罗马四号腹的临床特征和结果 - - 主要是刺激性肠综合征和用Ondansetron处方的功能性腹:现实世界的研究
Caterina Sbarigia1,2, Christian Lambiase1,3, Mohsin F Butt1
1NIHR Nottingham Digestive Diseases Centre, School of Medicine, University of Nottingham, Nottinghamshire, UK.
丹塞有效地减少了肠道的频率,并改善了大约三分之二的患者的便一致性,这些患者患有过敏肠综合征 - 主要腹 (IBS-D) 和功能性腹 (FDr). 这项现实研究证实了ondansetron的存在.
科学领域:
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 5-HT3受体对抗剂,如丹塞特龙,用于腹刺激性肠综合征 (IBS-D).
- 有限的现实世界的数据存在于ondansetron在功能性腹 (FDr) 的有效性.
研究的目的:
- 评估慢性腹占主导地位的肠道疾病患者对Ondansetron的临床特征和实际反应.
- 评估Ondansetron在IBS-D和FDr患者中的有效性.
主要方法:
- 从2016年10月到2024年2月,对92名IBS-D或FDr患者进行了回顾性研究.
- 收集的数据包括人口统计,病史和药物.
- 临床反应被定义为每日排便减少≥1次,便一致性改善 (BSFS≥1分).
主要成果:
- 73.9%的患者 (68/92) 显示对丹塞的临床反应.
- 响应维持在平均剂量为8mg/天的19个月.
- 与IBS-D患者相比,FDr患者的紧急情况更频繁 (p=0.003).
结论:
- 在临床环境中,每天8mg的Ondansetron有效地改善了大约三分之二的IBS-D和FDr患者的肠道频率和便一致性.
- 这种药物表现出了良好的安全性,并有轻微的副作用.
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