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马杏宝, 黄德生, 蔡黎, 张宝秀, 傅英华, 葛宏妍. 甲苯达唑驱治鞭虫及其它肠线虫感染的疗效观察[J]. 中国公共卫生, 2001, 17(8): 698-699. DOI: 10.11847/zgggws2001-17-08-20
引用本文: 马杏宝, 黄德生, 蔡黎, 张宝秀, 傅英华, 葛宏妍. 甲苯达唑驱治鞭虫及其它肠线虫感染的疗效观察[J]. 中国公共卫生, 2001, 17(8): 698-699. DOI: 10.11847/zgggws2001-17-08-20
MA Xing-bao, . Observation on Efficacy of Mebendazole in the Treatment of Trichuri and Other Intestinal Nematode Infections[J]. Chinese Journal of Public Health, 2001, 17(8): 698-699. DOI: 10.11847/zgggws2001-17-08-20
Citation: MA Xing-bao, . Observation on Efficacy of Mebendazole in the Treatment of Trichuri and Other Intestinal Nematode Infections[J]. Chinese Journal of Public Health, 2001, 17(8): 698-699. DOI: 10.11847/zgggws2001-17-08-20

甲苯达唑驱治鞭虫及其它肠线虫感染的疗效观察

Observation on Efficacy of Mebendazole in the Treatment of Trichuri and Other Intestinal Nematode Infections

  • 摘要: 目的观察相同剂量不同疗程的甲苯达唑对鞭虫感染者驱虫效果.方法将420例以鞭虫感染为主的肠线虫病患者分成3组,其中2组甲苯达唑总剂量800mg,2天(A组)、4天(B组)分服,另一组阿苯达唑总剂量600mg,2天分服为对照;于服药前和服药后2周和4周分别以改良加藤厚涂片法粪检考核疗效.结果治毕2周,甲苯达唑4天疗法组鞭虫卵阴转率(97.20%)高于2天疗法组(88.04%)(P<0.05),但治后4周虫卵阴转率相同;阿苯达唑2天疗法组(72.45%~76.14%)较前2组低(P<0.001和P<0.01).虫卵减少率3组均高于95%,3组鞭虫卵未阴转者治后平均EPG较治前均呈减少趋势.蛔虫卵治后4周的阴转率为91.67%~96.43%,3组间无差异.3个组的药物副反应均轻微短暂.结论甲苯达唑800mg2天、4天疗法驱治鞭虫的疗效均达91%以上,明显优于阿苯达唑.

     

    Abstract: ObjectiveTo observe the anthelmintic efficacy of different therapeutic course of mebendazole on trichuriasis.MethodsFour hundred and twenty patients with single trichuris infections or mixed infection with ascaris or hookworm in Shanghai suburb were randomized into 3 groups and treated with 800mg mebendazole in differnet course.(Group A:Adaily dose of 200 mg mebendazole for 4 days;Group B:Adaily dose of 400 mg mebendazole for 2 days;Group C:A daily dose of 300mg albendazole for 2 days as control).Stool reex amination by Kato-Katz was done in 2 week and 4 week after treatment.ResultsThe rate of egg negative conversion of group A(92.07%)was higher than that of group B(88.04%,P<0.05)after being treated for two weeks, but no difference at 4 weeks;the date of group C(72.45%-76.14%)was lower than the group A and B(P<0.01 and P<0.01).The rate of egg reduction rate after treatment was all above 95% in 3 groups.The cure rate against Ascaris of both drugs being 91.67%-96.43% 4 week afte treatment and no statistic difference in 3 groups.The side effects were few and mild.ConclusionThe efficacy of 800mg mebendazole in 2 day or 4 day course was more than 91% on Trichuriasis.Mebendazole had better effect on expelling trichruis than albendazole.

     

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