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四种抗病毒药物治疗单纯疱疹性角膜炎的疗效

Efficacy of four antiviral agents in the treatment of uncomplicated herpetic keratitis.

作者信息

Panda A, Das G K, Khokhar S, Rao V

机构信息

Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Can J Ophthalmol. 1995 Aug;30(5):256-8.

PMID:8529160
Abstract

OBJECTIVE

To evaluate the efficacy of four antiviral agents--1% idoxuridine ointment (group 1), 2% trifluorothymidine ointment (group 2), 3% acyclovir ointment (group 3) and 1% bromovinyldeoxyuridine (BVDU) ointment (group 4)--in herpes simplex keratitis.

DESIGN

Randomized double-blinded clinical trial.

SETTING

Tertiary care institution in New Delhi.

PATIENTS

Eighty patients with uncomplicated herpes simplex keratitis of recent onset who had not previously received antiviral treatment.

MAIN OUTCOME MEASURES

Cure rate, frequency and severity of side effects.

RESULTS

Cure rates of 60%, 90%, 90% and 95% were obtained in groups 1, 2, 3 and 4 respectively. The average healing time was 13.4, 8.9, 8.5 and 7.5 days respectively. Side effects (follicular conjunctivitis, epithelial keratopathy and stinging) were more frequent in group 1 than in the other groups.

CONCLUSIONS

BVDU has a more pronounced therapeutic effect than idoxuridine, trifluorothymidine and acyclovir in uncomplicated epithelial herpetic disease of recent onset that has not previously been treated.

摘要

目的

评估四种抗病毒药物——1%碘苷眼膏(第1组)、2%三氟胸腺嘧啶核苷眼膏(第2组)、3%阿昔洛韦眼膏(第3组)和1%溴乙烯脱氧尿苷(BVDU)眼膏(第4组)——治疗单纯疱疹性角膜炎的疗效。

设计

随机双盲临床试验。

地点

新德里的三级医疗机构。

患者

80例近期发病的单纯疱疹性角膜炎患者,此前未接受过抗病毒治疗。

主要观察指标

治愈率、副作用的发生率和严重程度。

结果

第1、2、3和4组的治愈率分别为60%、90%、90%和95%。平均愈合时间分别为13.4、8.9、8.5和7.5天。第1组的副作用(滤泡性结膜炎、上皮性角膜病变和刺痛)比其他组更常见。

结论

在近期发病且此前未接受治疗的单纯上皮性疱疹疾病中,BVDU比碘苷、三氟胸腺嘧啶核苷和阿昔洛韦具有更显著的治疗效果。

相似文献

1
Efficacy of four antiviral agents in the treatment of uncomplicated herpetic keratitis.四种抗病毒药物治疗单纯疱疹性角膜炎的疗效
Can J Ophthalmol. 1995 Aug;30(5):256-8.
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Trifluridine, cidofovir, and penciclovir in the treatment of experimental herpetic keratitis.三氟尿苷、西多福韦和喷昔洛韦治疗实验性疱疹性角膜炎
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引用本文的文献

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Antiviral treatment and other therapeutic interventions for herpes simplex virus epithelial keratitis.单纯疱疹病毒性上皮性角膜炎的抗病毒治疗及其他治疗干预措施。
Cochrane Database Syst Rev. 2015 Jan 9;1(1):CD002898. doi: 10.1002/14651858.CD002898.pub5.
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Antiviral treatment and other therapeutic interventions for herpes simplex virus epithelial keratitis.单纯疱疹病毒性上皮性角膜炎的抗病毒治疗及其他治疗干预措施。
Cochrane Database Syst Rev. 2010 Dec 8(12):CD002898. doi: 10.1002/14651858.CD002898.pub4.
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New antiviral agents.新型抗病毒药物。
Indian J Pediatr. 2006 Apr;73(4):313-21. doi: 10.1007/BF02825826.
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The treatment of herpes simplex virus epithelial keratitis.单纯疱疹病毒性上皮性角膜炎的治疗
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Ophthaproblem. Dendrite secondary to herpetic keratitis.眼科问题。疱疹性角膜炎继发树枝状病变。
Can Fam Physician. 1997 Mar;43:433, 441.