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腹泻病的药物治疗:展望

Drug therapy for diarrheal diseases: a look ahead.

作者信息

Donowitz M, Wicks J, Sharp G W

出版信息

Rev Infect Dis. 1986 May-Jun;8 Suppl 2:S188-201. doi: 10.1093/clinids/8.supplement_2.s188.

DOI:10.1093/clinids/8.supplement_2.s188
PMID:2873653
Abstract

The gastrointestinal tract is involved in both absorption and secretion of electrolytes and water, with absorption as the predominant process. In diarrheal diseases this balance is disturbed, and the result is net secretion. Most of the drugs used for the treatment of diarrhea at least partially act by stimulating absorption only, both stimulating absorption and inhibiting secretion, or inhibiting secretion only. The therapeutic usefulness of an antidiarrheal agent depends on how efficiently it alters secretion and/or absorption and on how few systemic adverse reactions it causes. When more information on the regulation of absorption and secretion has been accumulated, it may be possible to develop new drugs that can be aimed directly at these processes.

摘要

胃肠道参与电解质和水的吸收与分泌,其中吸收是主要过程。在腹泻性疾病中,这种平衡被打破,结果是净分泌。大多数用于治疗腹泻的药物至少部分仅通过刺激吸收、既刺激吸收又抑制分泌或仅抑制分泌来发挥作用。止泻药的治疗效果取决于其改变分泌和/或吸收的效率以及所引起的全身不良反应的多少。当积累了更多关于吸收和分泌调节的信息时,有可能开发出可直接针对这些过程的新药。

相似文献

1
Drug therapy for diarrheal diseases: a look ahead.腹泻病的药物治疗:展望
Rev Infect Dis. 1986 May-Jun;8 Suppl 2:S188-201. doi: 10.1093/clinids/8.supplement_2.s188.
2
Pharmacotherapy of diarrheal diseases: an approach based on physiologic principles.腹泻病的药物治疗:一种基于生理学原理的方法。
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3
Antidiarrheal therapy. Prospects for new agents.止泻疗法。新型药物的前景。
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Development of new antidiarrheal medications.
J Clin Gastroenterol. 1983 Apr;5(2):131-5. doi: 10.1097/00004836-198304000-00008.
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Enterotoxigenic diarrhea: mechanisms and prospects for therapy.产肠毒素性腹泻:发病机制与治疗前景
Pharmacol Ther. 1983;23(3):407-16. doi: 10.1016/0163-7258(83)90021-9.
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[Antidiarrheal agents: tools and therapeutic agents].
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Antidiarrheal activity of cashew GUM, a complex heteropolysaccharide extracted from exudate of Anacardium occidentale L. in rodents.腰果胶的止泻活性,一种从腰果(Anacardium occidentale L.)渗出物中提取的复合杂多糖在啮齿动物中的研究。
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Current management of acute diarrhoeas. Use and abuse of drug therapy.急性腹泻的当前管理。药物治疗的使用与滥用。
Drugs. 1988;36 Suppl 4:18-25. doi: 10.2165/00003495-198800364-00005.
3
Pathophysiology of diarrhoea induced by a combined infection with transmissible gastroenteritis virus and enterotoxigenic Escherichia coli in newly-weaned piglets and the effect of flurbiprofen treatment.
新断奶仔猪感染传染性胃肠炎病毒和产肠毒素大肠杆菌合并感染所致腹泻的病理生理学及氟比洛芬治疗的效果
Vet Res Commun. 1988;12(4-5):383-99. doi: 10.1007/BF00343259.
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Effect of antisecretory drugs on experimentally induced weanling diarrhoea in piglets.抗分泌药物对仔猪实验性诱导断奶腹泻的影响。
Vet Res Commun. 1989;13(2):159-70. doi: 10.1007/BF00346725.
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Assessment of pharmacokinetic interaction between theophylline and loperamide in the rat.大鼠体内茶碱与洛哌丁胺药代动力学相互作用的评估。
Eur J Drug Metab Pharmacokinet. 1989 Oct-Dec;14(4):283-6. doi: 10.1007/BF03190112.