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肠溶制剂对囊性纤维化患者营养参数的有效性:一项长期研究

Effectiveness of enteric-coated preparations on nutritional parameters in cystic fibrosis. A long-term study.

作者信息

Carroccio A, Pardo F, Montalto G, Japichino L, Iacono G, Collura M, Notarbartolo A

机构信息

Cattedra di Patologia Medica, Università di Palermo, Italia.

出版信息

Digestion. 1988;41(4):201-6. doi: 10.1159/000199788.

DOI:10.1159/000199788
PMID:3243379
Abstract

To evaluate the effectiveness of enteric-coated pancreatic enzyme supplements in comparison to conventional preparations of ingested enzyme on growth and nutritional parameters of patients with cystic fibrosis, we conducted a long-term study involving 40 patients. The data reproduced here were recorded after 6 months of therapy with powder-containing capsules or with enteric-coated products. Fat absorption was estimated by measurement of steatorrhoea with the steatocrit method. All parameters studied improved after enteric-coated pancreatic enzyme therapy, with a statistically significant increase in weight, cholesterol and haemoglobin values. Furthermore, the number of patients with positive steatocrit test was lower after therapy with enteric-coated enzyme supplementation. These findings suggest that the enteric-coated product not only reduces steatorrhoea, but above all improves the nutritional parameters and growth of patients affected by cystic fibrosis.

摘要

为了评估肠溶包衣胰酶补充剂与传统摄入酶制剂相比,对囊性纤维化患者生长和营养参数的有效性,我们进行了一项涉及40名患者的长期研究。此处重现的数据是在使用含粉末胶囊或肠溶包衣产品治疗6个月后记录的。通过用脂肪比容法测量脂肪泻来估计脂肪吸收情况。在接受肠溶包衣胰酶治疗后,所有研究参数均有所改善,体重、胆固醇和血红蛋白值有统计学意义的增加。此外,接受肠溶包衣酶补充治疗后,脂肪比容试验呈阳性的患者数量减少。这些发现表明,肠溶包衣产品不仅能减少脂肪泻,而且最重要的是能改善囊性纤维化患者的营养参数和生长情况。

相似文献

1
Effectiveness of enteric-coated preparations on nutritional parameters in cystic fibrosis. A long-term study.肠溶制剂对囊性纤维化患者营养参数的有效性:一项长期研究
Digestion. 1988;41(4):201-6. doi: 10.1159/000199788.
2
Enteric coated microspheres of pancreatin in the treatment of cystic fibrosis: comparison with a standard enteric coated preparation.肠溶包衣胰酶微球治疗囊性纤维化:与标准肠溶包衣制剂的比较
Thorax. 1987 Jul;42(7):533-7. doi: 10.1136/thx.42.7.533.
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Treatment of steatorrhoea in cystic fibrosis: a comparison of enteric-coated microspheres of pancreatin versus non-enteric-coated pancreatin and adjuvant cimetidine.
Aliment Pharmacol Ther. 1988 Dec;2(6):471-82. doi: 10.1111/j.1365-2036.1988.tb00720.x.
4
Pancreatic enzyme supplementation as acid-resistant microspheres versus enteric-coated granules in cystic fibrosis. A double placebo-controlled cross-over study.囊性纤维化患者中,胰酶补充剂以耐酸微球形式与肠溶颗粒形式的比较:一项双安慰剂对照交叉研究。
Acta Paediatr Scand. 1987 Jan;76(1):66-9. doi: 10.1111/j.1651-2227.1987.tb10416.x.
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A comparison of enteric coated microspheres with enteric coated tablet pancreatic enzyme preparations in cystic fibrosis. A controlled study.囊性纤维化患者中肠溶微球与肠溶片剂胰酶制剂的比较:一项对照研究
Eur J Pediatr. 1990 Jan;149(4):241-3. doi: 10.1007/BF02106281.
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Efficacy of pancreatic enzyme supplementation in children with cystic fibrosis: comparison of two preparations by random crossover study and a retrospective study of the same patients at two different ages.补充胰酶对囊性纤维化患儿的疗效:通过随机交叉研究比较两种制剂,并对同一组患者在两个不同年龄进行回顾性研究。
J Pediatr Gastroenterol Nutr. 1988;7 Suppl 1:S40-5.
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Critical examination of therapeutic efficacy of a pH-sensitive enteric-coated pancreatic enzyme preparation in treatment of exocrine pancreatic insufficiency secondary to cystic fibrosis.对一种pH敏感型肠溶包衣胰酶制剂治疗囊性纤维化继发外分泌性胰腺功能不全的疗效进行批判性审查。
Dig Dis Sci. 1988 Oct;33(10):1237-44. doi: 10.1007/BF01536673.
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[Comparative study of the effect of kreon and cotazyme forte in children with cystic fibrosis].[胰酶肠溶胶囊和强力多酶片对囊性纤维化患儿疗效的比较研究]
Orv Hetil. 1988 May 8;129(19):995-9.
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Two enteric coated microspheres in cystic fibrosis.囊性纤维化中的两种肠溶微球。
Arch Dis Child. 1990 Jun;65(6):594-7. doi: 10.1136/adc.65.6.594.
10
Pancreatic enzyme supplement dosage in cystic fibrosis.
Lancet. 1991 Nov 2;338(8775):1153. doi: 10.1016/0140-6736(91)92017-v.

引用本文的文献

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Growth Deficiency in Cystic Fibrosis Is Observable at Birth and Predictive of Early Pulmonary Function.囊性纤维化患者的生长缺陷在出生时即可观察到,且可预测早期肺功能。
Biol Res Nurs. 2016 Oct;18(5):498-504. doi: 10.1177/1099800416643585. Epub 2016 Apr 13.
2
Pubertal height velocity and associations with prepubertal and adult heights in cystic fibrosis.青春期身高增长速度与囊性纤维化中青春期前和成人身高的关系。
J Pediatr. 2013 Aug;163(2):376-82. doi: 10.1016/j.jpeds.2013.02.026. Epub 2013 Mar 25.
3
Prevalence of diabetes mellitus and impaired glucose tolerance in cystic fibrosis.
Acta Diabetol Lat. 1990 Oct-Dec;27(4):379-82. doi: 10.1007/BF02580944.
4
Use of famotidine in severe exocrine pancreatic insufficiency with persistent maldigestion on enzymatic replacement therapy. A long-term study in cystic fibrosis.
Dig Dis Sci. 1992 Sep;37(9):1441-6. doi: 10.1007/BF01296016.