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酮色林与安慰剂治疗类癌综合征的临床对照试验

Ketanserin versus placebo in carcinoid syndrome. A clinical controlled trial.

作者信息

Gustafsen J, Lendorf A, Raskov H, Boesby S

出版信息

Scand J Gastroenterol. 1986 Sep;21(7):816-8. doi: 10.3109/00365528609011123.

DOI:10.3109/00365528609011123
PMID:3535008
Abstract

Seven patients, four women and three men, with a median age of 64 years (range, 53-74 years) were randomized to treatment with either ketanserin, 40-160 mg daily, or placebo. The study included 13 treatment periods with ketanserin and 13 with placebo. All patients had typical symptoms, with flushing as their main complaint. The diagnosis had been verified histologically. All had elevated excretion of 5-hydroxy-3-indoleacetic acid in urine. During the trial ketanserin reduced the number of flushing attacks in five patients (p less than 0.05). Diarrhoea was reduced in two patients. No side effects were observed. Ketanserin seems valuable for the symptomatic relief in the carcinoid syndrome.

摘要

7名患者(4名女性,3名男性),中位年龄64岁(范围53 - 74岁),被随机分为两组,分别接受每日40 - 160毫克酮色林治疗或安慰剂治疗。该研究包括13个使用酮色林的治疗周期和13个使用安慰剂的治疗周期。所有患者均有典型症状,主要症状为面部潮红。诊断已通过组织学证实。所有患者尿中5 - 羟色胺酸排泄量均升高。在试验期间,酮色林使5名患者的面部潮红发作次数减少(p < 0.05)。2名患者腹泻症状减轻。未观察到副作用。酮色林似乎对缓解类癌综合征的症状有价值。

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1
Ketanserin versus placebo in carcinoid syndrome. A clinical controlled trial.酮色林与安慰剂治疗类癌综合征的临床对照试验
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引用本文的文献

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What Is Carcinoid Syndrome? A Critical Appraisal of Its Proposed Mediators.类癌综合征是什么?对其拟议介质的批判性评估。
Endocr Rev. 2024 May 7;45(3):351-360. doi: 10.1210/endrev/bnad035.
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Olanzapine May Inhibit Colonic Motility Associated with the 5-HT Receptor and Myosin Light Chain Kinase.奥氮平可能抑制与5-羟色胺受体及肌球蛋白轻链激酶相关的结肠蠕动。
Psychiatry Investig. 2016 Mar;13(2):232-8. doi: 10.4306/pi.2016.13.2.232. Epub 2016 Mar 23.
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Effects of serotonin on rat ileocolonic transit and fluid transfer in vivo: possible mechanisms of action.
血清素对大鼠体内回结肠转运及液体转移的影响:可能的作用机制
Gut. 1993 Jun;34(6):794-8. doi: 10.1136/gut.34.6.794.
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Controlling the carcinoid syndrome.控制类癌综合征。
BMJ. 1988 Nov 12;297(6658):1213-4. doi: 10.1136/bmj.297.6658.1213.
5
Effects of a 5-hydroxytryptamine3 receptor antagonist (ICS 205-930) on colonic motor activity in healthy men.5-羟色胺3受体拮抗剂(ICS 205-930)对健康男性结肠运动活性的影响。
Br J Clin Pharmacol. 1989 Sep;28(3):315-22. doi: 10.1111/j.1365-2125.1989.tb05432.x.
6
Carcinoid syndrome and serotonin: therapeutic effects of ketanserin.类癌综合征与血清素:酮色林的治疗作用
Cardiovasc Drugs Ther. 1990 Jan;4 Suppl 1:53-8. doi: 10.1007/BF00053427.
7
Ketanserin. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in hypertension and peripheral vascular disease.酮色林。对其药效学和药代动力学特性以及在高血压和外周血管疾病中的治疗潜力的综述。
Drugs. 1990 Dec;40(6):903-49. doi: 10.2165/00003495-199040060-00010.
8
Serotonin antagonism reduces the adverse symptoms of beta blockade.
Cardiovasc Drugs Ther. 1990 Jan;4 Suppl 1:127-31. doi: 10.1007/BF00053444.
9
Novel therapy for the treatment of human carcinoid.治疗人类类癌的新型疗法。
Ann Surg. 1991 May;213(5):411-6. doi: 10.1097/00000658-199105000-00005.