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[用于治疗儿童流感及其他病毒性呼吸道感染的化疗药物]

[Chemotherapeutics for treatment of influenza and other viral respiratory tract infections in children].

作者信息

Drinevskiĭ V P, Osidak L V, Natsina V K, Afanas'eva O I, Mil'kint K K, Danini G V, Ispolatova A V, Koreniako I E, Karelina N N, Marinich I G, Boldasov V K

机构信息

Research Institute of Grippe, Russian Academy of Medical Sciences, St. Petersburg.

出版信息

Antibiot Khimioter. 1998;43(9):29-34.

PMID:9791684
Abstract

Therapeutic efficacy of remantadine and arbidole was studied in the clinical and laboratory observation of pediatric in- and outpatients with grippe and mixed viral infections in various seasonal epidemic. In the trial of remantadine 742 school children and 60 children at the age of 3 to 6 years with type A, B or A + B grippe, grippe in association with other acute viral respiratory tract infections or acute viral respiratory tract infections of nongrippe etiology were observed. 402 and 400 of them were given remantadine and placebo respectively. The drug was used in a single dose of 1.5 mg/kg body weight 3 times a day for 3 days. In the trial of arbidole 158 children at the age of 1 to 14 years with type A grippe, grippe + acute viral respiratory tract infection and acute viral respiratory tract infection of nongrippe etiology were observed. The arbidole daily dose of 10 mg/kg body weight was given in 4 portions for 5 days. Both the drugs were shown to be therapeutically efficient in all the grippe types and acute viral respiratory tract infections. The highest efficacy was observed when the use of the drugs was started at the early stages. With the use of the drugs the periods of fever, other intoxication signs and virus isolation decreased. No adverse reactions were recorded. The drugs had no inhibitory effect on the cellular and humoral immunity and on production of antiviral antibodies. The dynamics of the indices of the cellular immunity and macrophages confirmed the arbidole immunostimulating action.

摘要

在对患有流感及各种季节性流行的混合病毒感染的儿科门诊和住院患者进行的临床及实验室观察中,研究了金刚乙胺和阿比朵尔的治疗效果。在金刚乙胺试验中,观察了742名学龄儿童和60名3至6岁患有甲型、乙型或甲型+乙型流感、流感合并其他急性病毒性呼吸道感染或非流感病因的急性病毒性呼吸道感染的儿童。其中402名和400名儿童分别给予金刚乙胺和安慰剂。该药物以1.5毫克/千克体重的单次剂量,每日3次,连用3天。在阿比朵尔试验中,观察了158名1至14岁患有甲型流感、流感+急性病毒性呼吸道感染和非流感病因的急性病毒性呼吸道感染的儿童。阿比朵尔每日剂量为10毫克/千克体重,分4次服用,连用5天。两种药物在所有流感类型和急性病毒性呼吸道感染中均显示出治疗效果。在疾病早期开始使用药物时观察到最高疗效。使用药物后,发热期、其他中毒症状及病毒分离时间均缩短。未记录到不良反应。这些药物对细胞免疫和体液免疫以及抗病毒抗体的产生均无抑制作用。细胞免疫指标和巨噬细胞的动态变化证实了阿比朵尔的免疫刺激作用。

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