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抑肽酶与加贝酯治疗急性胰腺炎的临床对比研究

Comparative clinical study of FOY and Trasylol in acute pancreatitis.

作者信息

Tanaka N, Tsuchiya R, Ishii K

出版信息

Adv Exp Med Biol. 1979;120B:367-78.

PMID:229707
Abstract

In order to evaluate the efficacy and safety of FOY injectable ([ethyl-4-(6-guanidinohexanoyloxy) benzoate] methane sulfonate) on acute pancreatitis, a comparative clinical study was carried out using Trasylol as the control at 38 hospitals in Japan. Favourable results were obtained in 60 (71%) out of 84 patients in the FOY group and 29 (44%) out of 66 patients in the Trasylol group. The results showed that these both drugs were effective and the statistical analysis revealed considerable difference (X2 = 10.464, p less than 0.005) between the two groups in this condition of clinical trial. In addition, a double blind trial was carried out at 4 hospitals using FOY-305 ([n.n-dimethylcarbamoylmethy 4-(4-guanidinobenzoyloxy)-phenylacetate] methane sulfonate) oral capsule and inactive placebo. Favourable results were obtained in 18 (69%) out of 26 patients in the FOY-305 group and 8 (32%) out of 25 patients in the inactive placebo group, indicating a significant difference between the two groups (X2 = 8.930, p less than 0.01). The results of the present study suggest that synthetic protease inhibitor, FOY or FOY-305, is beneficial in the treatment of acute pancreatitis.

摘要

为评估注射用FOY([4-(6-胍基己酰氧基)苯甲酸乙酯]甲磺酸盐)治疗急性胰腺炎的疗效和安全性,在日本38家医院开展了一项以抑肽酶为对照的临床对照研究。FOY组84例患者中有60例(71%)取得良好疗效,抑肽酶组66例患者中有29例(44%)取得良好疗效。结果表明这两种药物均有效,统计学分析显示在该临床试验条件下两组间存在显著差异(X2 = 10.464,p < 0.005)。此外,在4家医院开展了一项双盲试验,使用FOY - 305([4-(4-胍基苯甲酰氧基)-苯乙酸n,n-二甲基氨甲酰甲酯]甲磺酸盐)口服胶囊和无活性安慰剂。FOY - 305组26例患者中有18例(69%)取得良好疗效,无活性安慰剂组25例患者中有8例(32%)取得良好疗效,表明两组间存在显著差异(X2 = 8.930,p < 0.01)。本研究结果提示,合成蛋白酶抑制剂FOY或FOY - 305对急性胰腺炎的治疗有益。

相似文献

1
Comparative clinical study of FOY and Trasylol in acute pancreatitis.抑肽酶与加贝酯治疗急性胰腺炎的临床对比研究
Adv Exp Med Biol. 1979;120B:367-78.
2
[Therapy of acute pancreatitis with a synthetic protease and phospholipase A2 inhibitor gabexate mesilate].[用合成蛋白酶和磷脂酶A2抑制剂甲磺酸加贝酯治疗急性胰腺炎]
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Z Gastroenterol. 1986 Apr;24(4):200-11.
5
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Gabexate mesilate and camostate: new inhibitors of phospholipase A2 and their influence on the alpha-amylase activity in serum of patients with acute pancreatitis.甲磺酸加贝酯和抑肽酶:磷脂酶A2的新型抑制剂及其对急性胰腺炎患者血清中α淀粉酶活性的影响。
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[Trasylol treatment of acute pancreatitis. A double-blind study].
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[Therapy of acute pancreatitis with and without proteinase inhibitor. Comparative clinical studies with Trasylol].
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