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[抗风湿治疗简史。II. 阿司匹林]

[A short history of anti-rheumatic therapy. II. Aspirin].

作者信息

Pasero G, Marson P

机构信息

Università di Pisa, Italia.

出版信息

Reumatismo. 2010 Apr-Jun;62(2):148-56. doi: 10.4081/reumatismo.2010.148.

Abstract

The discovery of aspirin, an antipyretic, anti-inflammatory and analgesic drug, undoubtedly represents a milestone in the history of medical therapy. Since ancient times the derivatives of willow (Salix alba) were used to treat a variety of fevers and pain syndromes, although the first report dates back to 1763 when the English Reverend Edward Stone described the effect of an extract of the bark willow in treating malaria. In the XIX century many apothecaries and chemists, including the Italian Raffaele Piria and Cesare Bertagnini, developed the biological processes of extraction and chemical synthesis of salicylates, and then analyzed their therapeutic properties and pharmacokinetic and pharmacodynamic characteristics. In 1899 the Bayer Company, where Felix Hoffmann, Heinrich Dreser and Arthur Eichengrün worked, recorded acetyl-salicylic acid under the name "Aspirin". In the XX century, besides the definition of the correct applications of aspirin in the anti-rheumatic therapy being defined, Lawrence L. Crawen identified the property of this drug as an anti-platelet agent, thus opening the way for more widespread uses in cardiovascular diseases.

摘要

阿司匹林作为一种解热、抗炎和镇痛药的发现,无疑是医学治疗史上的一个里程碑。自古以来,柳树(白柳)的衍生物就被用于治疗各种发热和疼痛综合征,尽管最早的报告可追溯到1763年,当时英国牧师爱德华·斯通描述了柳树皮提取物治疗疟疾的效果。在19世纪,许多药剂师和化学家,包括意大利的拉斐尔·皮里亚和切萨雷·贝尔塔尼尼,开展了水杨酸盐的提取和化学合成的生物学过程,然后分析了它们的治疗特性以及药代动力学和药效学特征。1899年,费利克斯·霍夫曼、海因里希·德雷泽和亚瑟·艾兴格林所在的拜耳公司,以“阿司匹林”之名记录了乙酰水杨酸。在20世纪,除了确定阿司匹林在抗风湿治疗中的正确应用外,劳伦斯·L·克劳恩还确定了这种药物作为抗血小板剂的特性,从而为其在心血管疾病中的更广泛应用开辟了道路。

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