脓尿和菌尿患者的治疗有显著影响。在使用诺氟沙星治疗期间,白细胞计数、红细胞沉降率和CRP均明显改善。未观察到副作用和临床实验室检查异常。从这些结果来看,每日3次、每次600mg的诺氟沙星治疗急性附睾炎被认为是有效且安全的。

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