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长期口服阿昔洛韦治疗可预防复发性生殖器疱疹。

Long-term oral acyclovir treatment prevents recurrent genital herpes.

作者信息

Blom I, Bäck O, Egelrud T, Frödin T, Hellbe L, Johannisson G, Malmros-Enander I, Molin L

出版信息

Dermatologica. 1986;173(5):220-3. doi: 10.1159/000249257.

DOI:10.1159/000249257
PMID:3100353
Abstract

Thirty-three patients with frequently recurring genital herpes completed a randomized double-blind, crossover trial with oral acyclovir 200 mg 4 times a day and placebo for periods of 12 weeks. Five patients (15%) had full recurrence during acyclovir treatment and 31 (94%) while receiving placebo. The median time to first recurrence was 20 days for placebo and more than 84 days for acyclovir. It was concluded that acyclovir was well tolerated and an effective treatment to suppress the disease in selected cases of severe and frequently recurring genital herpes. However, the relapses seem to occur with the same rate as before, when the suppressive acyclovir treatment is stopped.

摘要

33例复发性生殖器疱疹患者完成了一项随机双盲交叉试验,他们每天口服4次200毫克阿昔洛韦,持续12周,另一阶段服用安慰剂。5例患者(15%)在阿昔洛韦治疗期间完全复发,31例患者(94%)在接受安慰剂治疗时复发。安慰剂组首次复发的中位时间为20天,阿昔洛韦组则超过84天。得出的结论是,阿昔洛韦耐受性良好,在治疗部分严重复发性生殖器疱疹病例中是一种有效的疾病抑制疗法。然而,当阿昔洛韦抑制性治疗停止后,复发率似乎与之前相同。

相似文献

1
Long-term oral acyclovir treatment prevents recurrent genital herpes.长期口服阿昔洛韦治疗可预防复发性生殖器疱疹。
Dermatologica. 1986;173(5):220-3. doi: 10.1159/000249257.
2
Double-blind, placebo-controlled trial comparing long-term suppressive with short-term oral acyclovir therapy for management of recurrent genital herpes.一项双盲、安慰剂对照试验,比较长期抑制性治疗与短期口服阿昔洛韦治疗复发性生殖器疱疹的效果。
Am J Med. 1988 Aug 29;85(2A):20-5.
3
Prophylactic oral acyclovir in recurrent genital herpes.
Lancet. 1984 Jul 14;2(8394):57-9. doi: 10.1016/s0140-6736(84)90237-x.
4
Suppression of frequently recurring genital herpes: acyclovir v inosine pranobex.频繁复发的生殖器疱疹的抑制作用:阿昔洛韦与异丙肌苷比较
Genitourin Med. 1989 Apr;65(2):103-5. doi: 10.1136/sti.65.2.103.
5
Recurrent genital herpes suppressed by oral acyclovir: a multicentre double blind trial.
J Antimicrob Chemother. 1985 Aug;16(2):219-26. doi: 10.1093/jac/16.2.219.
6
Oral acyclovir suppression of recurrent genital herpes: a double-blind, placebo-controlled, crossover study.口服阿昔洛韦抑制复发性生殖器疱疹:一项双盲、安慰剂对照、交叉研究。
Acta Derm Venereol. 1985;65(1):59-63.
7
Oral acyclovir suppressive therapy in severe recurrent genital herpes. A double-blind, placebo-controlled cross-over study.口服阿昔洛韦抑制疗法治疗重度复发性生殖器疱疹。一项双盲、安慰剂对照的交叉研究。
Dan Med Bull. 1989 Jun;36(3):298-300.
8
Long-term acyclovir suppression of frequently recurring genital herpes simplex virus infection. A multicenter double-blind trial.阿昔洛韦长期抑制频繁复发的生殖器单纯疱疹病毒感染。一项多中心双盲试验。
JAMA. 1988 Jul 8;260(2):201-6.
9
Efficacy of oral acyclovir in the treatment of initial and recurrent genital herpes.口服阿昔洛韦治疗初发性和复发性生殖器疱疹的疗效
Lancet. 1982 Sep 11;2(8298):571-3. doi: 10.1016/s0140-6736(82)90658-4.
10
Intravenous acyclovir therapy of first episodes of genital herpes: a multicenter double-blind, placebo-controlled trial.静脉注射阿昔洛韦治疗初发性生殖器疱疹:一项多中心双盲、安慰剂对照试验。
Am J Med. 1988 Sep;85(3):301-6. doi: 10.1016/0002-9343(88)90578-5.

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Evaluation of the Effect of Patient-Initiated Antiviral Therapy on the Frequency of the Recurrent Herpes Simplex Viral Infection: A Single Center, Retrospective Study.患者启动抗病毒治疗对复发性单纯疱疹病毒感染频率的影响评估:一项单中心回顾性研究。
Clin Cosmet Investig Dermatol. 2025 Jun 4;18:1401-1412. doi: 10.2147/CCID.S532734. eCollection 2025.
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Tackling cutaneous herpes simplex virus disease with topical immunomodulators-a call to action.使用局部免疫调节剂治疗皮肤单纯疱疹病毒疾病——行动呼吁
Clin Microbiol Rev. 2025 Mar 13;38(1):e0014724. doi: 10.1128/cmr.00147-24. Epub 2025 Feb 21.
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Oral antiviral therapy for prevention of genital herpes outbreaks in immunocompetent and nonpregnant patients.
免疫功能正常的非妊娠患者预防生殖器疱疹发作的口服抗病毒治疗。
Cochrane Database Syst Rev. 2014 Aug 3;2014(8):CD009036. doi: 10.1002/14651858.CD009036.pub2.
4
Contemporary antiviral drug regimens for the prevention and treatment of orolabial and anogenital herpes simplex virus infection in the normal host: Four approved indications and 13 off-label uses.用于预防和治疗正常宿主口腔和肛门生殖器单纯疱疹病毒感染的当代抗病毒药物治疗方案:四种获批适应症和13种非获批用途。
Can J Infect Dis. 2003 Jan;14(1):17-27. doi: 10.1155/2003/984698.
5
Acyclovir. An updated review of its antiviral activity, pharmacokinetic properties and therapeutic efficacy.阿昔洛韦。对其抗病毒活性、药代动力学特性及治疗效果的最新综述。
Drugs. 1989 Mar;37(3):233-309. doi: 10.2165/00003495-198937030-00002.