洛哌丁胺（易蒙停）治疗回结肠疾病或切除术后所致慢性腹泻的双盲安慰剂对照研究
Double-blind placebo-controlled study of loperamide (Imodium) in chronic diarrhoea caused by ileocolic disease or resection.
作者信息
Mainguet P, Fiasse R
出版信息
Gut. 1977 Jul;18(7):575-9. doi: 10.1136/gut.18.7.575.
Abstract
Loperamide (R 18 553) was compared with placebo in a double-blind crossover study of 21 patients with chronic diarrhoea caused by ileocolic disease or resection. Eighteen patients completed the trial. At a median daily dose of 6 mg the new antidiarrhoeal preparation was found to be superior to placebo in controlling chronic diarrhoea. The frequency and weight of stools significantly decreased, the stools became more solid, and carmine transit time was prolonged during loperamide therapy. Loperamide was consistently preferred to placebo by the patients. Gastrointestinal side-effects were few and comparable during both treatment periods.
摘要
在一项针对21例因回结肠疾病或切除术后导致慢性腹泻患者的双盲交叉研究中，将洛哌丁胺（R 18 553）与安慰剂进行了比较。18例患者完成了试验。发现在每日中位剂量为6毫克时，这种新型止泻制剂在控制慢性腹泻方面优于安慰剂。在洛哌丁胺治疗期间，大便的频率和重量显著降低，大便变得更成形，并且胭脂红转运时间延长。患者一直更喜欢洛哌丁胺而非安慰剂。两个治疗期间的胃肠道副作用均较少且相当。
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本文引用的文献
1
Relation of small bowel resection to nutrition in man.人体小肠切除与营养的关系。
Gastroenterology. 1960 Apr;38:605-15.
2
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J Clin Invest. 1968 Feb;47(2):261-7. doi: 10.1172/JCI105722.
3
The short gut syndrome: pathophysiology and treatment.短肠综合征：病理生理学与治疗
Curr Probl Surg. 1971 Jun:3-51.
4
Synthetic antidiarrheal agents. 2,2-Diphenyl-4-(4'-aryl-4'-hydroxypiperidino)butyramides.合成止泻剂。2,2-二苯基-4-(4'-芳基-4'-羟基哌啶基)丁酰胺。
J Med Chem. 1973 Jul;16(7):782-6. doi: 10.1021/jm00265a009.
5
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Arzneimittelforschung. 1974 Oct;24(10):1660-5.
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