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皮质类固醇在炎症性肠病中的局部给药。

Topical delivery of steroids in inflammatory bowel disease.

机构信息

Department of Internal Medicine I, University of Regensburg, 93042 Regensburg, Germany.

出版信息

Curr Drug Deliv. 2012 Jul;9(4):345-9. doi: 10.2174/156720112801323071.

DOI:10.2174/156720112801323071
PMID:22762277
Abstract

Crohn's disease (CD) and ulcerative colitis (UC) represent two similar but probably not uniform entities of inflammatory bowel disease (IBD). Since up to now no curative treatment is available the therapeutic goal in active IBD is elimination or at least alleviation of symptoms and maintenance of remission. Glucocorticoids have been successfully used in the treatment of symptoms and inflammation. Due to the minor systemic side effects a topical drug delivery targeting the active substances directly to the inflamed sites would be the favorable administration. In this review the use of topical corticosteroids is discussed, based on a short description of their pharmacological properties.

摘要

克罗恩病(CD)和溃疡性结肠炎(UC)代表了炎症性肠病(IBD)的两种相似但可能并不相同的疾病实体。由于目前尚无治愈方法,因此活动性 IBD 的治疗目标是消除或至少缓解症状并维持缓解。糖皮质激素已成功用于治疗症状和炎症。由于其全身副作用较小,因此将靶向活性物质直接递送至炎症部位的局部药物递送将是有利的给药方式。在本文综述中,基于对其药理学特性的简短描述,讨论了局部皮质类固醇的使用。

相似文献

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Topical delivery of steroids in inflammatory bowel disease.皮质类固醇在炎症性肠病中的局部给药。
Curr Drug Deliv. 2012 Jul;9(4):345-9. doi: 10.2174/156720112801323071.
2
Drug therapy of inflammatory bowel disease.炎症性肠病的药物治疗
Pharmacotherapy. 1983 May-Jun;3(3):158-76. doi: 10.1002/j.1875-9114.1983.tb03245.x.
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[Local or systemic treatment of inflammatory bowel diseases?].[炎症性肠病的局部或全身治疗?]
Ther Umsch. 1993 Feb;50(2):94-9.
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Second-generation corticosteroids for the treatment of Crohn's disease and ulcerative colitis: more effective and less side effects?用于治疗克罗恩病和溃疡性结肠炎的第二代皮质类固醇:更有效且副作用更少?
Dig Dis. 2012;30(4):368-75. doi: 10.1159/000338128. Epub 2012 Jul 12.
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Corticosteroids for the management of ulcerative colitis and Crohn's disease.
Gastroenterol Clin North Am. 1989 Mar;18(1):21-34.
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Change in systemic steroid use and surgery rate in patients with inflammatory bowel disease: a Japanese real-world database analysis.炎症性肠病患者全身类固醇使用和手术率的变化:日本真实世界数据库分析。
J Gastroenterol. 2024 May;59(5):389-401. doi: 10.1007/s00535-024-02086-y. Epub 2024 Mar 16.
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Current status of drug therapy for inflammatory bowel disease.炎症性肠病药物治疗的现状
Compr Ther. 1985 Dec;11(12):14-9.
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Corticosteroid Sparing in Inflammatory Bowel Disease is More Often Achieved in the Immunomodulator and Biological Era-Results from the Dutch Population-Based IBDSL Cohort.在免疫调节剂和生物制剂时代,炎症性肠病患者更常实现皮质类固醇的节省-来自荷兰基于人群的 IBDSL 队列的结果。
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Risk-benefit assessment of drugs used in the treatment of inflammatory bowel disease.用于治疗炎症性肠病的药物的风险效益评估。
Drug Saf. 1991 May-Jun;6(3):192-219. doi: 10.2165/00002018-199106030-00005.
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Oral locally active steroids in inflammatory bowel disease.炎症性肠病的口服局部活性类固醇。
J Crohns Colitis. 2013 Apr;7(3):183-91. doi: 10.1016/j.crohns.2012.06.010. Epub 2012 Jul 10.

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Glucocorticosteroids in the treatment of inflammatory bowel disease and approaches to minimizing systemic activity.
糖皮质激素治疗炎症性肠病及减少全身作用的方法。
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