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复方萘酚喹片治疗恶性疟的临床观察

CLINICAL TRIAL OF CO-NAPHTHOQUINE IN THE TREATMENT OF FALCIPARUM MALARIA

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【作者】 王京燕单成启符大东庞学坚卢运富苏来富邬伯安时云林丁德本孙志伟

【Author】 WANG Jing-yan1, SHAN Cheng-qi1, FU Da-dong2, PANG Xue-jian3, LU Yun-fu4, SU Lai-fu4, WU Bo-an1, SHI Yun-lin1, DING De-ben1, SUN Zhi-wei1 (1. Institute of Microbiology and Epidemiology, Academy of Military Medical Sciences, Beijing 100071, China; 2. Farm Hospital of South Island, Hainan Province; 3. Hainan Provincial Institute of Tropical Diseases; 4. Jiang-bian Hospital of Dong-fang City, Hainan Province)

【机构】 军事医学科学院微生物流行病研究所海南省南岛农场医院海南省热带病防治研究所海南省东方市江边医院军事医学科学院微生物流行病研究所 北京100071北京100071北京100071

【摘要】 目的 临床观察复方萘酚喹片对恶性疟的疗效和安全性。 方法 在海南省疟疾流行区共收治恶性疟病人32 0例 ,其中 10 0例病人进行了血常规、血生化、尿、心电图等指标的检测。患者一次口服复方萘酚喹片 14 0 0 mg,住院 3~ 7d,随访 2 8d。 结果 收治的 32 0例中 ,2 8d治愈率为 97.5 % (312 /32 0 ) ,有 8例复燃。平均退热时间为 (17.5±11.4 ) h,2 4 h原虫下降率为 (97.3± 8.8) % ,原虫转阴时间为 (2 9.9± 8.7) h,临床及实验室检查均未见明显不良反应。 结论 复方萘酚喹片是一个高效、速效、服药简便且安全的新复方抗疟药。

【Abstract】 Objective To observe the efficacy and safety of co-naphthoquine for the treatment of faciparum malaria. Methods 320 patients in Hainan Province, each with naturally acquired, symptomatic Plasmodium falciparum infection were selected as the subjects, treated with a single dose of co-naphthoquine 1 400 mg. 100 of the 320 patients were examined by hematology, blood biochemistry, urine analysis and ECG. The patients were hospitalized for 3-7 days and followed up for 28 days. Results 312 of the 320 patients were shown to be free of infection at 28 days, a 97.5% cure rate. The mean fever clearance time was (17.5±11.4) h; the mean parasite clearance time was (29.9±8.7) h. No significant adverse effects were encountered. Conclusion Co-naphthoquine possesses benefits of both naphthoquine and artemisinine, being rapid onset of action, high cure rate, a short course of only one dose and is well tolerated in patients.

【基金】 国家科技部重点科技项目“新药研究与产业化开发” (No. 96- 90 1 - 0 5- 1 62 );军队“九五”指令性课题 (No.96L0 2 3)。
  • 【文献出处】 中国寄生虫病防治杂志 ,Chinese Journal of Parasitic Disease Control , 编辑部邮箱 ,2003年03期
  • 【分类号】R531.3
  • 【被引频次】7
  • 【下载频次】64
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