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多菌型麻风联合化疗和监测的10年观察结果 被引量:9

ResultsofMultidrugTherapyonMultibacilaryLeprosyandFolowupofTenYears
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摘要 为了评价联合化疗对多菌型麻风患者的疗效,对其10年的结果进行了分析。457例多菌型患者在联合化疗中细菌指数(BI)下降情况示,联合化疗前BI≥3.0的经治、复发和新发患者,在治疗60个月时,BI累积阴转率分别为86.4%、63.8%和81.6%。642例患者在联合化疗和监测期分别有10.4%和0.7%的患者发生麻风反应。对550例停药患者监测2520人年,发现1例经治患者复发。我们认为多菌型麻风患者完成联合化疗后,对其密切监测,及时发现反应和复发很有必要。 Inordertoevaluatethetherapeuticefectsofmultidrugtherapy(MDT)onmultibacil-laryleprosypatients,thechangeofbacteriologicalindexin457multibacilaryleprosypatientsonMDTwasstudied.Theresultsshowedthatthepatientspreviouslytreatedwithdapsone(DDS)alone,pa-tientsrelapsedafterDDSmonotherapyandnewlydiagnosedpatientswithBI≥3.0beforeMDT,60monthsafterMDT,theacumulativeratesofBInegativitywere86.4%,63.8%and81.6%respective-ly.Therewere67cases(10.4%)and4cases(0.7%)developedleprosyreactionintheperiodofMDTandfolowingup,respectively.Fivehundredandfiftycaseswerefolowedupfor1~8years,atotalof2520patient-years,andonepatientrelapsedatthethirdyearafterstoppingofMDT.Theauthorscon-siderthatitisnecesarytofolowupthepatientsaftercompletionofMDT,fortheearlydiagnosisofreversalreactionandrelapse.
出处 《中华皮肤科杂志》 CAS CSCD 北大核心 1996年第4期255-257,共3页 Chinese Journal of Dermatology
关键词 麻风 药物疗法 联合化疗 LeprosyDrugtherapy,combination
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同被引文献56

  • 1胡鹭芳,宁涌,罗九思,郑义强,喻林冲,伍友成,翦大明,王荣茂,张桂芳,吴斌,刘金康.麻风固定疗程联合化疗后复发病例的分析[J].中国麻风皮肤病杂志,2005,21(8):602-604. 被引量:6
  • 2周晓鸿,杨丽娟,张晓红,周龙朝,张世保.MDT后与RFP加DDS治愈后的麻风复发[J].中国麻风杂志,1995,11(1):20-22. 被引量:1
  • 3赖祖杰,段森,张桂芳,李郁文,常玉萍.667例多菌型麻风MDT后监测5年[J].中国麻风杂志,1996,12(2):104-105. 被引量:8
  • 4王荷英,施美琴,王红春.联合用药对裸鼠麻风杆菌的影响[J].中华皮肤科杂志,1996,29(1):25-26. 被引量:1
  • 5王秉强,覃小林,杨英先,李旭灵.108例MB麻风初治MDT 24个月BI阴转分析[J].皮肤病与性病,2006,28(3):59-60. 被引量:1
  • 6Kroger A, Pannikar V, Htoon MT, et al. International open trial of uniform multi-drug therapy regimen for 6 months for all types of leprosy patients: rationale, design and preliminary results. Trop Med Int Health, 2008, 13(5): 594-602.
  • 7Becx-Bleumink M. Duration of muhidrug therapy in paueibaeillary patients; experiences in the leprosy control program of the ALL Africa Leprosy and Rehabilitation Training Center (ALERT) in Ethiopia. Int J Lepr Other Mycobact Dis, 1992, 60: 436-444.
  • 8Kar PK, Jha PK, Panayach JS, et al. A clinico-pathological study of multidrug regimen in paucibacillary leprosy. Indian J Lepr, 1988, 60(2): 235-241.
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