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吡喹酮、六氯对二甲苯及两药联合应用治疗华枝睾吸虫病的临床观察
A Clinical Observation on Praziquantel, Hexachloroparaxylene and A Combined Therapy of These Two Drugs in the Treatment of Clonorchiasis Sinensis
【摘要】 应用吡喹酮、六氯对二甲苯及两药较小剂量联合疗法治疗华枝睾吸虫病94例,发现吡喹酮80mg/kg、120mg/kg二日疗法,六氯对二甲苯500mg/kg五日疗法以及两药较小剂量的联合疗法疗效都较满意,远期阴转率85%以上。哟喹酮60mg/kg二日疗法疗效较差,远期阴转率仅58.33%。副作用以单独应用六氯对二甲苯组比较明显;联合疗法组的尿检异常发生率较高,达48.3%。认为对轻度华枝睾吸虫病感染患者,应用吡喹酮总剂量80mg/kg二日疗法比较恰当,六氯对二甲苯只能作为次选药物。
【Abstract】 94 cases of clonorchiasis sinensis were treated with praziquantel, hexachloroparaxyleneand a combined therapy with smaller doses of both drugs above mentioned. Follow-upexamination revealed a negative conversion rate over 85% in patients treated with praziquantelof 80mg/kg or 120mg/kg in 2 days, hexachloroparaxylene of 500mg/kg in 5 days and withthe combined therapy, but praziquantel with a dosage of 60mg/kg in 2 days revealed anegative conversion rate of 58.33% only. The side effects of hexachloroparaxylene was moreprominent than praziquantel, and the urinalysis showed that abnomal changes occured in48.3% of the patients with the combined therapy. Therefore, in mild infection with clonor-chiasis sinensis, praziquantel of 80mg/kg in 2 days is the regime of first choice, andhexachloroparaxylene can be considered next.
- 【文献出处】 江苏医药 ,Jiangsu Medical Journal , 编辑部邮箱 ,1984年03期
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