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头孢米诺在妇产科的基础与临床研究

[Basic and clinical studies of cefminox in obstetrics and gynecology].

作者信息

Kubota K

出版信息

Jpn J Antibiot. 1985 May;38(5):1319-30.

PMID:3930803
Abstract

The study was done to evaluate the usefulness of cefminox (CMNX, MT-141) injection for the treatment of infections in the field of obstetrics and gynecology. Fundamental and clinical studies were made and following results were obtained. When 1 g of CMNX was administered by intravenous single shot, the maximum concentrations in various tissues of female genital organs were as follows: 34.98 micrograms/g in oviduct at 1 hour 10 minutes after the single shot, and 37.11, 28.01, 26.84, 30.01 and 40.06 micrograms/g in ovary, endometrium, myometrium, cervix uteri and portio, respectively, after 1 hour 20 minutes. In the clinical studies, CMNX was given to 13 cases with female genital organ infections and others. As for the clinical effects, responses were excellent in 1 case, good in 12 cases among 13 cases in total. The efficacy rate was 100%. As for the clinical effects on causative bacteria, the efficacy rates were 100% (3/3) for single infections due to Gram-negative bacteria, 100% (8/8) for mixed infection cases. Side effects were not observed. CMNX showed a satisfactory clinical efficacy and a potent bacteriological effect in treatment of the infection in the field of obstetrics and gynecology, and it has been concluded that CMNX will be a useful addition to the antibiotics for the therapy of these infections.

摘要

本研究旨在评估头孢米诺(CMNX,MT - 141)注射液在妇产科感染治疗中的有效性。进行了基础研究和临床研究,并获得了以下结果。单次静脉注射1g CMNX后,女性生殖器官各组织中的最高浓度如下:单次注射后1小时10分钟,输卵管中为34.98微克/克;1小时20分钟后,卵巢、子宫内膜、子宫肌层、子宫颈和阴道穹窿中的浓度分别为37.11、28.01、26.84、30.01和40.06微克/克。在临床研究中,对13例女性生殖器官感染及其他患者使用了CMNX。临床疗效方面,13例中1例疗效极佳,12例良好,有效率为100%。对病原菌的临床疗效方面,革兰氏阴性菌单一感染的有效率为100%(3/3),混合感染病例的有效率为100%(8/8)。未观察到副作用。CMNX在妇产科感染治疗中显示出令人满意的临床疗效和强大的抑菌作用,得出结论认为CMNX将成为治疗这些感染的抗生素中的一种有用药物。

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