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一种缓释5-氨基水杨酸制剂对克罗恩病疾病活动的影响。

Effect of a slow-release 5'-aminosalicylic acid preparation on disease activity in Crohn's disease.

作者信息

Saverymuttu S H, Gupta S, Keshavarzian A, Donovan B, Hodgson H J

出版信息

Digestion. 1986;33(2):89-91. doi: 10.1159/000199279.

DOI:10.1159/000199279
PMID:3512352
Abstract

A short-term double-blind controlled trial has been performed comparing a slow-release 5'-aminosalicylic acid (5-ASA) tablet (Pentasa) with placebo in the outpatient treatment of mild and moderate active Crohn's colitis. The disease activity was measured objectively by quantitation of the faecal excretion of 111In-labelled autologous granulocytes, which directly reflects gut inflammation. Twelve patients were randomized to receive either Pentasa or placebo. After 10 days of treatment faecal granulocyte excretion fell in all patients receiving 5-ASA, while no consistent change was found in the placebo group. These results suggest that this slow-release preparation of 5-ASA should be tested in larger controlled therapeutic trials over a longer period of time.

摘要

已开展一项短期双盲对照试验,比较缓释型5-氨基水杨酸(5-ASA)片剂(颇得斯安)与安慰剂用于门诊治疗轻中度活动性克罗恩结肠炎的效果。通过对111In标记的自体粒细胞粪便排泄量进行定量来客观测量疾病活动度,这直接反映肠道炎症。12名患者被随机分组,分别接受颇得斯安或安慰剂治疗。治疗10天后,所有接受5-ASA治疗的患者粪便粒细胞排泄量均下降,而安慰剂组未发现一致变化。这些结果表明,这种5-ASA缓释制剂应在更大规模的长期对照治疗试验中进行测试。

相似文献

1
Effect of a slow-release 5'-aminosalicylic acid preparation on disease activity in Crohn's disease.一种缓释5-氨基水杨酸制剂对克罗恩病疾病活动的影响。
Digestion. 1986;33(2):89-91. doi: 10.1159/000199279.
2
Slow-release 5-amino-salicylic acid (Pentasa) for the treatment of active Crohn's disease.
Digestion. 1990;45(2):88-92. doi: 10.1159/000200228.
3
Oral 4-aminosalicylic acid versus 5-aminosalicylic acid slow release tablets. Double blind, controlled pilot study in the maintenance treatment of Crohn's ileocolitis.口服4-氨基水杨酸与5-氨基水杨酸缓释片。克罗恩氏回结肠炎症维持治疗的双盲对照试验性研究。
Gut. 1994 Aug;35(8):1081-5. doi: 10.1136/gut.35.8.1081.
4
5-Aminosalicylic acid in the treatment of Crohn's disease. A 16-week double-blind, placebo-controlled, multicentre study with Pentasa.
Scand J Gastroenterol. 1987 Sep;22(7):877-83. doi: 10.3109/00365528708991929.
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Slow-release 5-aminosalicylic acid therapy in children with small intestinal Crohn's disease.缓释5-氨基水杨酸治疗小儿小肠克罗恩病
J Pediatr Gastroenterol Nutr. 1993 Aug;17(2):186-92. doi: 10.1097/00005176-199308000-00010.
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Oral 5-aminosalicylic acid preparations in treatment of inflammatory bowel disease. An update.口服5-氨基水杨酸制剂治疗炎症性肠病。最新进展。
Dig Dis Sci. 1987 Dec;32(12 Suppl):57S-63S. doi: 10.1007/BF01312465.
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Oral mesalamine (Pentasa) as maintenance treatment in Crohn's disease: a multicenter placebo-controlled study. The Groupe d'Etudes Thérapeutiques des Affections Inflammatoires Digestives (GETAID).口服美沙拉嗪(颇得斯安)用于克罗恩病维持治疗:一项多中心安慰剂对照研究。消化系炎症治疗研究组(GETAID)
Gastroenterology. 1993 Feb;104(2):435-9. doi: 10.1016/0016-5085(93)90411-5.
8
Treatment of Crohn's disease with peroral 5-aminosalicylic acid.口服5-氨基水杨酸治疗克罗恩病。
Gastroenterology. 1983 Dec;85(6):1350-3.
9
Long-term management of Crohn's disease with mesalamine capsules (Pentasa). Pentasa Crohn's Disease Compassionate Use Study Group.美沙拉嗪胶囊(颇得斯安)用于克罗恩病的长期管理。颇得斯安克罗恩病同情用药研究组。
Am J Gastroenterol. 1993 Sep;88(9):1343-51.
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Mesalamine capsules for the treatment of active Crohn's disease: results of a 16-week trial. Pentasa Crohn's Disease Study Group.美沙拉嗪胶囊治疗活动性克罗恩病:一项16周试验的结果。潘他沙克罗恩病研究组。
Gastroenterology. 1993 May;104(5):1293-301. doi: 10.1016/0016-5085(93)90337-c.

引用本文的文献

1
Aminosalicylates for induction of remission or response in Crohn's disease.用于诱导克罗恩病缓解或反应的氨基水杨酸盐。
Cochrane Database Syst Rev. 2016 Jul 3;7(7):CD008870. doi: 10.1002/14651858.CD008870.pub2.
2
Medical or surgical treatment for Crohn's disease?克罗恩病的内科治疗还是外科治疗?
Postgrad Med J. 1988 Oct;64(756):764-8. doi: 10.1136/pgmj.64.756.764.
3
Medical treatment of inflammatory bowel disease: new therapies, new drugs.炎症性肠病的医学治疗:新疗法、新药。
CMAJ. 1987 Nov 1;137(9):799-802.
4
Oral 5-aminosalicylic acid preparations in treatment of inflammatory bowel disease. An update.口服5-氨基水杨酸制剂治疗炎症性肠病。最新进展。
Dig Dis Sci. 1987 Dec;32(12 Suppl):57S-63S. doi: 10.1007/BF01312465.
5
Mesalazine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in chronic inflammatory bowel disease.美沙拉嗪。对其药效学和药代动力学特性以及在慢性炎症性肠病中的治疗潜力的综述。
Drugs. 1989 Oct;38(4):500-23. doi: 10.2165/00003495-198938040-00003.
6
Newer 5-aminosalicylic acid based drugs in chronic inflammatory bowel disease.新型基于5-氨基水杨酸的药物在慢性炎症性肠病中的应用
Drugs. 1989 Jan;37(1):73-86. doi: 10.2165/00003495-198937010-00005.
7
Inflammatory bowel disease.炎症性肠病
CMAJ. 1989 Jul 15;141(2):113-23; discussion 123-4.
8
Placebo-controlled trial of oral 5-ASA in relapse prevention of Crohn's disease.口服5-氨基水杨酸预防克罗恩病复发的安慰剂对照试验。
Dig Dis Sci. 1992 Jan;37(1):29-32. doi: 10.1007/BF01308338.