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作者从73例根尖周炎和57例成年人牙周炎患者临床标本中,分离获得30种210株无芽胞厌氧菌,检出率为90.0%。替硝唑对8个属208株厌氧菌的MIC50和MIC90明显低于甲硝唑和乙酰螺旋霉素。替硝唑体外抗革兰氏阴性无芽胞厌氧菌的作用较氯林可霉素为强,但对革兰氏阳性无芽胞厌氧菌的抗菌效果不如氯林可霉素。替硝唑和甲硝唑体内杀厌氧菌率分别为89.6%和62.3%,治疗根尖周炎的有效率分别为85.4%和44.0%,治疗成年人牙周炎的有效率分别为76.9%和44.4%(均P<0.05)。实验结果表明,替硝唑有较强的体内、外抗厌氧菌作用。
From 73 cases of periapical periodontitis and 57 adult patients with periodontitis, 30 kinds of 210 non-spore-forming anaerobes were isolated and the detection rate was 90.0%. The MIC50 and MIC90 of tinidazole to 208 anaerobe strains of 8 genera were significantly lower than those of metronidazole and acetylspiramycin. The effect of tinidazole against Gram-negative non-spore-forming anaerobes was stronger than that of clindamycin, but not as good as clindamycin for Gram-positive non-spore-forming anaerobes. Tinidazole and metronidazole in vivo kill anaerobic bacteria were 89.6% and 62.3%, the effective rate of treatment of apical periodontitis were 85.4% and 44.0%, respectively, the treatment of adult periodontal The effective rates of inflammation were 76.9% and 44.4% (all P <0.05). The experimental results show that tinidazole has strong in vivo and external anti-anaerobic bacteria.