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炎症性肠病的常规治疗方法更新:5-氨基水杨酸、皮质类固醇、免疫调节剂和抗 TNF-α。

Updates on conventional therapies for inflammatory bowel diseases: 5-aminosalicylates, corticosteroids, immunomodulators, and anti-TNF-α.

机构信息

Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Korean J Intern Med. 2022 Sep;37(5):895-905. doi: 10.3904/kjim.2022.132. Epub 2022 Jul 27.

Abstract

The incidence and prevalence of inflammatory bowel diseases (IBDs) are rapidly increasing worldwide. IBDs are considered an emerging problem not only in Western countries but also in developing counties. The relapses and complications of active IBD mandate various medications. Nevertheless, hospitalization, emergency room visits, or surgery may be required, resulting in a socioeconomic burden. Great advances have been made in the development of new therapeutic options for IBD to achieve induction and maintenance remission. Nevertheless, conventional therapy is still the mainstay in the treatment of IBD. This review article provides an update on recent advances in conventional therapies, including 5-aminosalicylates, corticosteroids, immunomodulators, and anti-tumor necrosis factor-α agents to treat IBD.

摘要

炎症性肠病(IBD)的发病率和患病率在全球范围内迅速上升。IBD 不仅在西方国家,而且在发展中国家也是一个日益严重的问题。活动期 IBD 的复发和并发症需要各种药物治疗。然而,可能需要住院、急诊就诊或手术,从而造成社会经济负担。在开发治疗 IBD 的新治疗选择方面取得了重大进展,以实现诱导和维持缓解。然而,传统疗法仍然是 IBD 治疗的主要方法。本文综述了炎症性肠病传统治疗方法的最新进展,包括 5-氨基水杨酸、皮质类固醇、免疫调节剂和抗肿瘤坏死因子-α 药物治疗 IBD。

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