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色甘酸钠治疗溃疡性结肠炎和克罗恩病

Disodium cromoglycate in the treatment of ulcerative colitis and Crohn's disease.

作者信息

Binder V, Elsborg L, Greibe J, Hendriksen C, Høj L, Jensen K B, Kristensen E, Madsen J R, Marner B, Riis P, Willumsen L

出版信息

Gut. 1981 Jan;22(1):55-60. doi: 10.1136/gut.22.1.55.

Abstract

A controlled clinical study on disodium cromoglycate (DSCG) at a dose of 800 mg per day versus placebo was carried out in 141 patients with ulcerative colitis and 25 patients with Crohn's disease. Those of the ulcerative colitis patients who had been on sulphasalazine treatment continued that treatment during the trial (101 patients). Forty patients were intolerant of sulphasalazine. No patient received steroids during the last month before the study. Patients with Crohn's disease had their possible sulphasalazine treatment stopped before the trial. No beneficial effect of DSCG as compared with placebo was found, as the DSCG and the placebo group showed the same number of relapses in patients with a clinically inactive ulcerative colitis at the start of the trial and the same number of patients improving, deteriorating, and maintaining steady state in patients with clinically active ulcerative colitis at the start of the trial. There was no difference between relapse rate in DSCG and placebo groups in patients with Crohn's disease. No correlation between the eosinophil count in rectal mucosa and the outcome of the attack of ulcerative colitis could be demonstrated.

摘要

对141例溃疡性结肠炎患者和25例克罗恩病患者进行了一项对照临床研究,比较每天800毫克色甘酸钠(DSCG)与安慰剂的疗效。在试验期间,101例曾接受柳氮磺胺吡啶治疗的溃疡性结肠炎患者继续该治疗。40例患者对柳氮磺胺吡啶不耐受。在研究前的最后一个月,没有患者接受类固醇治疗。克罗恩病患者在试验前停用了可能的柳氮磺胺吡啶治疗。与安慰剂相比,未发现DSCG有有益效果,因为在试验开始时,DSCG组和安慰剂组中临床非活动性溃疡性结肠炎患者的复发次数相同,且在试验开始时临床活动性溃疡性结肠炎患者中病情改善、恶化和维持稳定状态的患者数量相同。克罗恩病患者中,DSCG组和安慰剂组的复发率没有差异。直肠黏膜嗜酸性粒细胞计数与溃疡性结肠炎发作结果之间没有相关性。

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