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熊去氧胆酸治疗与胆汁脂质——一项剂量反应研究。

Ursodeoxycholic acid therapy and biliary lipids--a dose-response study.

作者信息

Bateson M C, Ross P E, Murison J, Saunders J H, Bouchier I A

出版信息

Gut. 1980 Apr;21(4):305-10. doi: 10.1136/gut.21.4.305.

DOI:10.1136/gut.21.4.305
PMID:7429292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1419617/
Abstract

The effects of four different doses of ursodeoxycholic acid (250, 500, 750, and 1000 mg daily) on biliary lipids were studied in 24 patients with radiolucent gallbladder stones. There was a significant increase in the proportion of ursodeoxycholic acid in bile after all doses, being greatest with 750 and 1000 mg daily. Unsulphated lithocholic acid was also increased in the bile after therapy, while the other major bile acids were reduced. The cholesterol content of bile was reduced by all doses, and this change was most marked after 1000 mg (from 10.9 +/- 1.4 to 5.6 +/- 0.5 mol%, P < 0.01). Biliary cholesterol saturation improved significantly only after 750 and 1000 mg daily.

摘要

在24例胆囊阴性结石患者中研究了四种不同剂量的熊去氧胆酸(每日250、500、750和1000毫克)对胆汁脂质的影响。所有剂量给药后胆汁中熊去氧胆酸的比例均显著增加,每日750毫克和1000毫克时增加最为明显。治疗后胆汁中未硫酸化的石胆酸也增加,而其他主要胆汁酸减少。所有剂量均使胆汁中的胆固醇含量降低,1000毫克后这种变化最为显著(从10.9±1.4降至5.6±0.5摩尔%,P<0.01)。仅每日750毫克和1000毫克时胆汁胆固醇饱和度显著改善。

相似文献

1
Ursodeoxycholic acid therapy and biliary lipids--a dose-response study.熊去氧胆酸治疗与胆汁脂质——一项剂量反应研究。
Gut. 1980 Apr;21(4):305-10. doi: 10.1136/gut.21.4.305.
2
[Comparison of the effects of an equal dose of 15 mg/kg/day of chenodeoxycholic and ursodeoxycholic acid on the composition of biliary lipids and acids in the bile in radiotransparent biliary lithiasis].[同等剂量(15毫克/千克/天)的鹅去氧胆酸和熊去氧胆酸对X线可透性胆石症患者胆汁中胆脂质和胆汁酸成分的影响比较]
Rev Esp Enferm Apar Dig. 1983 Oct;64(4):261-9.
3
Effects of biliary bile acid composition on biliary cholesterol saturation in gallstone patients treated with chenodeoxycholic acid and/or ursodeoxycholic acid.鹅去氧胆酸和/或熊去氧胆酸治疗的胆结石患者中胆汁胆汁酸组成对胆汁胆固醇饱和度的影响。
Gastroenterology. 1980 Dec;79(6):1192-8.
4
Effect of litholytic bile acids on cholesterol absorption in gallstone patients.溶石胆汁酸对胆结石患者胆固醇吸收的影响。
Gastroenterology. 1983 Feb;84(2):265-71.
5
Differing effects of ursodeoxycholic or chenodeoxycholic acid on biliary cholesterol saturation and bile acid metabolism in man. A dose-response study.熊去氧胆酸或鹅去氧胆酸对人体胆汁胆固醇饱和度及胆汁酸代谢的不同影响。一项剂量反应研究。
Dig Dis Sci. 1982 Feb;27(2):161-8. doi: 10.1007/BF01311711.
6
Changes of bile acid and lipid composition in blood and bile in the clinical course after the initiation of cheno- and ursodeoxycholic acid therapy in patients with cholesterol gallstones.胆固醇结石患者开始使用鹅去氧胆酸和熊去氧胆酸治疗后临床过程中血液和胆汁中胆汁酸及脂质成分的变化
Tokai J Exp Clin Med. 1982 Nov;7(6):671-83.
7
Analysis of response to ursodeoxycholic acid for gallstone dissolution.熊去氧胆酸溶解胆结石的疗效分析。
Digestion. 1980;20(5):358-64. doi: 10.1159/000198460.
8
Medical treatment of biliary duct stones: effect of ursodeoxycholic acid administration.胆管结石的医学治疗:熊去氧胆酸给药的效果
Gut. 1983 Jul;24(7):609-14. doi: 10.1136/gut.24.7.609.
9
[Ursodeoxycholic acid in the treatment of gallbladder lithiasis].[熊去氧胆酸治疗胆囊结石]
Acta Gastroenterol Latinoam. 1982;12(1):33-8.
10
A combination of chenodeoxycholic acid and ursodeoxycholic acid is more effective than either alone in reducing biliary cholesterol saturation.鹅去氧胆酸和熊去氧胆酸联合使用在降低胆汁胆固醇饱和度方面比单独使用任何一种都更有效。
Hepatology. 1982 May-Jun;2(3):334-9. doi: 10.1002/hep.1840020308.

