复制剂量伊弗梅克丁对眼球瘤病的作用:塞拉利昂社区试验
J A Whitworth1, C E Gilbert, D M Mabey
1Medical Research Council Laboratory, Bo, Sierra Leone.
Lancet (London, England)
|November 2, 1991
概括
重复剂量使用的艾弗梅克丁有效治疗前段眼病. 需要进一步研究后部细分效应,但建议大规模分发给处于危险的社区.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 瘤病是一种寄生性疾病,导致失明.
- 艾弗梅克丁是有效的单剂量糖症治疗.
- 有限的数据存在于重复的ivermectin剂量和眼睛的影响.
研究的目的:
- 为了评估重复剂量的ivermectin对眼睛的影响.
- 为了比较ivermectin在前段与后段眼部疾病中的疗效.
- 评估瘤病患者的安全性和视觉结果.
主要方法:
- 在塞拉利昂进行双盲,安慰剂控制,随机化试验.
- 586名村民在6个月的间隔内接受了四次剂量艾弗梅克丁或安慰剂.
- 眼部检查评估了前后段疾病,视力敏度和并发症.
主要成果:
- 艾弗麦丁显著减少了前段疾病,包括前腔和角膜中的微细菌,点状角膜炎和皮炎.
- 在硬化性角膜炎,视力缩或胆膜炎方面没有观察到显著差异.
- 视力敏性显示出对IVERMECTIN组的改善趋势不显著;血管覆盖略有增加.
结论:
- 重复的艾弗梅克丁剂量对于前段瘤瘤是安全和有效的.
- 对后段疾病的长期影响需要进一步研究.
- 推大规模分发ivermectin,用于风险较高的前部细分病的超染性瘤病社区.
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