摘要
特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)是一种以普通型间质性肺炎(usual interstitial pneumonitis)为特征性病理改变的慢性、弥漫性肺间质疾病。其病因不明,发病机制不清.缺乏有效治疗手段,IPF确诊后平均存活期为2~4年.5年生存率为30%~50%。其临床主要表现为进行性呼吸困难和刺激性干咳。IPF的研究进展缓慢,预后很差,诊断后的中位生存时间为4年,目前还没有有效的治疗手段。本文就其治疗研究的新进展做一综述。
出处
《实用医学杂志》
CAS
2008年第9期1467-1469,共3页
The Journal of Practical Medicine
参考文献23
-
1高晓方,崔社怀.特发性肺纤维化的抗纤维化治疗研究进展[J].中华结核和呼吸杂志,2004,27(6):366-368. 被引量:27
-
2Sime P J, O' Reilly K M. Fibrosis of the lung and other tissues : new concepts in pathogenesis and treatment [J]. Clin Immunol, 2001,99(3) :308-319.
-
3American Thoracic Society. Idiopathic fibrosis: diagnosis and treatment. International Consensus Statement. American Thoracic Society and the European Respiratory Society [J ]. Am J Respir Crit Care Med, 2000, 161(2 Pt 1):646-664.
-
4Spyros A P, George K, Marilena K, et al. Relationship of BAL and lung tissue CD4 and CD8 T lymphocytes, and their ratio hi idiopathic pulmonary fibrosis [J]. Chest, 2005,128 (4) :2971-2976.
-
5Cortijo J, Cerda-Nicolas M, Serrano A, et al. Attenuation by oral N-acetylcysteine of bleomycin-induced lung injury in rats [J]. Eur Respir J, 2001,17(6) : 1228-1235.
-
6Demedis M B, Convasce G C, Dekhuijzen R, et al. IFIGENIA. effects of N-acctylcuseine (NAC) on primary end points VC and dico [J]. Eur Respire J, 2004,24(4):668S.
-
7Vuokko L K, Cheryl L F, Roderick J T, et al. Oxidative stress in pulmonary fibrosis: a possible role for redox modulatory therapy [J]. Am J Res Crit Care Med, 2005,172(4):417-422.
-
8Liu H, Drew P, Cheng Y, et al. Pirfenidone inhibits inflammatory responses and ameliorates allograft injury in a rat lung transpant model [J]. J Thorac Cardiovasc Surg, 2005,130 ( 3 ) : 852-858.
-
9Azuma A, Nukiwa T, Tsuboi E, et al. Double-blind, placebocontrolled trial of pirfenidone in patients with idiopathic pulmonary fibrosis [J]. Am J Respir Crit Care Med, 2005,171 (9) : 1040-1047.
-
10Douglas W W, Ryu J H, Schroeder D R, Idiopathic pulmonary fibrosis: impact of oxygen and colchicines, prednisone, or no therapy on survival [J]. Am J Respir Crit Care Med, 2000, 161 (4 Pt 1): 1172-1178.
二级参考文献22
-
1Selman M, King TE Jr, Pardo A. Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med, 2001, 134: 136-151.
-
2Iyer SN, Hyde DM, Giri SN. Anti-inflammatory effect of pirfenidone in the bleomycin-hamster model of lung inflammation. Inflammation, 2000, 24: 477-491.
-
3Raghu G, Johnson WC, Lockhart D, et al. Treatment of idiopathic pulmonary fibrosis with a new antifibrotic agent, pirfenidone: results of a prospective, open-label Phase Ⅱ study. Am J Respir Crit Care Med, 1999, 159: 1061-1069.
-
4King TE Jr . Treatment advances and failures in pulmonary fibrosis. European Respiratory Society (ERS) Annual Congress, 2002 Sep 18. Sweden:Stockholm, Available from: URL: http://www.ersnet.org/2/4/2-4.asp.
-
5Erickelberg O, Pansky A, Koehler E, et al. Molecular mechanisms of TGF-(beta) antagonism by interferon (gamma) and cyclosporine A in lung fibroblasts. FASEB J, 2001, 15: 797-806.
-
6King TE Jr. Interferon gamma-1b for the treatment of idiopathic pulmonary fibrosis. N Engl J Med, 2000, 342: 974-975.
