更昔洛韦治疗成人传染性单核细胞增多症的回顾性研究
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袁利超

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R512.7

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A retrospective study of ganciclovir in the therapy of adult infectious mononucleosis
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    摘要:

    目的研究更昔洛韦治疗成人传染性单核细胞增多症的临床疗效。方法回顾性研究2010年1月—2014年12月在某院就诊的66例成人传染性单核细胞增多症患者,根据治疗药物不同分为更昔洛韦治疗组(31例)和对症治疗组(35例),分析治疗前临床特点、临床治疗效果及EBVDNA转阴时间等指标。结果更昔洛韦治疗组患者在退热、咽痛好转、EBVDNA转阴、淋巴结肿大消退、转氨酶恢复正常等方面的时间均较对症治疗组缩短,两组比较差异具有统计学意义(均P<0.05)。两组患者在血常规恢复正常时间方面比较,差异无统计学意义(P>0.05)。结论更昔洛韦治疗成人传染性单核细胞增多症抗病毒效果较好,可使患者发热、咽痛等临床症状迅速得到缓解。

    Abstract:

    ObjectiveTo study clinical efficacy of ganciclovir in the therapy of infectious mononucleosis in adults. Methods66 adults with infectious mononucleosis in a hospital from January 2010 to December 2014 were studied retrospectively, according to drug therapy, patients were divided into ganciclovir therapy group (n=31) and symptomatic therapy group (n=35), clinical features before therapy, therapeutic efficacy, and EpsteinBarr virus(EBV) DNA negative conversion time were analyzed. ResultsThe time of defervescence, sore throat improvement, EBVDNA negative conversion, subside of enlarged lymph node, and transaminase recovery in ganciclovir therapy group were all shorter than symptomatic therapy group(all P<0.05). Blood routine recovery time between two groups was not significantly different(P>0.05). ConclusionGanciclovir has a good antiviral effect on the therapy of adult infectious mononucleosis, it can rapidly relieve patients from clinical symptoms including fever, sore throat and so on.

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袁利超, 马安林, 徐潜.更昔洛韦治疗成人传染性单核细胞增多症的回顾性研究[J]. 中国感染控制杂志,2017,16(8):730-732. DOI:10.3969/j. issn.1671-9638.2017.08.009.
YUAN Lichao, MA Anlin, XU Qian. A retrospective study of ganciclovir in the therapy of adult infectious mononucleosis[J]. Chin J Infect Control, 2017,16(8):730-732. DOI:10.3969/j. issn.1671-9638.2017.08.009.

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  • 收稿日期:2016-08-26
  • 最后修改日期:2016-10-12
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  • 在线发布日期: 2017-08-16
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