Nielsen O H, Vainer B, Bregenholt S, Claësson M H, Bishop P D, Kirman I
Department of Gastroenterology F, Glostrup Hospital, University of Copenhagen, Denmark.
Cytokines Cell Mol Ther. 1997 Dec;3(4):267-81.
This review deals with potential and possibly primary therapeutics that, through insight into the inflammatory cascade, result in more rational treatment principles replacing the classical therapy of inflammatory bowel disease (IBD), i.e. Crohn's disease (CD) and ulcerative colitis (UC). These new therapies might be useful for IBD patients, especially since the 'classical therapy' with agents like glucocorticoids, sulfasalazine, mesalazine, azathioprine, 6-mercaptopurine, cyclosporin and methotrexate is often only moderately effective and may have important side-effects. Controlled trials of the novel agents mentioned in this review have not yet been performed, however.
本综述探讨了潜在的、可能是主要的治疗方法,这些方法通过深入了解炎症级联反应,产生更合理的治疗原则,以取代炎症性肠病(IBD)即克罗恩病(CD)和溃疡性结肠炎(UC)的传统疗法。这些新疗法可能对IBD患者有用,特别是因为使用糖皮质激素、柳氮磺胺吡啶、美沙拉嗪、硫唑嘌呤、6-巯基嘌呤、环孢素和甲氨蝶呤等药物的“传统疗法”往往效果一般,且可能有严重的副作用。然而,本综述中提到的新型药物尚未进行对照试验。