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青蒿琥酯伍用伯喹治疗抗药性恶性疟疗效观察

时间:2005-05-11

浏览量:2159

 

车立刚  李兴亮  杨亚明  张有林  李春富  刘慧  张有林

云南省疟疾防治研究所  思茅  665000

全文发表于《实用寄生虫病杂志》1993年第1卷第131-33

 

提要:青蒿琥酯600mg与伯喹90mg伍用,治疗抗药性恶性疟43例,退热时间26.9±19.5h,原虫无性体转阴时间33.8±10.4h28d复燃率6.5%,对配子体形成和清除有明显效果,副反应少,但疗程长,对G6PD缺陷者不宜。与Fansimef相比,在退热速度、对配子体作用、副反应方面优于后者。

关键词:抗药性恶性疟,青蒿琥酯,复方甲氟喹

 

EFFICACY OF ARTESUNATE/PRIMAQUINE AGAINST DRUG-RESISTANT FALCIPARUM MALARIA

Che Ligang, Li Xingliang, Yang Yaming, Zhang Youlin

 Li Chunfu, Liu Hui, Shu Wenyi

Institute of Malaria Prevention and Treatment of Yunnan Province, Simao  665000

 

ABSTRACT. Forty-three cases suffered from drug-resistant falciparum malaria were treated with artesunate 600mg and primaquine 90mg.Fever clearance time was 26.9±19.5h, asexual parasite clearance time 33.8±10.4h, and recrudescence rate 6.5% during 28-day´s following-up. The regimen showed good effect on inhibiting gametocytogenesis and clearing gametocytes. It revealed few side-effect but long course of treatment. It is not suitable for treating cases lacking of G-6-PD. Compared with fansimef, it is better on speed of fever clearance, action on gametocytes and side-effect.

Key words: Drug-tesistant, falciparum, malaria, artesunate, mefloquine co

 

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