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使用免疫抑制剂丙磺舒治疗类风湿关节炎

[Treatment of rheumatoid arthritis with the immunosuppresive agent, prorezid].

作者信息

Todorov B

出版信息

Vutr Boles. 1977;16(3):47-52.

PMID:331687
Abstract

Prorezid treatment was applied to 30 patients with rheumatoid arthritis. It was applied per os with a daily dose of 300 mg to 12 subjects; to 18-intravenous drop infusion with 5 per cent serum glucose--daily dose 400 mg. Oral administration total dose-7-8 g; infusion-10-12 g. Drop infusion administration proved to be more effective and especially the combination of the preparation with salycilates, pirazolon derivatives, minimal doses of corticosteroids and antibiotics. Favourable effect on articular syndrome was obtained in 20 patients (66.6%) about 2-3 and sometimes 4-6 weeks after the onset of the treatment. First the articular pain was attenuated, latter on--the morning stiffness (3-4 week), the movements in the joints involved were improved, the edema decreased towards the 4-6th weeks. A complete normalization of the laboratory indices was observed in none of those patients. In 10 of the patients (33.3%) no clinical improvement was attained in the course of the treatment. In four of them--the improvement developed 4-6 months later, with a longer drug administration. Prorezid preparation is with a low toxicity, with manifestation of transitory side effects in single patients--diarrhoea, mild leukopenia. Alopecia was not observed. Those properties make the drug suitable for application in patients with rheumatoid arthritis whose treatment with the rest applied drugs failed to give results.

摘要

对30例类风湿性关节炎患者采用Prorezid进行治疗。对12名受试者采用口服给药,每日剂量为300毫克;对18名患者采用静脉滴注,溶媒为5%的葡萄糖溶液,每日剂量为400毫克。口服给药的总剂量为7 - 8克;静脉滴注的总剂量为10 - 12克。事实证明,静脉滴注给药更有效,尤其是该制剂与水杨酸盐、吡唑酮衍生物、最小剂量的皮质类固醇和抗生素联合使用时。在治疗开始后约2 - 3周,有时是4 - 6周,20例患者(66.6%)的关节综合征得到了改善。首先关节疼痛减轻,随后晨僵症状缓解(3 - 4周),受累关节的活动得到改善,到第4 - 6周时水肿减轻。这些患者中没有一例实验室指标完全恢复正常。10例患者(33.3%)在治疗过程中没有取得临床改善。其中4例患者在延长用药4 - 6个月后病情有所改善。Prorezid制剂毒性较低,个别患者出现短暂的副作用——腹泻、轻度白细胞减少。未观察到脱发。这些特性使该药物适用于那些使用其他药物治疗无效的类风湿性关节炎患者。

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