-
7Noble P. Pathology and current treatment options of idiopathic pulmonary fibrosis. European Respiratory Society (ERS) Annual Congress, 2002 Sep 18. Sweden:Stockholm, Available from: URL: http://www.ersnet.org/2/4/2-4.asp.
-
8Sciavolino PJ, Lee TH, Vilcek J. Interferon-beta induces metalloproteinase mRNA expression in human fibroblasts. Role of activator protein-1. J Biol Chem, 1994, 269: 21627-21634.
-
9Wang R, Ibarra S, Verlinshi L, et al. Abrogation of bleomycin-induced epithelial apoptosis and lung fibrosis by captopril or by a caspase inhibitor. Am J Physiol Lung Cell Mol Physiol, 2000, 279: L143-151.
-
10Mason RJ, Schwarz MI, Hunninghake GW, et al. NHLBI workshop summary. Pharmacological therapy for idiopathic pulmonary fibrosis. Past, present, and future. Am J Respir Crit Care Med, 1999, 160: 1771-1777.
共引文献32
-
1高晓方,崔社怀,林海龙.肺纤维化大鼠血清白细胞介素-4和表面活性蛋白-A动态变化及早期诊断意义[J].河北医科大学学报,2005,26(5):337-339. 被引量:2
-
2王志华.特发性肺纤维化35例临床分析[J].中国基层医药,2005,12(9):1274-1274.
-
3高晓方,程相铎,胡光荣,梅海豫.特发性肺纤维化27例临床分析[J].实用医药杂志,2005,22(10):873-874.
-
4王志华,李爱敏.卡托普利治疗特发性肺纤维化的临床研究[J].临床荟萃,2006,21(4):272-273. 被引量:5
-
5刘昕彤.特发性肺纤维化的治疗与进展[J].职业与健康,2006,22(3):172-174.
-
6靳长俊,辛洪涛,林殿杰,牟晓燕,徐少华,王贞.芪丹颗粒剂对大鼠肺纤维化模型的干预作用及对TGF-β_1、TNF-α表达的影响[J].中国病理生理杂志,2006,22(4):814-817. 被引量:15
-
7蒲青,李为民,汪洪,彭美仁,王冬梅,蒲丹.50例特发性肺纤维化的临床分析[J].西部医学,2006,18(3):284-285. 被引量:1
-
8张崇,韦小瑜,吴亚芸,李诚秀,杨勤,程明亮.丹芍化纤胶囊抗博莱霉素所致大鼠肺纤维化的实验研究[J].中华中医药杂志,2006,21(11):686-688. 被引量:4
-
9靳长俊,辛洪涛,林殿杰,王贞.中草药治疗大鼠肺纤维化的实验研究[J].中华劳动卫生职业病杂志,2007,25(1):22-25. 被引量:4
-
10张耘.特发性肺间质纤维化的治疗进展[J].临床肺科杂志,2007,12(8):851-852. 被引量:4
同被引文献17
-
1高金明 ,LUBao .趋化因子CXC受体3在博莱霉素诱导的肺纤维化中的作用[J].中华结核和呼吸杂志,2005,28(1):28-32. 被引量:8
-
2胡晓波,杨礼腾,穆茂,聂莉,方洵,李群,程德云.红景天对大鼠肺纤维化治疗作用初探[J].四川医学,2006,27(7):673-674. 被引量:11
-
3李振华.特发性肺纤维化的治疗[J].中华结核和呼吸杂志,2007,30(4):250-252. 被引量:5
-
4朱柠,陈小东.特发性肺纤维化的治疗进展[J].国际呼吸杂志,2007,27(9):668-672. 被引量:13
-
5罗玲,刘忠.特发性肺纤维化的治疗现状[J].临床肺科杂志,2007,12(9):967-969. 被引量:15
-
6Spyros A P,George K,Marilena k,et al.Relationship of BAL andlung tissue CD4+and CD8+T lymphocytes,and their ratio in idio-pathic pulmonary fibrmonary fibrosis. Chest . 2005
