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口服与局部应用乙胺嗪治疗盘尾丝虫病的对照临床试验

Controlled clinical trial of oral and topical diethylcarbamazine in treatment of onchocerciasis.

作者信息

Taylor H R, Greene B M, Langham M E

出版信息

Lancet. 1980 May 3;1(8175):943-6. doi: 10.1016/s0140-6736(80)91402-6.

DOI:10.1016/s0140-6736(80)91402-6
PMID:6103299
Abstract

In a double-blind controlled clinical trial comparing the safety and efficacy of oral diethylcarbamazine citrate (DEC) with topical DEC for the treatment of onchocerciasis twenty men with moderate skin-snip microfilarial counts received daily therapy for 1 week, then weekly therapy for the rest of 6 months. The number of microfilariae per skin snip dropped quickly to 2% of initial levels and remained at low levels in those receiving oral DEC, and to 20% of initial levels in patients treated with DEC lotion. Side-effects in both groups included lymphadenopathy, fever, pruritus, rash, proteinuria, and chorioretinitis; they were commoner with topical DEC.

摘要

在一项双盲对照临床试验中,为比较口服枸橼酸乙胺嗪(DEC)与外用DEC治疗盘尾丝虫病的安全性和疗效,20名皮肤切片微丝蚴计数中等的男性接受了为期1周的每日治疗,然后在接下来的6个月中接受每周治疗。在接受口服DEC的患者中,每次皮肤切片的微丝蚴数量迅速降至初始水平的2%,并维持在低水平;而在用DEC洗剂治疗的患者中,该数量降至初始水平的20%。两组的副作用均包括淋巴结病、发热、瘙痒、皮疹、蛋白尿和脉络膜视网膜炎;外用DEC的副作用更常见。

相似文献

1
Controlled clinical trial of oral and topical diethylcarbamazine in treatment of onchocerciasis.口服与局部应用乙胺嗪治疗盘尾丝虫病的对照临床试验
Lancet. 1980 May 3;1(8175):943-6. doi: 10.1016/s0140-6736(80)91402-6.
2
Chemotherapy of onchocerciasis: a controlled clinical trial of topical diethylcarbamazine (DEC) in Guatemala.盘尾丝虫病的化疗:在危地马拉进行的外用乙胺嗪(DEC)对照临床试验。
Tropenmed Parasitol. 1980 Sep;31(3):357-64.
3
Ocular changes with oral and transepidermal diethylcarbamazine therapy of onchocerciasis.口服和经皮二乙碳酰嗪治疗盘尾丝虫病的眼部变化
Br J Ophthalmol. 1981 Jul;65(7):494-502. doi: 10.1136/bjo.65.7.494.
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Chemotherapy of onchocerciasis with high doses of diethylcarbamazine or a single dose of ivermectin: microfilaria levels and side effects.高剂量乙胺嗪或单剂量伊维菌素治疗盘尾丝虫病:微丝蚴水平及副作用
Trop Med Parasitol. 1988 Mar;39(1):19-24.
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The Onchocerca volvulus micro- and macrofilarial responses in onchocerciasis patients to increased dosage of diethylcarbamazine.盘尾丝虫病患者体内盘尾丝虫微丝蚴和成虫对乙胺嗪剂量增加的反应
Trop Med Parasitol. 1985 Sep;36(3):175-9.
6
Diethylcarbamazine citrate lotion and onchocerciasis.枸橼酸乙胺嗪洗剂与盘尾丝虫病
Lancet. 1980 Dec 6;2(8206):1232-3.
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A double-blind comparison of the efficacy and safety of ivermectin and diethylcarbamazine in a placebo controlled study of Senegalese patients with onchocerciasis.在一项针对塞内加尔盘尾丝虫病患者的安慰剂对照研究中,伊维菌素和乙胺嗪疗效与安全性的双盲比较。
Trans R Soc Trop Med Hyg. 1986;80(6):927-34. doi: 10.1016/0035-9203(86)90262-2.
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Comparison of flubendazole and diethylcarbamazine in treatment of onchocerciasis.氟苯达唑与乙胺嗪治疗盘尾丝虫病的比较。
Lancet. 1983 Jan 22;1(8317):139-43. doi: 10.1016/s0140-6736(83)92753-8.
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A transepidermal chemotherapy of onchocerciasis.盘尾丝虫病的经皮化疗。
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Chemotherapy of onchocerciasis: a controlled comparison of mebendazole, levamisole, and diethylcarbamazine.盘尾丝虫病的化疗:甲苯咪唑、左旋咪唑和乙胺嗪的对照比较
Lancet. 1981 Sep 5;2(8245):485-90. doi: 10.1016/s0140-6736(81)90880-1.

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J Cell Mol Med. 2023 Oct;27(19):2819-2840. doi: 10.1111/jcmm.17913. Epub 2023 Aug 22.
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Potential Value of Triple Drug Therapy with Ivermectin, Diethylcarbamazine, and Albendazole (IDA) to Accelerate Elimination of Lymphatic Filariasis and Onchocerciasis in Africa.伊维菌素、乙胺嗪和阿苯达唑三联疗法(IDA)对加速非洲消除淋巴丝虫病和盘尾丝虫病的潜在价值。
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3
Ocular changes with oral and transepidermal diethylcarbamazine therapy of onchocerciasis.
口服和经皮二乙碳酰嗪治疗盘尾丝虫病的眼部变化
Br J Ophthalmol. 1981 Jul;65(7):494-502. doi: 10.1136/bjo.65.7.494.
4
Modulation of equine platelet function by diethylcarbamazine (DEC).乙胺嗪(DEC)对马血小板功能的调节作用。
Am J Pathol. 1983 Oct;113(1):1-7.
5
Recent developments in the treatment of onchocerciasis.盘尾丝虫病治疗的最新进展
Bull World Health Organ. 1984;62(4):509-15.
6
Aggregation of equine platelets by Onchocerca cervicalis collagen.盘尾丝虫颈胶原对马血小板的聚集作用。
Am J Pathol. 1983 Mar;110(3):290-6.
7
Diethylcarbamazine in the treatment of patients with onchocerciasis.乙胺嗪治疗盘尾丝虫病患者
Br J Clin Pharmacol. 1992 Oct;34(4):281-8. doi: 10.1111/j.1365-2125.1992.tb05632.x.