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盘尾丝虫病化疗。II. 利用乙胺嗪和左旋咪唑联合用药评估两种治疗方案对微丝蚴密度的影响(作者译)

[Onchocerciasis chemotherapy. II. Evaluation of two therapeutic schemes on microfilarial density, utilising the association diethylcarbamazine and levamisole (author's transl)].

作者信息

Prod'hon J, Sainte-Marie F F, Moreau J P, Desfontaine M

出版信息

Med Trop (Mars). 1979 Nov-Dec;39(6):631-5.

PMID:530049
Abstract

As the study of the association diethylcarbamazine-levamisole gave encouraging results on the dermal microfilarial density of Onchocerca volvulus (Leuckart, 1893), the authors followed it up in order to determine the optimum regimen for mass treatment. Two therapeutic schemes have been tested: A--Initial treatment: 14 days with the dayly dosis of respectively 200 mg of diethylcarbamazine and 120 mg of levamisole progressively reached in four days. After one year: a single dayly dosis of respectively 200 mg and 60 mg for five days. B--Initial treatment: 7 days with the same dosis as above. After one year: dayly dosis of respectively 200 mg and 60 mg for seven days. It appears that scheme A may be considered as the best baseline to achieve the optimum regimen for the mass treatment of onchocerciasis. The aim of such a treatment is to decrease the dermal microfilarial density to a level compatible with the patient good condition.

摘要

由于对乙胺嗪-左旋咪唑联合用药治疗盘尾丝虫(勒卡尔特,1893年)的皮肤微丝蚴密度的研究取得了令人鼓舞的结果,作者对其进行了后续研究,以确定大规模治疗的最佳方案。测试了两种治疗方案:A——初始治疗:连续14天,乙胺嗪每日剂量分别为200毫克,左旋咪唑120毫克,在四天内逐步达到该剂量。一年后:连续五天,每日剂量分别为200毫克和60毫克。B——初始治疗:连续7天,剂量与上述相同。一年后:连续七天,每日剂量分别为200毫克和60毫克。看来方案A可被视为实现盘尾丝虫病大规模治疗最佳方案的最佳基线。这种治疗的目的是将皮肤微丝蚴密度降低到与患者良好状况相适应的水平。

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