-
7赵克明,王宇宏,席瑞.辨证分型治疗特发性肺间质纤维化浅识[J].实用中医内科杂志,2007,21(7):30-30. 被引量:29
-
8张立山,戴雁彦,任传云.武维屏教授治疗肺纤维化十法[J].中国中医药信息杂志,2008,15(4):94-95. 被引量:21
-
9姜良铎,张晓梅,肖培新.特发性肺间质纤维化的病因病机探讨[J].中华中医药杂志,2008,23(11):984-986. 被引量:86
-
10李辉,郑菲,朱理芬,刘世刚,王蕾,张立宏.李国勤对特发性肺间质纤维化的临证辨治思路[J].中华中医药杂志,2009,24(9):1166-1168. 被引量:5
引证文献3
-
1班健.特发性肺纤维化的治疗进展[J].临床肺科杂志,2011,16(9):1432-1434. 被引量:27
-
2干丽萍,曹祖清,王霖.化纤汤治疗特发性肺间质纤维化28例疗效观察[J].新中医,2012,44(5):23-24. 被引量:2
-
3李富增,徐红日,崔兰凤,刘国星,刘畅,王成祥.王成祥治疗特发性肺纤维化经验[J].世界中西医结合杂志,2020,15(4):627-629. 被引量:4
二级引证文献33
-
1吕淑珍,宋晓艳.特发性间质性肺炎的临床治疗体会[J].求医问药(下半月),2013(11):75-76. 被引量:2
-
2戈艳蕾,李建,王红阳,李繁丽.丹红联合乙酰半胱氨酸治疗特发性间质性肺炎疗效观察[J].临床肺科杂志,2012,17(12):2172-2173. 被引量:14
-
3周建西.氨溴索联合川芎嗪治疗特发性肺纤维化52例[J].临床肺科杂志,2013,18(1):85-86. 被引量:3
-
4鞠善良,王在义.特发性肺间质纤维化发病机制最新进展[J].临床肺科杂志,2013,18(1):121-123. 被引量:22
-
5刘小燕,李时悦,陈小波.全身热疗联合地塞米松对大鼠肺纤维化治疗作用[J].海南医学,2013,24(3):316-318.
-
6张婉,李繁丽,戈艳蕾,刘聪辉.低分子肝素联合乙酰半胱氨酸治疗间质性肺炎患者疗效观察[J].河北联合大学学报(医学版),2013,15(2):201-202. 被引量:14
-
7许立.联合用药治疗特发性肺纤维化疗效分析[J].中国现代药物应用,2013,7(6):95-95. 被引量:3
-
8张学英,江振国,王红阳,戈艳蕾.乙酰半胱氨酸治疗肺间质纤维化患者疗效观察[J].河北联合大学学报(医学版),2013,15(4):521-522.
-
9戈艳蕾,刘香玉,李建,王红阳,李繁丽.丹红注射液及肝素雾化吸入治疗间质性肺炎疗效[J].时珍国医国药,2013,24(7):1668-1669. 被引量:7
-
10张学英,江振国,戈艳蕾.γ-干扰素联合激素治疗IPF患者临床疗效观察[J].河北联合大学学报(医学版),2013,15(5):667-668. 被引量:2
-
1顾国忠,赵继明.弥漫性肺间质疾病临床药物治疗进展[J].医学综述,1999,5(5):207-208. 被引量:1
-
2陈豪,江涛,周蜜.特发性肺纤维化治疗进展[J].临床肺科杂志,2015,20(9):1725-1727. 被引量:2
-
3胡蕙蕙,闻胜兰.6例急性间质性肺炎临床分析[J].全科医学临床与教育,2008,6(4):347-347. 被引量:2
-
4褚衍彪,杨蕾,吴大玮.特发性间质性肺炎的诊断及治疗进展——弥漫性肺间质疾病诊断方法概述[J].山东医药,2005,45(4):63-64. 被引量:3
-
5肖洋,高洁.特发性肺纤维化的治疗进展[J].临床肺科杂志,2007,12(2):155-156. 被引量:6
-
6岳红梅,余勤,张佳宾.肺泡灌洗液中转化生长因子β_1和胰岛素样生长因子1检测联合高分辨率CT对肺间质纤维化早期的诊断价值[J].临床荟萃,2005,20(8):448-450. 被引量:1
-
7徐兴祥,朱元珏.特发性肺纤维化治疗的研究进展[J].国外医学(呼吸系统分册),2004,24(3):146-149. 被引量:5
-
8闫春良,薛旗山,王京岚.过敏性肺炎的临床及影像特征分析[J].中国现代医药杂志,2014,16(9):20-22. 被引量:1
-
9唐正梁,林庆艳.内皮素在肺间质纤维化发生发展中的作用[J].中国基层医药,2010,17(9):1279-1280. 被引量:1
-
10孙永昌.肺纤维化常见的认识误区[J].中国社区医师,2014,30(10):38-38.