中国寄生虫学与寄生虫病杂志 ›› 1984, Vol. 2 ›› Issue (4): 224-227.

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氯喹和氯喹合并伯喹治疗间日疟病人的复发情况及荧光抗体水平的变化

王克安,刘吟龙,张品年,刘俊旭   

  1. 中国预防医学中心寄生虫病研究所; 中国预防医学中心寄生虫病研究所; 江苏省邳县卫生防疫站; 江苏省徐州地区卫生防疫站
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1984-11-30 发布日期:2017-01-12

RELAPSES AND INDIRECT FLUORESCENT ANTIBODY LEVEL IN VIVAX MALARIA PATIENTS AFTER CHLOROQUINE AND CHLOROQUINE-PRIMAQUINE TREATMENT

  • Received:2017-01-12 Revised:2017-01-12 Online:1984-11-30 Published:2017-01-12

摘要: 1980年10月在我国黄淮平原间日疟流行区。分别以单用氯喹1.5g的三天疗法和氯喹合并伯喹112.5mg的五天疗法治疗82例及145例间日疟现症病人,追踪观察至次年7月,复发率分别为45.1%和15.2%,平均每人复发次数分别为1.4次和1.1次,多次复发者均为儿童。两组均未见8周内的近期复发,复发均集中出现于次年5月和6月。间接荧光抗体试验表明两组病例的抗体水平变化与复发情况相符。两组的累计抗体滴度和抗体阳性率(≥1:80)均有极显著差异,与用镜检法得到的两组复发率的显著性检验结果一致,提示IFA用于比较不同疗法的效果有参考价值。

关键词: 间日疟, 荧光抗体技术, 氯喹, 复发率, 抗体阳性率, 回升率, 黄淮平原, 抗体水平, 伯喹, 间接荧光

Abstract: 82 and 145 patients of vivax malaria were treated with chloroquine alone (1,500mg for three days) and in combination with primaquine 22.5mg for 5 days respectively from October to November 1980 and followed up till July 1981 in Huanghuai Plain. The relapse rates were 45.1% and 15.2% and the average number of relapses of the patients were 1.4 and 1.1 respectively. All patients with more than one post-treatment relapse were children. No recrudescence within eight weeks was noted in either group. Most relapses occurred in May and June.The IFA test carried out in July 1981 revealed that the difference in the positive rates (≥1:80) .the total geometric mean reciprocal litres and the re-rising rates of antibody titre between the two groups were significant. These coincided with the parasitological relapse rates examined by microscopy simultaneously. It appears that IFA test may be useful in comparing the efficacy of different regimens in the treatment of tertian malaria.