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新型非甾体抗炎药对上消化道影响的综述

A review of upper-gastrointestinal effects of the newer nonsteroidal antiinflammatory agents.

作者信息

Pemberton R E, Strand L J

出版信息

Dig Dis Sci. 1979 Jan;24(1):53-64. doi: 10.1007/BF01297239.

DOI:10.1007/BF01297239
PMID:371938
Abstract

Newer nonsteroidal antiinflammatory agents (NSAI's) such as ibuprofen, neproxen, fenoprofen, and tolmetin have broadened the therapeutic choice and increased the chances of providing optimum arthritis control, but require careful assessment of the possibilities for unwanted drug effects when long-term therapy is required. A review of the literature on the gastrointestinal effects of the promising newer NSAIs, as compared with the older agents, aspirin, indomethacin, and phenylbutazone, is presented, highlighting animal toxicology and human adverse reaction surveillance data and the evidence for various suggested pathophysiological mechanisms.

摘要

较新的非甾体抗炎药(NSAI),如布洛芬、萘普生、非诺洛芬和托美丁,拓宽了治疗选择,增加了实现最佳关节炎控制的机会,但在需要长期治疗时,需要仔细评估出现药物不良反应的可能性。本文综述了与较老的药物阿司匹林、吲哚美辛和保泰松相比,有前景的新型NSAI对胃肠道影响的文献,重点介绍了动物毒理学和人类不良反应监测数据,以及各种提出的病理生理机制的证据。

相似文献

1
A review of upper-gastrointestinal effects of the newer nonsteroidal antiinflammatory agents.新型非甾体抗炎药对上消化道影响的综述
Dig Dis Sci. 1979 Jan;24(1):53-64. doi: 10.1007/BF01297239.
2
Update on ibuprofen for rheumatoid arthritis.布洛芬治疗类风湿性关节炎的最新进展。
Am J Med. 1984 Jul 13;77(1A):3-9. doi: 10.1016/s0002-9343(84)80012-1.
3
Aspirin and newer anti-inflammatory agents in rheumatoid arthritis.类风湿关节炎中的阿司匹林及新型抗炎药物
Am Fam Physician. 1977 Jul;16(1):111-5.
4
New nonsteroidal anti-inflammatory drugs.新型非甾体抗炎药。
Am Fam Physician. 1976 Sep;14(3):142-4.
5
Rheumatoid arthritis IV: non-steroidal anti-inflammatory agents use in treatment.类风湿性关节炎IV:非甾体抗炎药在治疗中的应用。
Md State Med J. 1982 Jul;31(7):46-51.
6
New antirheumatic agents: Fenoprofen calcium (Nalfon), naproxen (Naprosyn), and tolmetin sodium (Tolectin).新型抗风湿药:芬洛芬钙(萘普生)、萘普生(萘普生)和托美丁钠(托美丁)。 (注:这里原文中两种药名相同,推测有误,但按照要求忠实翻译)
JAMA. 1977 Mar 21;237(12):1260-1. doi: 10.1001/jama.237.12.1260.
7
Clinical comparison of ibuprofen, fenoprofen calcium, naproxen and tolmetin sodium in rheumatoid arthritis.布洛芬、非诺洛芬钙、萘普生和托美丁钠治疗类风湿性关节炎的临床比较
J Rheumatol. 1982 May-Jun;9(3):402-7.
8
Nonsteroidal antiinflammatory drugs (second of two parts).非甾体抗炎药(两部分中的第二部分)
N Engl J Med. 1980 May 29;302(22):1237-43. doi: 10.1056/NEJM198005293022206.
9
Four new anti-inflammatory drugs: responses and variations.四种新型抗炎药物:反应与变化
Br Med J. 1976 May 1;1(6017):1048-9. doi: 10.1136/bmj.1.6017.1048.
10
Review of ibuprofen for osteoarthritis.
Am J Med. 1984 Jul 13;77(1A):10-8. doi: 10.1016/s0002-9343(84)80013-3.

引用本文的文献

1
A sulfated-polysaccharide fraction from seaweed Gracilaria birdiae prevents naproxen-induced gastrointestinal damage in rats.裙带菜中的一种硫酸多糖组分可预防萘普生所致的大鼠胃肠道损伤。
Mar Drugs. 2012 Dec;10(12):2618-33. doi: 10.3390/md10122618.
2
Management of rheumatoid arthritis.类风湿关节炎的治疗。
Can Fam Physician. 1984 Jun;30:1363-8.
3
Endoscopic ulcers are neither meaningful nor validated as a surrogate for clinically significant upper gastrointestinal harm.内镜下溃疡既无意义,也未被证实可作为临床上显著的上消化道损伤的替代指标。

