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在云南南部,用青蒿琥酯600mg、伯喹180mg和氯喹1500mg、伯喹180mg,均以8d分服,分别治疗33例和35例间日疟患者,平均退热时间各为(18.7±3.9)h和(25.4±12.0)h,平均原虫转阴时间各为(28.7±6.1)h和(42.9±6.2)h。观察9个月内的复发率分别为33.3%和22.9%。结果表明,青蒿琥酯与伯喹联用治疗间日疟,其退热时间和原虫转阴时间均显著快于氯喹与伯喹联用组(P均<0.01),而复发率则无明显差别(P>0.05),且副反应更轻,患者易于接受。因此,是治疗间日疟的安全有效方案。
In the southern part of Yunnan Province, artemisuetine 600mg, primaquine 180mg, chloroquine 1500mg and primaquine 180mg were given for 8d, and the average duration of fever was (18.7 ± 3.9 h, and (25.4 ± 12.0) h, respectively. The average protozoal anastomosis time was (28.7 ± 6.1) h and (42.9 ± 6.2) h respectively. The recurrence rates within 9 months were 33.3% and 22.9% respectively. The results showed that the combination of artesunate and primaquine in the treatment of P. vivax was significantly faster than that of chloroquine and primaquine (P <0.01), while the relapse rate was No significant difference (P> 0.05), and less side effects, patients are easy to accept. Therefore, it is a safe and effective treatment for vivax malaria.