吞局部皮质类固醇治疗异性食道炎:利用和现实世界的疗效从EoE CONNECT注册表
Emilio J Laserna-Mendieta1,2,3,4,5, Pilar Navarro1,2,3,5, Sergio Casabona-Francés2,6
1Department of Gastroenterology, Hospital General de Tomelloso, Tomelloso, Spain.
United European gastroenterology journal
|January 29, 2024
概括
局部皮质类固醇 (tC) 在现实环境中有效治疗异性食道炎 (EoE). 布塞尼德口溶性片,较高剂量和症状严重程度的降低独立预测成功的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 吞局部皮质类固醇 (tC) 是一种常见的治疗以性食道炎 (EoE).
- 由于活性成分,配方和剂量的差异,TC的治疗结果具有很大的变化.
研究的目的:
- 为了评估各种局部皮质类固醇治疗异性食道炎 (EOE) 的现实世界的有效性.
主要方法:
- 对多中心EoE CONNECT注册表数据的分析.
- 临床缓解被定义为缺食症得分下降≥50%,组织学缓解为<15种乙素/HPF.
- 在不同TC配方中比较临床-组织学缓解 (CHR) 率.
主要成果:
- 分析了1456名患者的1456个TC处方的数据.
- 在一线治疗中,酸是常见的;在后期治疗中,布索尼德更为频繁.
- 布德索尼德口溶性片,较高的TC剂量 (弗卢蒂卡松≥0.8 mg/天) 和较低的基线症状得分与较高的CHR率有关.
结论:
- 症状严重程度的降低,较高的tC剂量和布索尼德口溶性片是治疗效果的独立预测因素.
- 这些发现强调了配方和剂量在优化EoETC治疗中的重要性.
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