中国寄生虫学与寄生虫病杂志 ›› 1999, Vol. 17 ›› Issue (3): 15-177.

• 临床报道 • 上一篇    下一篇

复方蒿甲醚片治疗间日疟的效果

李兴亮1,李崇珍1,车立刚1,刘行知1,李宗惠1,黄德顺 2,何伟 3,刀清勇3
  

  1. 1 云南省疟疾防治研究所 思茅 6650002 勐腊农场卫生科 勐腊 6663003 勐腊农场六分场卫生所 勐腊 666300
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1999-06-30 发布日期:1999-06-30

OBSERVATION ON EFFICACY OF ARTEMETHER COMPOUND AGAINST VIVAX MALARIA

LI Xingliang 1;LI Chongzhen 1;CHE Ligang 1;LIU Xingzhi 1 LI Zonghui 1;HUANG Deshun 2;HE Wei 3;DAO Qingyang 3   

  1. 1 lnstitute of Malaria Prevention and Treatment of Yunnan Province;Simao 665000 2 Health Section of Meng la Farm ,Meng la 6663003 The Sixth Branch Hospital of Meng la Farm ,Meng la 666300
  • Received:1900-01-01 Revised:1900-01-01 Online:1999-06-30 Published:1999-06-30

摘要:   目的: 观察复方蒿甲醚片治疗间日疟疗效的影响。方法:用复方蒿甲醚片(每片含苯芴醇 120 m g、蒿甲醚 20 m g)16 片3 d 分服( A 组)、20 片5 d 分服( B组),氯喹伯氨喹8 日疗法( C对照组)三组分别治疗36 例、41 例和 55 例。结果: A、 B、 C三组的平均退热时间相近,分别为 22.3 h、23.2 h 和25.0 h;平均原虫转阴时间为33.5 h、30.5 h 和44.9 h; A、 B两组均显著快于 C组( P< 0.01)。治后9 个月的临床复发率: A、 B、 C组各为84.9% 、78.8%和 22.9% ; A、 B组均显著高于 C组( P均< 0/01)。结论:两种治疗方案治疗间日疟均具有速效。

关键词: 复方蒿甲醚, 间日疟, 临床疗效, 复发

Abstract:

 AIM: To observe the efficacy of artemether compound against vivax malaria. METHODS: Each artemether compound tablet contains 120 mg benflumetolum and 20 mg artemether.132 patients with vivax malaria were divided into 3 groups.Group A,36 patients received 8 tablets as an initial dose,followed by 4 tablets daily for 2 days;group B,41 patients received 8 tablets as an initial dose, followed by 3 tablets daily for 4 days;group C,55 patients receiving chloroguine primaquine served as control.Two patients of group A were voluntarily to be bitten by Anopheles dirus before and after medication to observe the influence of artemether compound on the sporogony. RESULTS: The average defervescence times for groups A,B and C were 22.3 h、23.2 h and 25.0 h( P >0.05),respectively,the average parasite clearance times were 33.5 h、30.5 h and 44.9 h,respectively,the average parasite clearance times of groups A and B were all significantly shorter than that of group C ( P <0.01).The replase rates of groups A,B and C were 84.9%、78.8% and 22.9%, respectively,followed up at nine months,the relapse rates of groups A and B were higer than that of group C( P <0.01). CONCLUSION: Two regimens of artemether compound have the advantage of high efficacy against vivax malaria.

Key words: Artemether compound, vivax malaria, efficacy, relapse