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[新型抗风湿药:对患者和社会的进展]

[New antirheumatics : Advances for patients and society].

作者信息

Throm S, Hömke R

机构信息

Verband Forschender Arzneimittelhersteller e. V. (vfa), Hausvogteiplatz 13, 10117, Berlin, Deutschland.

出版信息

Z Rheumatol. 2018 May;77(4):290-296. doi: 10.1007/s00393-018-0453-2.

Abstract

The current repertoire of conventional, biological and targeted synthetic disease-modifying antirheumatic drugs (DMARDs) presents wide-ranging options to help patients with inflammatory rheumatic diseases. These therapeutic possibilities have improved quality of life for many patients and also had a positive impact at the societal level. Among these positive effects are a reduction in short-term inability to work and early retirement; for paediatric patients they represent an opportunity for an almost normal school life including physical education. The development of formulations adapted to patients' needs has greatly facilitated the long-term treatment of these chronic diseases. Further additions to the therapeutic spectrum can be expected in the years to come, including new oral synthetic DMARDs. Even for rare inflammatory rheumatic diseases, various therapeutic options should be available soon, thus increasing these patients' chances of a life with significantly fewer impairments. As German trial sites are participating in many clinical trials on inflammatory rheumatic diseases, there are many opportunities to mediate patients to a trial if the approved treatment options do not prove satisfactory.

摘要

目前常规、生物和靶向合成的改善病情抗风湿药(DMARDs)的种类繁多,为帮助患有炎性风湿性疾病的患者提供了广泛的选择。这些治疗方法提高了许多患者的生活质量,也在社会层面产生了积极影响。这些积极影响包括减少短期工作能力丧失和提前退休;对于儿科患者而言,它们为几乎正常的学校生活(包括体育教育)提供了机会。适应患者需求的制剂的开发极大地促进了这些慢性病的长期治疗。预计在未来几年治疗范围还会进一步扩大,包括新型口服合成DMARDs。即使对于罕见的炎性风湿性疾病,各种治疗选择也将很快出现,从而增加这些患者过上损伤明显减少的生活的机会。由于德国的试验地点参与了许多关于炎性风湿性疾病的临床试验,如果已批准的治疗方案不能令人满意,就有很多机会将患者引入试验。

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