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乙胺嗪和左旋咪唑联合化疗治疗班氏丝虫病

Chemotherapy with diethylcarbamazine and levamisole in Bancroftian filariasis.

作者信息

McMahon J E

出版信息

Tropenmed Parasitol. 1981 Dec;32(4):250-2.

PMID:7048668
Abstract

Field trials in which spaced doses of DEC were given once weekly, monthly or bi-monthly (or combinations of these intervals) cleared microfilariae (mf) of Wuchereria bancrofti from the blood in 78% if persons examined at six months. This reduction of microfilaraemia was maintained at a four years follow up examination. All regimens were well tolerated. In areas where mf rates were less than 12% a total dose of 36-48 mg/kg of DEC was effective. Higher doses (72 mg/kg) are required where mf rates are greater than 20%. The results of administering an oral dose of levamisole (3 mg/kg) prior to daily doses of DEC (6 mg/kg/day/7) were no better at the 2 month examination compared to the results following a similar regimen of DEC without prior administration of levamisole. Retreatment with DEC (6 mg/kg/day/7) of persons having microfilaraemia four years after initial treatment with this drug resulted in mf clearance in 94% of subjects.

摘要

现场试验中,按每周、每月或每两个月(或这些间隔的组合)间隔给予乙胺嗪(DEC),六个月时接受检查的人群中,78%的人血液中的班氏吴策线虫微丝蚴(mf)被清除。这种微丝蚴血症的降低在四年的随访检查中得以维持。所有治疗方案耐受性良好。在微丝蚴率低于12%的地区,36 - 48毫克/千克的乙胺嗪总剂量有效。微丝蚴率高于20%的地区则需要更高剂量(72毫克/千克)。与未预先服用左旋咪唑而采用类似乙胺嗪治疗方案的结果相比,在每日服用乙胺嗪(6毫克/千克/天/7天)之前先口服一剂左旋咪唑(3毫克/千克),在两个月检查时效果并无更好。初次使用该药物治疗四年后仍有微丝蚴血症的人,再次用乙胺嗪(6毫克/千克/天/7天)治疗,94%的受试者微丝蚴被清除。

相似文献

1
Chemotherapy with diethylcarbamazine and levamisole in Bancroftian filariasis.乙胺嗪和左旋咪唑联合化疗治疗班氏丝虫病
Tropenmed Parasitol. 1981 Dec;32(4):250-2.
2
Chemotherapy with spaced doses of diethylcarbamazine preceded by levamisole on Bancroftian filariasis.
Trans R Soc Trop Med Hyg. 1981;75(6):835-7. doi: 10.1016/0035-9203(81)90424-7.
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Levamisole and mebendazole in the treatment of bancroftian infection.左旋咪唑和甲苯咪唑治疗班氏丝虫感染
Southeast Asian J Trop Med Public Health. 1978 Dec;9(4):571-5.
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The efficacy of annual single-dose treatment with diethylcarbamazine citrate against diurnally subperiodic bancroftian filariasis in Samoa.柠檬酸乙胺嗪单剂量年度治疗对萨摩亚昼间亚周期班氏丝虫病的疗效。
Bull World Health Organ. 1985;63(6):1097-106.
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Ultrastructural analysis of microfilariae of Wuchereria bancrofti obtained from persistent carriers after repeated courses of diethylcarbamazine.对经多次乙胺嗪疗程后从慢性携带者体内获取的班氏吴策线虫微丝蚴进行超微结构分析。
Micron. 2009 Jul-Aug;40(5-6):659-64. doi: 10.1016/j.micron.2009.01.004. Epub 2009 Feb 6.
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Efficacy of mass single-dose diethylcarbamazine and DEC-fortified salt against bancroftian filariasis in Papua New Guinea six months after treatment.治疗六个月后,群体单剂量服用乙胺嗪及食用乙胺嗪强化盐对巴布亚新几内亚班氏丝虫病的疗效。
P N G Med J. 2000 Sep-Dec;43(3-4):213-20.
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Drug trials with levamisole hydrochloride and diethylcarbamazine citrate in Bancroftian and Malayan filariasis.盐酸左旋咪唑和枸橼酸乙胺嗪治疗班氏丝虫病和马来丝虫病的药物试验。
Trans R Soc Trop Med Hyg. 1980;74(3):285-91. doi: 10.1016/0035-9203(80)90081-4.
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[Trial of the combination of diethylcarbamazine (Notezine)-levamisole (Solaskil) in the control of filariasis by Wuchereria bancrofti var. pacifica in French Polynesia].
Bull Soc Pathol Exot Filiales. 1979 Sep-Dec;72(5-6):471-81.
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Effect of a single dose of diethylcarbamazine, albendazole or both on the clearance of Wuchereria bancrofti microfilariae and antigenaemia among microfilaria carriers: a randomized trial.单剂量乙胺嗪、阿苯达唑或两者联用对微丝蚴携带者体内班氏吴策线虫微丝蚴清除及抗原血症的影响:一项随机试验
Natl Med J India. 2010 Mar-Apr;23(2):72-6.
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Efficacy of a single-dose treatment with 300 mg diethylcarbamazine and a combination of 400 mg albendazole in reduction of Wuchereria bancrofti antigenemia and concomitant geohelminths in Myanmar migrants in Southern Thailand.在泰国南部的缅甸移民中,300毫克乙胺嗪单剂量治疗与400毫克阿苯达唑联合使用在降低班氏吴策线虫抗原血症及合并土源性蠕虫方面的疗效。
J Med Assoc Thai. 2006 Aug;89(8):1237-48.

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