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应用WHO推荐的体外微量测定法于停用氯喹前的1981年及停药后的1984、1988—1990和1992年在云南省南部的勐腊县测得恶性疟原虫对氯喹的抗性率分别为97.4%、100%、96.1%及93.7%;ID50依次为170、132、125及110nmol/L,ID95为1000、740、707及576nmol/L;平均抑制量分别为55.4、46.7、45.8及35.4pmo1/井。与1981年测得结果相比,抗性率无明显变化;ID50分别下降22.3%(P<0.05)、26.4%(P<0.05)及35.3%(P<0.01),ID95依次下降26.0%(P<0.05)、29.3%(P<0.05)及42.4%(P<0.01)。平均抑制量分别下降15.7%(P>0.05)、17.3%(P<0.05)及36.1%(P<0.01)。提示云南南部恶性疟原虫对氯喹的抗性并不稳定,而是随药物压力的下降而降低。
The resistance rates of Plasmodium falciparum to chloroquine measured in 1981 in vitro before chloroquine withdrawal and after discontinuation in 1984, 1988-1990 and 1992 in Mengla County, southern Yunnan Province, using the WHO in vitro microassay method, were 97 .4%, 100%, 96.1% and 93.7% respectively; ID50 followed by 170, 132, 125 and 110 nmol / L, ID95 was 1000, 740, 707 and 576 nmol / L; , 46.7, 45.8 and 35.4 pm1 / well. Compared with the results measured in 1981, the resistance rate showed no significant change; ID50 decreased by 22.3% (P <0.05), 26.4% (P <0.05) and 35.3% (P < 0.01). ID95 decreased by 26.0% (P <0.05), 29.3% (P <0.05) and 42.4% (P <0.01) in turn. The average inhibition decreased by 15.7% (P> 0.05), 17.3% (P <0.05) and 36.1% (P <0.01), respectively. Tip southern P. falciparum resistance to chloroquine is not stable, but decreased with the decline in drug pressure.