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[结核菌素-卡介苗疗法在肺结核患者联合治疗中的应用]

[Tuberculin-BCG therapy in combined treatment of patients with pulmonary tuberculosis].

作者信息

Krylov V A, Gergert V Ia, Korotkova E D, Kuz'mina N V, Filippov A V

出版信息

Probl Tuberk. 1995(4):11-4.

PMID:7567858
Abstract

The efficacy of combined use of tuberculin and BCG vaccine (tuberculin-BCG-therapy) given to 70 patients with new-onset and recurrent pulmonary tuberculosis was compared to that of BCG treatment only received by 24 patients. Bacterial discharge and caverns were registered in 80 and 78 patients, respectively. 25 patients underwent stimulating, 37, 8 paradoxical tuberculin-BCG-therapy. BCG vaccine (1-4 injections) was given 2 weeks after the course of individual tuberculin therapy with the low efficacy of the latter. Tuberculin-BCG-therapy produced marked response in 52 patients against 11 responses on BCG only, increased the number of T-lymphocytes and T-helpers. It is concluded that the above combination improves regulation of an immune response by cellular mechanisms.

摘要

将结核菌素与卡介苗联合使用(结核菌素 - 卡介苗疗法)应用于70例新发和复发性肺结核患者,并与仅接受卡介苗治疗的24例患者进行疗效比较。分别在80例和78例患者中记录了细菌排出情况和空洞形成情况。25例患者接受了激发性治疗,37例、8例接受了矛盾性结核菌素 - 卡介苗疗法。在个体结核菌素治疗效果不佳后2周给予卡介苗(1 - 4次注射)。结核菌素 - 卡介苗疗法在52例患者中产生了明显反应,而仅卡介苗治疗组有11例有反应,该联合疗法增加了T淋巴细胞和T辅助细胞的数量。得出结论:上述联合疗法通过细胞机制改善了免疫反应的调节。

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