本文引用的文献

1
PEPTIC ULCER AND RHEUMATOID ARTHRITIS: A PROSPECTIVE STUDY.消化性溃疡与类风湿关节炎:一项前瞻性研究。
Arch Intern Med. 1965 Feb;115:184-9. doi: 10.1001/archinte.1965.03860140064013.
2
INDOMETHACIN IN RHEUMATIC DISEASES. A CONTROLLED CLINICAL TRIAL.吲哚美辛治疗风湿性疾病。一项对照临床试验。
Ann Rheum Dis. 1964 May;23(3):218-25. doi: 10.1136/ard.23.3.218.
3
Aspirin and gastric bleeding. Gastroscopic observations, with review of literature.阿司匹林与胃出血。胃镜观察及文献综述。
Clin Gastroenterol Hepatol. 2009 Nov;7(11):1147-50. doi: 10.1016/j.cgh.2009.06.006. Epub 2009 Jun 25.
4
Inhibitory effect of fluvastatin on ileal ulcer formation in rats induced by nonsteroidal antiinflammatory drug.氟伐他汀对非甾体抗炎药诱导的大鼠回肠溃疡形成的抑制作用。
World J Gastroenterol. 2005 Feb 21;11(7):1040-3. doi: 10.3748/wjg.v11.i7.1040.
5
Application of dual radiotelemetric technique in studying drug-drug interaction between diclofenac sodium and ranitidine HCl in volunteers.双无线电遥测技术在研究双氯芬酸钠与盐酸雷尼替丁在志愿者体内的药物相互作用中的应用。
Pharm Res. 1993 Nov;10(11):1688-92. doi: 10.1023/a:1018949425784.
6
Histological study of the effects of three anti-inflammatory preparations on the gastric mucosa.三种抗炎制剂对胃黏膜影响的组织学研究
J Clin Pathol. 1981 Aug;34(8):836-42. doi: 10.1136/jcp.34.8.836.
7
Local buccal mucosal effects of aspirin, indomethacin and isoxepac: their relationship to gastrointestinal damage.阿司匹林、吲哚美辛和异恶草酮对颊部黏膜的局部作用:它们与胃肠道损伤的关系。
Br J Clin Pharmacol. 1981 May;11(5):528-30. doi: 10.1111/j.1365-2125.1981.tb01165.x.
8
Resistance to medical therapy of gastric ulcers in rheumatic disease patients taking aspirin. A double-blind study with cimetidine and follow-up.服用阿司匹林的风湿性疾病患者胃溃疡的药物治疗抵抗。西咪替丁双盲研究及随访。
Dig Dis Sci. 1982 Nov;27(11):976-80. doi: 10.1007/BF01391742.
9
Relationship of gastric mucosal damage induced in pigs by antiinflammatory drugs to their effects on prostaglandin production.抗炎药物诱导猪胃黏膜损伤与其对前列腺素产生的影响之间的关系。
Dig Dis Sci. 1982 Jul;27(7):624-35. doi: 10.1007/BF01297219.
10
Acute polyarticular gout.急性多关节痛风
Ann Rheum Dis. 1983 Apr;42(2):117-22. doi: 10.1136/ard.42.2.117.
Am J Med. 1961 Aug;31:266-78. doi: 10.1016/0002-9343(61)90115-2.
4
Aspirin and gastrointestinal bleeding. Chromate blood loss studies.阿司匹林与胃肠道出血。铬酸盐失血研究。
Am J Med. 1961 Aug;31:259-65. doi: 10.1016/0002-9343(61)90114-0.
5
Peptic ulceration occurring during therapy for rheumatoid arthritis.
Gastroenterology. 1957 Jul;33(1):25-33.
6
Dyspepsia in patients with rheumatoid arthritis.
Acta Rheumatol Scand. 1966;12(2):112-21. doi: 10.3109/rhe1.1966.12.issue-1-4.13.
7
Brufen in rheumatoid arthritis.
Drug Ther Bull. 1969 Apr 25;7(9):35-6.
8
Some aspects of the pharmacology, metabolism, and toxicology of ibuprofen. I. Pharmacology and metabolism.
Rheumatol Phys Med. 1970;10:Suppl 10:9-26. doi: 10.1093/rheumatology/x.suppl_1.9.
9
A new look at ibuprofen.
Rheumatol Phys Med. 1970;10:Suppl 10:88-98. doi: 10.1093/rheumatology/x.suppl_1.88.
10
Ibuprofen and aspirin in the treatment of rheumatoid arthritis. A cooperative double-blind trial.
Rheumatol Phys Med. 1970;10:Suppl 10:48-63. doi: 10.1093/rheumatology/x.suppl_1.48.