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血吸虫重复感染病人多次接受吡喹酮治疗效果评价

Effect of Repeated Praziquantel Treatment on Re-infected Schistosomiasis Patients

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【作者】 宋鸿焘李龙根神学慧田启安纪长生

【Author】 SONG Hong-tao,LI Long-gen,SHEN Xue-hui,et al.(Zhenjiang Center for Disease Control and Prevention,Zhenjiang,212003,Jiangsu,China)

【机构】 江苏省镇江市疾病预防控制中心江苏省镇江市丹徒区疾病预防控制中心江苏省镇江市丹徒区疾病预防控制中心 江苏镇江212003江苏镇江212003

【摘要】 [目的]评价血吸虫重复感染病人多次接受吡喹酮抗虫治疗的效果。[方法]2004~2006年,在镇江市丹徒区江滩型血吸虫病流行区,对2000~2004年接受过吡喹酮抗虫治疗2次及以上的33名血吸虫重复感染病人,采用吡喹酮60 mg/kg 2日疗法治疗,并评价其疗效。[结果]接受吡喹酮抗虫治疗6周后,粪便中均未检出血吸虫毛蚴;治疗后第24个月血清血吸虫特异性抗体阳性率由治疗前的100.00%下降至25.24%;治疗2年后B超检查肝脾肿大和肝实质损害的改善不明显。[结论]血吸虫重复感染病人多次接受吡喹酮抗虫治疗效果明显。

【Abstract】 [Objective]To access the effect of repeated praziquantel treatment on re-infected schistosomiasis patients.[Methods]33 patients re-infected by schistosomiasis,who received praziquantel treatment at least twice from 2000 to 2004,were treated with a course of qraziquantel dosage of 60 mg/kg/day for two days from 2004 to 2006 in the endemic zone,the effect was evaluated.[Results]6 weeks after the treatment,all subjects were stool-negative;in the 24th month after the treatment,the positive rate of serum specific antibodies dropped from 100% before the treatment to 25.24 %;two years after praziquantel treatment,no obvious improvement was found in B mode ultra-sound examination on liver-and-spleen swelling and hepatic parenchyma lesion.[Conclusion]Repeated praziquantel treatment is highly effective in curing patients re-infected by schistosomiasis.

【基金】 江苏省镇江市卫生局立项课题(编号03343-44)
  • 【文献出处】 预防医学论坛 ,Preventive Medicine Tribune , 编辑部邮箱 ,2007年12期
  • 【分类号】R532.21
  • 【下载频次】50
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