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甲硝唑用于克罗恩病

Metronidazole for Crohn's disease.

作者信息

Ursing B, Kamme C

出版信息

Lancet. 1975 Apr 5;1(7910):775-7. doi: 10.1016/s0140-6736(75)92438-1.

DOI:10.1016/s0140-6736(75)92438-1
PMID:48003
Abstract

Five patients with Crohn's disease for 4 months to 12 years were treated with metronidazole. Four of them improved after 2-4 weeks' treatment. In three of them corticosteroids and sulphasalazine could be withdrawn. One patient did not improve until 4 months of metronidazole treatment had passed and corticosteroids were reintroduced. In three patients metronidazole was discontinued after 4-6 months of treatment. Two of them had no signs or symptoms of relapse 3 and 6 months later. The third patient is free from symptoms but laboratory data indicate disease activity.

摘要

五名患有克罗恩病4个月至12年的患者接受了甲硝唑治疗。其中四名患者在治疗2至4周后病情有所改善。他们中的三名患者可以停用皮质类固醇和柳氮磺胺吡啶。一名患者在接受甲硝唑治疗4个月后病情才有所改善,随后重新使用了皮质类固醇。三名患者在治疗4至6个月后停用了甲硝唑。其中两名患者在3个月和6个月后没有复发的迹象或症状。第三名患者没有症状,但实验室数据表明疾病仍处于活动期。

相似文献

1
Metronidazole for Crohn's disease.甲硝唑用于克罗恩病
Lancet. 1975 Apr 5;1(7910):775-7. doi: 10.1016/s0140-6736(75)92438-1.
2
Pharmacotherapy of inflammatory bowel disease. Part 2. Metronidazole.炎症性肠病的药物治疗。第2部分。甲硝唑。
Postgrad Med. 1983 Dec;74(6):155-7, 160. doi: 10.1080/00325481.1983.11698538.
3
A comparative study of metronidazole and sulfasalazine for active Crohn's disease: the cooperative Crohn's disease study in Sweden. II. Result.甲硝唑与柳氮磺胺吡啶治疗活动性克罗恩病的比较研究:瑞典克罗恩病合作研究。II. 结果。
Gastroenterology. 1982 Sep;83(3):550-62.
4
[Treatment of Crohn's disease with metronidazole (author's transl)].甲硝唑治疗克罗恩病(作者译)
Dtsch Med Wochenschr. 1981 Sep 4;106(36):1126-9. doi: 10.1055/s-2008-1070467.
5
Metronidazole therapy for perineal Crohn's disease: a follow-up study.甲硝唑治疗会阴克罗恩病:一项随访研究。
Gastroenterology. 1982 Aug;83(2):383-7.
6
Use of antibiotics in the treatment of active Crohn's disease: experience with metronidazole and ciprofloxacin.抗生素在活动性克罗恩病治疗中的应用:甲硝唑和环丙沙星的应用经验
Ital J Gastroenterol Hepatol. 1998 Dec;30(6):602-6.
7
Therapy of Crohn's disease with metronidazole -- an uncontrolled trial --.甲硝唑治疗克罗恩病——一项非对照试验——
Acta Hepatogastroenterol (Stuttg). 1979 Jun;26(3):217-21.
8
[Therapy of Crohn's disease].
Dtsch Med Wochenschr. 1984 Nov 23;109(47):1811-6. doi: 10.1055/s-2008-1069460.
9
Metronidazole therapy for Crohn's disease and associated fistulae.甲硝唑治疗克罗恩病及相关瘘管
Am J Gastroenterol. 1984 Jul;79(7):533-40.
10
A comparative study of metronidazole and sulfasalazine for active Crohn's disease: the cooperative Crohn's disease study in Sweden. I. Design and methodologic considerations.
Gastroenterology. 1982 Sep;83(3):541-9.

引用本文的文献

1
A review of the therapeutic management of Crohn's disease.克罗恩病治疗管理综述。
Therap Adv Gastroenterol. 2022 Feb 17;15:17562848221078456. doi: 10.1177/17562848221078456. eCollection 2022.
2
Role of bacteria in the etiopathogenesis of inflammatory bowel disease.细菌在炎症性肠病发病机制中的作用。
World J Gastroenterol. 2007 Nov 14;13(42):5571-6. doi: 10.3748/wjg.v13.i42.5571.
3
Antibiotic therapy for Crohn's disease: a review.克罗恩病的抗生素治疗:综述
Can J Gastroenterol. 2006 Oct;20(10):651-5. doi: 10.1155/2006/250490.
4
Prevention of postoperative recurrence in Crohn's disease.
Curr Gastroenterol Rep. 1999 Dec;1(6):476-81. doi: 10.1007/s11894-999-0006-6.
5
Risk factors for surgery and postoperative recurrence in Crohn's disease.克罗恩病手术及术后复发的危险因素
Ann Surg. 2000 Jan;231(1):38-45. doi: 10.1097/00000658-200001000-00006.
6
Metronidazole. A therapeutic review and update.甲硝唑:治疗综述与更新
Drugs. 1997 Nov;54(5):679-708. doi: 10.2165/00003495-199754050-00003.
7
Management of rectourethral fistulas in Crohn's disease.克罗恩病中直肠尿道瘘的管理
Int J Colorectal Dis. 1995;10(4):183-8. doi: 10.1007/BF00346215.
8
Faecal diversion for Crohn's colitis: a model to study the role of the faecal stream in the inflammatory process.克罗恩病性结肠炎的粪便转流:一种研究粪流在炎症过程中作用的模型。
Gut. 1994 Feb;35(2):236-42. doi: 10.1136/gut.35.2.236.
9
Relation between concentrations of metronidazole and Bacteroides spp in faeces of patients with Crohn's disease and healthy individuals.克罗恩病患者与健康个体粪便中甲硝唑浓度与拟杆菌属之间的关系。
J Clin Pathol. 1981 Jun;34(6):645-50. doi: 10.1136/jcp.34.6.645.
10
Idiopathic Inflammation Bowel Disease: is there a role for immunological mechanisms in etiopathogenesis?特发性炎症性肠病:免疫机制在发病机制中起作用吗?
Gastroenterol Jpn. 1982 Oct;17(5):476-88. doi: 10.1007/BF02774726.