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[干燥综合征患者在医院-门诊阶段不同治疗方法的比较评估]

[Comparative evaluation of various methods of treatment of patients with Sjögren's disease and syndrome at the hospital-polyclinic stages].

作者信息

Ivanova A V, Bezuglov M F

出版信息

Ter Arkh. 1988;60(4):80-2.

PMID:3394103
Abstract

The paper is concerned with the results of a follow-up and treatment of 97 patients with Sjogren's disease and syndrome. When disease was at its height they were treated in a hospital, when the activity of a process was on a decrease or absent at all--in the consultation center of an outpatient clinic. Control was exercised in an open study. Glucocorticosteroid therapy was indicated at the height of disease at early stages and much less effective at late stages or in the absence of disease activity. At early stages this type of therapy resulted in substantial improvement of lacrimation and salivation and a positive time course of clinical symptoms. Chloroquine contributed to disease stabilization but did not prevent progression in some of the patients. Administration of local substitution therapy only was not indicated because during a follow-up period the majority of these patients developed xerotic symptoms.

摘要

本文关注97例干燥综合征患者的随访及治疗结果。病情严重时,患者在医院接受治疗;病情活动度降低或完全无活动时,则在门诊咨询中心接受治疗。本研究为开放性研究,进行了对照观察。糖皮质激素疗法在疾病早期病情严重时使用,而在疾病晚期或无疾病活动时效果欠佳。在疾病早期,这种治疗方法能显著改善泪液分泌和唾液分泌,并使临床症状呈积极的病程发展。氯喹有助于病情稳定,但无法阻止部分患者病情进展。仅给予局部替代治疗并不合适,因为在随访期间,这些患者中的大多数出现了干燥症状。

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