在中风诱导的神经性下尿道功能障碍中,化和索利芬素的安全性和有效性:一项随机对照试验
Sakineh Hajebrahimi1,2, Ali Pourmohammad2, Charalampos Konstantinidis3
1Research Center for Evidence-Based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Neurourology and urodynamics
|October 29, 2024
概括
索利菲纳和化有效治疗中风患者过度活动的膀症状. 索利费纳显示出良好的安全性和有效性,尽管需要进行更大规模的研究.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 神经性下尿路功能障碍在泌尿病学中提出了重大挑战.
- 卒中患者通常会出现下尿路症状 (LUTS).
- 这项研究研究了中风幸存者的过活性膀 (OAB) 治疗方法.
研究的目的:
- 评估Solifenacin和Trospium化物在治疗中风患者的LUTS治疗中的4周疗效.
- 评估这些治疗方法对安全性和生活质量的影响.
- 为了比较Solifenacin和化与安慰剂的有效性.
主要方法:
- 一个三重盲目的多中心随机对照试验,涉及206名中风患者.
- 参与者接受了口服索利费纳,化或安慰剂.
- 结果使用NBSS,ICIQ-OAB和ICIQ-LUTS-QOL问卷进行了监测.
主要成果:
- 与基线相比,索利菲纳和化都显著降低了尿路症状.
- 积极治疗比安慰剂更有效地缓解症状.
- 与化相比,索利费纳在特定措施中显示出潜在的更好的安全性和有效性.
结论:
- 索利芬素和化是中风患者膀过活的有效治疗方法.
- 索利费纳可能在安全性和某些疗效终点方面提供优势.
- 建议对更大的患者队伍进行进一步的研究,以证实研究结果.
相关概念视频
Drugs for Treatment of Diarrhea-Predominant IBS
149
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
149
Drugs for Treatment of Constipation-Predominant IBS
139
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
139
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists
212
Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...
212


