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1
Dissolution of gall stones with an ursodeoxycholic acid menthol preparation: a controlled prospective double blind trial.熊去氧胆酸薄荷醇制剂溶解胆结石:一项对照前瞻性双盲试验。
Gut. 1988 Apr;29(4):428-32. doi: 10.1136/gut.29.4.428.
2
Ursodeoxycholic acid for the dissolution of radiolucent gall bladder stones.熊去氧胆酸用于溶解透X线的胆囊结石。
Digestion. 1983;28(4):225-33. doi: 10.1159/000198992.
3
Gallstone dissolution after 6 months of ursodeoxycholic acid (UDCA): effectiveness of different doses.熊去氧胆酸(UDCA)治疗6个月后胆结石的溶解情况:不同剂量的疗效
J Int Med Res. 1982;10(1):59-63. doi: 10.1177/030006058201000112.
4
Combination therapy with oral ursodeoxycholic and chenodeoxycholic acids: pretreatment computed tomography of the gall bladder improves gall stone dissolution efficacy.口服熊去氧胆酸和鹅去氧胆酸联合治疗:胆囊治疗前的计算机断层扫描可提高胆结石溶解效果。
Gut. 1992 Mar;33(3):375-80. doi: 10.1136/gut.33.3.375.
5
Efficacy and indications of ursodeoxycholic acid treatment for dissolving gallstones. A multicenter double-blind trial. Tokyo Cooperative Gallstone Study Group.
Gastroenterology. 1980 Mar;78(3):542-8.
6
Gall stone recurrence and its prevention: the British/Belgian Gall Stone Study Group's post-dissolution trial.胆结石复发及其预防:英国/比利时胆结石研究小组的溶石后试验。
Gut. 1993 Sep;34(9):1277-88. doi: 10.1136/gut.34.9.1277.
7
Comparative efficacy and side effects of ursodeoxycholic and chenodeoxycholic acids in dissolving gallstones. A double-blind controlled study.熊去氧胆酸和鹅去氧胆酸溶解胆结石的疗效及副作用比较:一项双盲对照研究。
Gastroenterology. 1983 Dec;85(6):1257-64.
8
[Treatment of cholesterol gallstones with ursodesoxycholic acid (author's transl)].
Nouv Presse Med. 1982 Feb 20;11(8):587-9.
9
Optimum bile acid treatment for rapid gall stone dissolution.用于快速溶解胆结石的最佳胆汁酸治疗方法。
Gut. 1992 Mar;33(3):381-6. doi: 10.1136/gut.33.3.381.
10
Gall stone dissolving agents.胆结石溶解剂。
Br Med J (Clin Res Ed). 1983 Mar 5;286(6367):778-80. doi: 10.1136/bmj.286.6367.778.

引用本文的文献

1
Combinatorial Effects of Terpene, Chenodeoxycholic Acid, and Ursodeoxycholic Acid on Common Bile Duct Stone Recurrence and Gallbladder Stone Dissolution.萜烯、鹅去氧胆酸和熊去氧胆酸对胆总管结石复发和胆囊结石溶解的联合作用
J Clin Med. 2024 Dec 5;13(23):7414. doi: 10.3390/jcm13237414.
2
Effect of Rowachol on the Gallbladder Dysmotility Disorder Based on Gallbladder Ejection Fraction.基于胆囊排空分数的利胆醇对胆囊动力障碍的影响。
Medicina (Kaunas). 2023 Jan 3;59(1):105. doi: 10.3390/medicina59010105.
3
Evidence-based clinical practice guidelines for cholelithiasis 2016.《2016年胆石症循证临床实践指南》
J Gastroenterol. 2017 Mar;52(3):276-300. doi: 10.1007/s00535-016-1289-7. Epub 2016 Dec 10.

