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多菌型麻风患者联合化疗6个月后停药随访7年结果分析

沈建平 严良斌 余美文 李进岚 余秀峰

皮肤性病诊疗学杂志Issue(3):181-184,4.
皮肤性病诊疗学杂志Issue(3):181-184,4.DOI:10.3969/j.issn.1674-8468.2014.03.005

多菌型麻风患者联合化疗6个月后停药随访7年结果分析

Analysis on Results of Seven Year Following up among Multibacillary Patients Treated with Multidrug Therapy for Six Months

沈建平 1严良斌 1余美文 1李进岚 2余秀峰3

作者信息

  • 1. 中国医学科学院北京协和医学院皮肤病研究所,江苏 南京 210042
  • 2. 贵州省疾病预防控制中心,贵州 贵阳 550004
  • 3. 文山州皮肤病防治研究所,云南 文山 663000
  • 折叠

摘要

Abstract

To analyze the results of treatment among MB patients 7 years after trea-ted with six months’ multidrug therapy.Methods:Newly detected and relapsed MB leprosy pa-tients were treated with 6 months’ WHO multidrug therapy.Then the patients were followed up for 7 years.The effectiveness of treatment was analyzed by clinical status and bacteriological studies. Results:A total of 114 patients were recruited.43 patients were withdrawn from the study.Only 71 patients were qualified for analysis.The mean bacteriological index ( BI ) of all patients de-creased from 2.93 ±1.39 before treatment to 0 at the end of seventh year’ following up with annu-al BI decrease of 0.42 .The rate of smear negativity of all patients was 100%at the end of seven year’ following up.There were 38 leprosy reactions observed during the study with a rate of 53.5%and one patient relapsed with a relapse rate of 0.05 per 100 patient year.Conclusion:Multidrug therapy for 6 months was effective in MB patients, the frequencies for decreased BI and leprosy reactions were similar to those accepted the therapy for 1 or 2 years.

关键词

麻风/联合化疗/细菌指数/麻风反应

Key words

Leprosy/Multidrug therapy/Bacteriological index/Leprosy reaction

分类

医药卫生

引用本文复制引用

沈建平,严良斌,余美文,李进岚,余秀峰..多菌型麻风患者联合化疗6个月后停药随访7年结果分析[J].皮肤性病诊疗学杂志,2014,(3):181-184,4.

基金项目

世界卫生组织项目 ()

皮肤性病诊疗学杂志

1674-8468

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