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金刚烷胺预防甲型(H1N1)流感病毒感染的评估:一项针对年轻人和高危患者的对照现场试验。

Evaluation of amantadine in the prophylaxis of influenza A (H1N1) virus infection: a controlled field trial among young adults and high-risk patients.

作者信息

Pettersson R F, Hellström P E, Penttinen K, Pyhälä R, Tokola O, Vartio T, Visakorpi R

出版信息

J Infect Dis. 1980 Sep;142(3):377-83. doi: 10.1093/infdis/142.3.377.

DOI:10.1093/infdis/142.3.377
PMID:7003032
Abstract

The usefulness of amantadine in the protection of humans against influenza A (H1N1) virus was evaluated in a double-blind field trial with 555 volunteers in Finland in the winter of 1978. Three populations--patients in a general hospital, adults in a home for the aged, and two groups of military conscripts--were chosen. Epidemic influenza occurred only in the two groups of conscripts: the incidence of serologically verified influenza was 66% and 83% in the groups that received placebo and 43% and 51% in the groups that received amantadine, giving protection rates of 36% (P = 0.05) and 39% (P = 0.001). The evaluation of the effect of amantadine on the occurrence of illness was obscured by concomitant adenoviral infections that caused influenza-like symptoms. No clear difference in the occurrences of side effects was observed between the placebo and amantadine-treated groups; however, a significantly greater number of participants who took 200 mg of amantadine/day (16.9%) stopped medication during the trial as compared with the placebo groups (7.6%) (P < 0.02).

摘要

1978年冬季,在芬兰对555名志愿者进行了一项双盲现场试验,评估了金刚烷胺对人类预防甲型H1N1流感病毒的有效性。选择了三类人群——综合医院的患者、养老院的成年人以及两组应征入伍者。流行性感冒仅在两组应征入伍者中发生:接受安慰剂组血清学确诊流感的发病率分别为66%和83%,接受金刚烷胺组分别为43%和51%,保护率分别为36%(P = 0.05)和39%(P = 0.001)。由于同时发生的腺病毒感染导致类似流感的症状,使得对金刚烷胺对疾病发生影响的评估变得模糊不清。在安慰剂组和接受金刚烷胺治疗的组之间,未观察到副作用发生率有明显差异;然而,与安慰剂组(7.6%)相比,每天服用200毫克金刚烷胺的参与者中有显著更多的人(16.9%)在试验期间停止了用药(P < 0.02)。

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