引用本文的文献

1
Ursodeoxycholic acid therapy for primary biliary cirrhosis. A 10-year British single-centre population-based audit of efficacy and survival.熊去氧胆酸治疗原发性胆汁性肝硬化。一项基于英国单中心人群的为期10年的疗效与生存情况审计。
Postgrad Med J. 1998 Aug;74(874):482-5. doi: 10.1136/pgmj.74.874.482.
2
Differing effects of ursodeoxycholic or chenodeoxycholic acid on biliary cholesterol saturation and bile acid metabolism in man. A dose-response study.熊去氧胆酸或鹅去氧胆酸对人体胆汁胆固醇饱和度及胆汁酸代谢的不同影响。一项剂量反应研究。
Dig Dis Sci. 1982 Feb;27(2):161-8. doi: 10.1007/BF01311711.
3
Ursodeoxycholic acid in the treatment of cholesterol cholelithiasis. Part II.熊去氧胆酸治疗胆固醇性胆结石。第二部分。
Dig Dis Sci. 1982 Sep;27(9):833-56. doi: 10.1007/BF01391378.
4
Chenodeoxycholic acid: a review of its pharmacological properties and therapeutic use.鹅去氧胆酸:其药理特性与治疗用途综述
Drugs. 1981 Feb;21(2):90-119. doi: 10.2165/00003495-198121020-00002.
5
Management of stones in the biliary tree.胆管结石的处理
Gut. 1983 Jul;24(7):599-608. doi: 10.1136/gut.24.7.599.
6
Geographical variations in disease in Britain.英国疾病的地理差异。
Br Med J (Clin Res Ed). 1981 Sep 5;283(6292):672. doi: 10.1136/bmj.283.6292.672-b.
7
Ursodeoxycholic acid: a review of its pharmacological properties and therapeutic efficacy.熊去氧胆酸:其药理特性与治疗效果综述
Drugs. 1984 Feb;27(2):95-131. doi: 10.2165/00003495-198427020-00001.
8
Ursocholic acid: bile acid and bile lipid dose response and clinical studies in patients with gall stones.熊去氧胆酸:胆结石患者的胆汁酸和胆汁脂质剂量反应及临床研究
Gut. 1989 Jan;30(1):97-103. doi: 10.1136/gut.30.1.97.

本文引用的文献

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The metabolism of bile acids with special reference to liver injury.胆汁酸的代谢,特别涉及肝损伤。
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The physicochemical basis of cholesterol gallstone formation in man.人类胆固醇胆结石形成的物理化学基础。
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Lithogenic bile among young Indian women.印度年轻女性中的致石性胆汁。
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The solubility of cholesterol in aqueous solutions of bile salts and lecithin.胆固醇在胆盐和卵磷脂水溶液中的溶解度。
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6
Cholesterol solubility in bile. Evidence that supersaturated bile is frequent in healthy man.胆固醇在胆汁中的溶解度。健康人胆汁经常呈过饱和状态的证据。
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Effect of dietary chenodeoxycholic acid and lithocholic acid in the rabbit.饮食中鹅去氧胆酸和石胆酸对兔子的影响。
Am J Dig Dis. 1974 Oct;19(10):877-86. doi: 10.1007/BF01076210.
8
Chenodeoxycholic acid treatment of gallstones. A follow-up report and analysis of factors influencing response to therapy.鹅去氧胆酸治疗胆结石。随访报告及影响治疗反应因素的分析。
N Engl J Med. 1975 Aug 21;293(8):378-83. doi: 10.1056/NEJM197508212930804.
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[Efficacy and safety of chenodeoxycholic acid therapy for dissolution of gallstones].鹅去氧胆酸治疗胆结石溶解的疗效与安全性
Nihon Shokakibyo Gakkai Zasshi. 1976 Oct;73(10):1232-46.
10
[Medical treatment of cholesterol cholelithiasis using chemodeoxycholic acid in man].[人用鹅去氧胆酸治疗胆固醇性胆结石的医学研究]
Minerva Med. 1977 Oct 17;68(49):3355-82.