Ornidazole in the treatment of active Crohn's disease: short-term results.

J K Triantafillidis, D Nicolakis, A Emmanoullidis, A Antoniou, K Papatheodorou, P Cheracakis
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Abstract

The object of this work was to test the efficacy of ornidazole in patients with active Crohn's disease. Twenty-five patients with active Crohn's disease (Crohn's disease activity index greater than 150 points) participated in this open study. The analysis of results was based on changes in the severity of the Crohn's disease activity index measured at entry and at the end of the first, second, and third and fourth week. Analysis of variance, correlation analysis, multiple regression analyses and chi-square test were used for statistical evaluation of results. The results showed that the Crohn's disease activity index fell gradually from week 0 to week 4 (p < 0.001), while the number of patients going into remission increased gradually from week 0 to week 4 (18/25 patients, 75%). Sex, location of disease, age at onset, first attack or recurrence and duration of disease were not statistically related to response to treatment. Presence and severity of abdominal pain both decreased and bowel movements were also reduced. General well-being improved significantly, the loss of weight stopped and an increase in body weight was noted at the end of the fourth week. Side effects were minimal. It is concluded that ornidazole is an effective and safe drug for the treatment of active Crohn's disease.

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奥硝唑治疗活动性克罗恩病:短期效果。
这项工作的目的是测试奥硝唑对活动性克罗恩病患者的疗效。25例活动期克罗恩病(克罗恩病活动性指数大于150分)患者参加了本开放研究。对结果的分析是基于克罗恩病活动指数在入组时和第一周、第二周、第三周和第四周结束时测量的严重程度的变化。采用方差分析、相关分析、多元回归分析和卡方检验对结果进行统计学评价。结果显示,从第0周到第4周,克罗恩病活动性指数逐渐下降(p < 0.001),而从第0周到第4周,进入缓解的患者人数逐渐增加(18/25例,75%)。性别、疾病部位、发病年龄、首次发作或复发以及疾病持续时间与治疗反应无统计学相关性。腹痛的出现和严重程度都减少了,排便也减少了。总体幸福感显著改善,体重下降停止,体重在第四周结束时出现增加。副作用很小。结论奥硝唑是治疗活动性克罗恩病的一种安全有效的药物。
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