本文引用的文献

1
Enzymatic cleavage of conjugated glucuronic acids in relation to the problem of mineralysis.
Enzymologia. 1951 Nov;15(3):115-21.
2
Effect of high and low doses of ursodeoxycholic acid on gallstone dissolution in humans.
Gastroenterology. 1980 Jun;78(6):1412-8.
3
Gallstone dissolution after 6 months of ursodeoxycholic acid (UDCA): effectiveness of different doses.熊去氧胆酸(UDCA)治疗6个月后胆结石的溶解情况:不同剂量的疗效
J Int Med Res. 1982;10(1):59-63. doi: 10.1177/030006058201000112.
4
Treatment of biliary duct stones with a terpene preparation.用萜烯制剂治疗胆管结石。
Br Med J (Clin Res Ed). 1981 Feb 21;282(6264):611. doi: 10.1136/bmj.282.6264.611.
5
Franco-Belgian cooperative study of ursodeoxycholic acid in the medical dissolution of gallstones: a double-blind, randomized, dose-response study, and comparison with chenodeoxycholic acid.法国-比利时关于熊去氧胆酸用于胆结石药物溶解的合作研究:一项双盲、随机、剂量反应研究,并与鹅去氧胆酸进行比较。
Hepatology. 1984 Mar-Apr;4(2):308-14. doi: 10.1002/hep.1840040222.
6
Pilot study of combination treatment for gall stones with medium dose chenodeoxycholic acid and a terpene preparation.中等剂量鹅去氧胆酸与一种萜类制剂联合治疗胆结石的初步研究。
Br Med J (Clin Res Ed). 1984 Jul 21;289(6438):153-6. doi: 10.1136/bmj.289.6438.153.
7
Is recurrence inevitable after gallstone dissolution by bile-acid treatment?经胆汁酸治疗溶解胆结石后复发是否不可避免?
Lancet. 1982 Jan 23;1(8265):181-5. doi: 10.1016/s0140-6736(82)90757-7.
8
Stones in the common bile duct: experience with medical dissolution therapy.胆总管结石:药物溶石疗法的经验
Postgrad Med J. 1985 Apr;61(714):313-6. doi: 10.1136/pgmj.61.714.313.
9
Chenodeoxycholic acid treatment of gallstones. A follow-up report and analysis of factors influencing response to therapy.鹅去氧胆酸治疗胆结石。随访报告及影响治疗反应因素的分析。
N Engl J Med. 1975 Aug 21;293(8):378-83. doi: 10.1056/NEJM197508212930804.
10
Effect of d-limonene and related compounds on bile flow and biliary lipid composition in rats and dogs.d-柠檬烯及相关化合物对大鼠和犬胆汁流量及胆汁脂质成分的影响。
Life Sci. 1976 Nov 15;19(10):1559-67. doi: 10.1016/0024-3205(76)90102-8.

熊去氧胆酸薄荷醇制剂溶解胆结石:一项对照前瞻性双盲试验。

Dissolution of gall stones with an ursodeoxycholic acid menthol preparation: a controlled prospective double blind trial.

作者信息

Leuschner M, Leuschner U, Lazarovici D, Kurtz W, Hellstern A

机构信息

Zentrum der Inneren Medizin, Johann Wolfgang Goethe-Universität, Frankfurt/Main, Federal Republic of Germany.

出版信息

Gut. 1988 Apr;29(4):428-32. doi: 10.1136/gut.29.4.428.

DOI:10.1136/gut.29.4.428
PMID:3286383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1433547/
Abstract

In a controlled prospective double blind trial patients with cholesterol gall bladder stones are treated with ursodeoxy-cholic acid (group A: UDCA 11.1 mg/kg per day; n = 16) and Ursomenth respectively (group B: a mixture of UDCA/menthol: 4.75 mg/kg per day each; n = 17). With same stone number and size (10-12 mm) there is a complete dissolution rate in group A of 38%, and of 53% in group B within 15-16.9 months. The response rate (complete + partial dissolution) amounted to 75% and 76% respectively. In group A there is one case of stone calcification, in group B none. Both preparations are free of unwanted effects. This suggests that the cyclic monoterpene menthol enhances the effect of UDCA and is of comparable effect to a mixture of six different terpenes used in former times.

摘要

在一项对照前瞻性双盲试验中,对患有胆固醇性胆囊结石的患者分别使用熊去氧胆酸(A组:每天11.1毫克/千克熊去氧胆酸;n = 16)和熊薄荷醇(B组:熊去氧胆酸/薄荷醇混合物,各每天4.75毫克/千克;n = 17)进行治疗。结石数量和大小相同(10 - 12毫米)的情况下,A组在15 - 16.9个月内的完全溶解率为38%,B组为53%。有效率(完全 + 部分溶解)分别为75%和76%。A组有1例结石钙化,B组无。两种制剂均无不良反应。这表明环状单萜薄荷醇增强了熊去氧胆酸的效果,且效果与以前使用的六种不同萜类混合物相当。