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少菌型麻风:多药联合治疗不同疗程的比较研究

Paucibacillary leprosy: a comparative study of different schedules of multidrug therapy.

作者信息

Ramakrishnan K R, Arora P N, Aggarwal S K, Ramachandra S

机构信息

Base Hospital, Delhi.

出版信息

Indian J Lepr. 1988 Oct;60(4):542-8.

PMID:3253333
Abstract

The study was undertaken to evaluate the efficacy of various multidrug regimens (MDT). Three groups of 10 cases each of Paucibacillary cases were given different schedule of multidrug therapy. First group (T-0) was administered modified WHO regimen consisting of Rifampicin 600 mg once a month, Clofazimine 100 mg alternate days and Dapsone 100 mg daily for 6 months. In second group (T-1) Rifampicin 600 mg was given daily for 6 weeks and in third group (T-2) Rifampicin 600 mg was given daily for 6 months. In both the latter groups Clofazimine 100 mg on alternate days and Dapsone 100 mg daily was also administered for 6 months. Objective clinical scoring was done at the time of admission, three months and six months after treatment in all three groups. The best results were obtained by T-2 followed by T-1; and least effective was T-0 regimen. Pinkish colour of urine and skin was observed in 26 cases and icthyosis in all the cases. All the patients remain under treatment. The work is in progress and subsequent results will be published later.

摘要

本研究旨在评估各种多药联合治疗方案(MDT)的疗效。三组各10例少菌型病例接受了不同疗程的多药治疗。第一组(T-0)采用改良的世界卫生组织方案,即利福平600毫克每月一次、氯法齐明100毫克隔日一次、氨苯砜100毫克每日一次,持续6个月。第二组(T-1)利福平600毫克每日服用6周,第三组(T-2)利福平600毫克每日服用6个月。后两组同时还给予氯法齐明100毫克隔日一次、氨苯砜100毫克每日一次,持续6个月。对所有三组患者在入院时、治疗后3个月和6个月进行客观临床评分。T-2组效果最佳,其次是T-1组;T-0方案效果最差。26例患者出现尿液和皮肤呈粉红色,所有患者均出现鱼鳞病。所有患者仍在接受治疗。研究工作正在进行中,后续结果将在以后发表。

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