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沙利度胺治疗克罗恩病疗效观察 被引量:6

Observation on the Effect of Thalidomide for the Treatment of Crohn's Disease
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摘要 【目的】观察沙利度胺对克罗恩病的临床疗效。【方法】选取邵阳市中心医院2004年1月至2007年8月份住院的46例轻中度克罗恩病患者,随机分成两组。治疗组23例,服用沙利度胺100mg/d,对照组23例,服用柳氮磺胺吡啶(SASP)4g/d,疗程8周,比较沙利度胺与SASP的疗效。【结果】采用沙利度胺治疗的临床缓解率26.08%(6/23),有效率65.22%(15/23),总有效率91.3%;对照组临床缓解率为21.74%(5/23),有效率56.52%(13/23),总有效率为78.26%。沙利度胺的总体疗效高于SASP,具有显著性差异(P<0.05)。【结论】沙利度胺对轻中度克罗恩病有效,其疗效优于传统的SASP,可望成为一种治疗克罗恩病的新型药物。 [Objective] To observe the effect of thalidomide for the treatment of Crohn's disease. [Methods] Forty six patients with mild and moderate Crohn's disease were randomly divided into two groups. The treatment group ( n =23) was given orally 100 microgram of thalidomide everyday, while the matched control group ( n = 23) was given 4000 microgram of salicylazosulfapyridine (SASP) everyday for 8 weeks. [Results] The overall efficacy of thalidomide and SASP was 91.3% and 78.26% respectively. The overall effective rate of thalidomide was higher than that of SASP. There was significant difference in the overall efficacy of the two groups ( P 〈0.05). [Conclusion] Thalidomide is effective in treating mild and moderate Crohn 's disease. The effectiveness of thalidomide is higher than that of SASP. Thus thalidomide is expected to be a new drug to treat Crohn's disease.
出处 《医学临床研究》 CAS 2008年第4期647-648,共2页 Journal of Clinical Research
关键词 Crohn病/药物疗法 沙利度胺/治疗应用 crohn disease/DT thalidomide/TU
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参考文献5

  • 1欧阳钦,潘国宗,温忠慧,万学红,胡仁伟,林三仁,胡品津.对炎症性肠病诊断治疗规范的建议[J].中华消化杂志,2001,21(4):236-239. 被引量:1124
  • 2Wettstem AR, Meagher AP. Thalidomide in Crohn's disease [J]. Lancet ,1997,350(9089):1445.
  • 3肖瑛,许元富,周圆,杨纯正.靶向肿瘤坏死因子的炎性肠病治疗研究进展[J].世界临床药物,2004,25(11):683-687. 被引量:4
  • 4Lienenluke B, Stojanovic T, Fiebig T, et al . Thalidomide impairment of trinitrobenzene sulphonic acid-induced colitis in the ret-role of endothelial cell-leukocyte interaction [J]. Br J Pharmacol , 2001,133(8):1414.
  • 5Bariol C , Meagher AP, Vickers CR, et al . Early studies on the safety and efficacy of thalidomide for symptomatic inflammatory bowel disease[J]. J Gastroenterol Hepatol ,2002,17 (2) : 135.

二级参考文献10

  • 1Vasiliauskas EA,Kam LY,Abreu-Martin MT,et al.An open-label pilot study of low-dose thalidomide in chronically active, steroid-dependent Crohn’s disease[].Gastroenterology.1999
  • 2Papadakis KT,Targan SR.Tumor necrosis factor: biology and therapeutic inhibitors[].Gastroenterology.2000
  • 3Sandborn WJ,Hanauer SB.Antitumor necrosis factor therapy for inflammatory bowel disease: a review of agents, pharmacology, clinical results, and safety[].Inflammatory Bowel Diseases.1999
  • 4Schreiber S,Rutgeerts P,Fedorak R,et al.CDP870,a humanized anti-TNF antibody fragment, induces clinical response with remission in patients with active Crohn’s disease(CD)[].Gastroenterology.2003
  • 5Sandborn WJ,Hanauer SB,Katz S.Etanercept for active Crohn’s disease: a randomized, double-blind, placebo-controlled trial[].Gastroenterology.2001
  • 6D’Haens G,Swijsen C,Noman M,et al.Etanercept in the treatment of active refractory Crohn’s disease: a single-center pilot trial[].The American journal of Gastroenterology.2001
  • 7Hommes D,van den Blink B,Plasse T,ef al.Inhibition of stress-activated MAP kinases induces clinical improvement in moderate to severe Crohn’s disease[].Gastroenterology.2002
  • 8Murch SH,Braegger CP,Walker-Smith JA,et al.Location of tumour necrosis factor alpha by immunohistochemistry in chronic inflammatory boweldisease[].Gut.1993
  • 9Rutgeerts P,Lemmens L,van Assche G,ef al.Recombinant soluble p55 receptor induces remission, is non-immunogenic and well tolerated in active Crohn’s disease: results of a randomized pilot trial[].Gastroenterology.2001
  • 10Salituro FG,Germann UA,Wilson KP,ef al.Inhibitors of p38 MAP kinase: therapeutic intervention in cytokine-mediated diseases[].Current Medical Chemistry.1999

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