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一项关于类风湿关节炎患者停用金疗法效果的双盲研究。

A double-blind study on the effect of discontinuation of gold therapy in patients with rheumatoid arthritis.

作者信息

Van der Leeden H, Dijkmans B A, Hermans J, Cats A

出版信息

Clin Rheumatol. 1986 Jan;5(1):56-61. doi: 10.1007/BF02030968.

DOI:10.1007/BF02030968
PMID:3956116
Abstract

To assess the benefit of further gold treatment of rheumatoid arthritis (RA) patients who had already received more than 6 g of this metal, 24 such patients were included in a double-blind trial. Besides this "gold group" comprising 11 patients who received gold (Auromyose) in the same dosage schedule as before the study, the trial included a "placebo group" comprising 13 patients who received gold in a suspension diluted 1/100. In either group clinical, laboratory, and radiological data did not differ after 6 and 24 months in relation to the results at entry except for the serum gold concentrations, which were lower in the placebo group. We conclude that discontinuation of the treatment in RA patients who have received more than 6 g gold is not harmful to the patients for at least two years after withdrawal.

摘要

为评估已接受超过6克该金属治疗的类风湿关节炎(RA)患者进一步接受金制剂治疗的益处,24例此类患者被纳入一项双盲试验。除了由11例患者组成的“金制剂组”,这些患者按照与研究前相同的剂量方案接受金制剂(金诺芬)治疗外,该试验还包括一个由13例患者组成的“安慰剂组”,他们接受的是稀释1/100的金制剂混悬液。除了安慰剂组血清金浓度较低外,在6个月和24个月时,两组的临床、实验室和放射学数据与入组时的结果相比均无差异。我们得出结论,对于已接受超过6克金制剂治疗的RA患者,停药至少在停药后两年内对患者无害。

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本文引用的文献

1
Gold Therapy in Rheumatoid Arthritis.类风湿关节炎的金疗法
Br Med J. 1940 Sep 7;2(4157):314-6. doi: 10.1136/bmj.2.4157.314.
2
Gold Therapy in Rheumatoid Arthritis: Final Report of a Multicentre Controlled Trial.类风湿关节炎的金疗法:一项多中心对照试验的最终报告。
Ann Rheum Dis. 1961 Dec;20(4):315-34. doi: 10.1136/ard.20.4.315.
3
Gold Treatment in Rheumatoid Arthritis.类风湿关节炎的金制剂治疗
类风湿关节炎能否彻底消除:维持无药缓解的各种治疗方式综述?
Am J Transl Res. 2017 Aug 15;9(8):3758-3775. eCollection 2017.
Ann Rheum Dis. 1945 Jun;4(4):71-5. doi: 10.1136/ard.4.4.71.
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Ann Rheum Dis. 1960 Jun;19(2):95-119.
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Gold binding to blood cells and serum proteins during chrysotherapy.金在金疗法期间与血细胞和血清蛋白的结合。
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Intractable rheumatoid arthritis. Treatment with combined cyclophosphamide, azathioprine, and hydroxychloroquine.难治性类风湿关节炎。联合使用环磷酰胺、硫唑嘌呤和羟氯喹进行治疗。
JAMA. 1982 Oct 8;248(14):1718-23. doi: 10.1001/jama.248.14.1718.
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Gold metabolism in patients with rheumatoid arthritis treated with gold compounds--reinvestigated.重新研究使用金化合物治疗的类风湿关节炎患者的金代谢情况。
Arthritis Rheum. 1972 Jul-Aug;15(4):391-402. doi: 10.1002/art.1780150410.
8
Gold salts in the treatment of rheumatoid arthritis. A double-blind study.金盐治疗类风湿性关节炎。一项双盲研究。
Ann Intern Med. 1974 Jan;80(1):21-6. doi: 10.7326/0003-4819-80-1-21.
9
A multicentre controlled trial of the effects of different dosage of gold therapy, followed by a maintenance dosage.一项关于不同剂量金疗法效果的多中心对照试验,随后采用维持剂量。
Agents Actions. 1976 Feb;6(1-3):355-63. doi: 10.1007/BF01972255.