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洛哌丁胺:一种治疗慢性腹泻的新型止泻药。

Loperamide: a new antidiarrheal agent in the treatment of chronic diarrhea.

作者信息

Galambos J T, Hersh T, Schroder S, Wenger J

出版信息

Gastroenterology. 1976 Jun;70(6):1026-9.

PMID:773735
Abstract

Twenty-seven patients with chronic diarrhea due to Crohn's disease, ulcerative colitis, short bowel syndrome, and idiopathic (functional) causes participated in a multiphase study (open, double blind, and long term open) of loperamide HCl, a new single entity, oral antidiarrheal agent. In the open phase of the study, loperamide effectively relieved symptoms of diarrhea in 21 of 27 patients. The average number of stools dropped from eight in the initial relapse period to two stools after 1 month of treatment (P = 0.0001). Efficacy was confirmed in the double blind and long term open phases of the study. Four patients who were not relieved while on therapy had discontinued the drug because of abdominal cramping. No other side effects attributable to the drug were observed. Loperamide has been found to be a safe and effective agent for the treatment of chronic diarrhea.

摘要

27名患有因克罗恩病、溃疡性结肠炎、短肠综合征和特发性(功能性)病因导致的慢性腹泻患者参与了一项关于新型单一实体口服止泻药盐酸洛哌丁胺的多阶段研究(开放、双盲和长期开放)。在研究的开放阶段,洛哌丁胺有效缓解了27名患者中21人的腹泻症状。平均排便次数从初始复发期的每天8次降至治疗1个月后的每天2次(P = 0.0001)。该研究的双盲和长期开放阶段证实了其疗效。4名在治疗期间未缓解的患者因腹部绞痛而停药。未观察到其他可归因于该药物的副作用。已发现洛哌丁胺是一种治疗慢性腹泻的安全有效药物。

相似文献

1
Loperamide: a new antidiarrheal agent in the treatment of chronic diarrhea.洛哌丁胺:一种治疗慢性腹泻的新型止泻药。
Gastroenterology. 1976 Jun;70(6):1026-9.
2
Loperamide, a new antidiarrheal agent in the treatment of chronic diarrhea.洛哌丁胺,一种用于治疗慢性腹泻的新型止泻药。
Schweiz Med Wochenschr. 1978 Jul 15;108(28):1080-1.
3
Loperamide in chronic diarrhea and after ileostomy: a placebo-controlled double-blind cross-over study.洛哌丁胺治疗慢性腹泻及回肠造口术后腹泻:一项安慰剂对照双盲交叉研究。
Arch Chir Neerl. 1976;28(1):13-20.
4
A double blind crossover comparison of loperamide with diphenoxylate in the symptomatic treatment of chronic diarrhea.洛哌丁胺与地芬诺酯对症治疗慢性腹泻的双盲交叉比较。
Gastroenterology. 1976 Jun;70(6):1030-4.
5
[Clinical results with loperamide in the treatment of chronic diarrhoea of varied aetiology (author's transl)].
Wien Klin Wochenschr. 1982 Mar 19;94(6):148-50.
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A comparative study of loperamide and diphenoxylate in the treatment of chronic diarrhoea caused by intestinal resection.洛哌丁胺与地芬诺酯治疗肠道切除术后慢性腹泻的对比研究。
Ann Clin Res. 1981 Dec;13(6):402-5.
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Multicenter, double-blind, randomized comparison of wood creosote, the principal active ingredient of Seirogan, an herbal antidiarrheal medication, and loperamide in adults with acute nonspecific diarrhea.对成人急性非特异性腹泻患者,进行木馏油(一种草药止泻药西罗甘的主要活性成分)与洛哌丁胺的多中心、双盲、随机对照研究。
Clin Ther. 2004 Oct;26(10):1644-51. doi: 10.1016/j.clinthera.2004.10.001.
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Loperamide (R 18 553), a novel type of antidiarrheal agent. Part 7: Clinical investigation. Efficacy and safety of loperamide in patients with severe chronic diarrhea.洛哌丁胺(R 18 553),一种新型止泻药。第7部分:临床研究。洛哌丁胺治疗严重慢性腹泻患者的疗效和安全性。
Arzneimittelforschung. 1974 Oct;24(10):1657-60.
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A multicenter double-blind controlled trial comparing lidamidine HCl and loperamide in the symptomatic treatment of acute diarrhoea.一项比较盐酸利达脒和洛哌丁胺对症治疗急性腹泻的多中心双盲对照试验。
Arzneimittelforschung. 1986 Dec;36(12):1843-5.
10
Loperamide in the symptomatic control of chronic diarrhoea. Double-blind placebo-controlled study.洛哌丁胺用于慢性腹泻的症状控制。双盲安慰剂对照研究。
Ann Clin Res. 1975 Oct;7(5):325-30.

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Effect of calcium polycarbophil on bowel function after restorative proctocolectomy for ulcerative colitis: a randomized controlled trial.
Dig Dis Sci. 2007 Jun;52(6):1423-6. doi: 10.1007/s10620-006-9270-6. Epub 2007 Mar 30.
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Enteral drug absorption in patients with short small bowel : a review.短小肠患者的肠内药物吸收:综述
Clin Pharmacokinet. 2004;43(14):951-62. doi: 10.2165/00003088-200443140-00001.
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Anti-inflammatory properties of the mu opioid receptor support its use in the treatment of colon inflammation.μ阿片受体的抗炎特性支持其在治疗结肠炎症中的应用。
J Clin Invest. 2003 May;111(9):1329-38. doi: 10.1172/JCI16750.
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Subcutaneous loperamide prevents gastric lesions induced by necrotizing agents in rats.皮下注射洛哌丁胺可预防大鼠坏死剂诱导的胃损伤。
Dig Dis Sci. 1997 Dec;42(12):2560-5. doi: 10.1023/a:1018876915337.
6
Antidiarrhoeal agents. Clinical pharmacology and therapeutic use.止泻药。临床药理学与治疗应用。
Drugs. 1982 Nov;24(5):440-51. doi: 10.2165/00003495-198224050-00005.
7
Inhibition of postprandial pancreatic and biliary secretion by loperamide in patients with short bowel syndrome.洛哌丁胺对短肠综合征患者餐后胰腺和胆汁分泌的抑制作用
Gut. 1982 Feb;23(2):98-101. doi: 10.1136/gut.23.2.98.
8
Loperamide in severe protracted diarrhoea.洛哌丁胺治疗严重迁延性腹泻
Arch Dis Child. 1983 Jan;58(1):39-43. doi: 10.1136/adc.58.1.39.
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Antidiarrhoeal activity of loperamide: studies of its influence on ion transport across rabbit ileal mucosa in vitro.洛哌丁胺的止泻活性:其对兔回肠黏膜离子转运体外影响的研究
Gut. 1982 Nov;23(11):974-9. doi: 10.1136/gut.23.11.974.
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Diarrhoea, dehydration, and drugs.腹泻、脱水与药物。
Br Med J (Clin Res Ed). 1984 Nov 10;289(6454):1245-6. doi: 10.1136/bmj.289.6454.1245.