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目的:观察烧伤创面抗真菌感染及防治浅部真菌病外用新药复方萘替芬(S1123)的体外抑菌效果和临床疗效。方法:(1)体外检测萘替芬、酮康唑和S1123的最低抑菌浓度,比较3种药物的抗真菌效果;(2)将S1123和对照药品应用于烧伤创面,在治疗前后取创面痂皮进行真菌培养,观察真菌转阴率;(3)观察S1123冷霜治疗某舰艇部队浅部真菌病患者1927例的效果。结果:S1123对丝状真菌和酵母菌具有广谱、高效的抑菌作用,对常见的致病真菌——曲霉和念珠菌,其最小抑菌浓度分别为0.156,0.625μg/ml。临床使用双盲法观察3d真菌感染转阴率达77.71%,与对照组比较相差非常显著。对浅部真菌病治疗的有效率为95.6%。结论:S1123是一种疗效很好的外用抗真菌新药。
Objective: To observe the antimicrobial effect and clinical efficacy of naftifine (S1123), a new anti-fungal infection in the treatment of superficial mycosis and superficial mycosis, in vitro. Methods: (1) The minimum inhibitory concentrations of naftifine, ketoconazole and S1123 were tested in vitro and the antifungal effects of three drugs were compared. (2) S1123 and control drugs were applied to burn wounds before and after treatment Skin fungal culture to observe the fungal negative rate; (3) To observe the effect of S1123 cold cream treatment of 1927 cases of superficial fungal disease in a naval vessel. Results: S1123 had broad-spectrum and high-efficient bacteriostasis against filamentous fungi and yeasts. The minimum inhibitory concentration against S180, Aspergillus and Candida were 0.156 and 0.625 μg / ml, respectively. Double-blind clinical observation of 3d fungal infection rate of negative conversion rate of 77.71%, compared with the control group, a significant difference. The treatment of superficial mycosis effective rate was 95.6%. Conclusion: S1123 is a good topical antifungal agent.