中国全科医学

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药物联合方案在炎症性肠病治疗中的现状

谢芳, 毛靖伟*   

  1. 116011 辽宁省大连市,大连医科大学附属第一医院消化内科
  • 收稿日期:2025-01-23 修回日期:2025-03-24 接受日期:2025-04-11
  • 通讯作者: 毛靖伟

The Present State of Combination Therapy in the Management of Inflammatory Bowel Disease

XIE Fang,MAO Jingwei*   

  • Received:2025-01-23 Revised:2025-03-24 Accepted:2025-04-11
  • Contact: MAO Jingwei
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摘要: 炎症性肠病(IBD)是一种主要累及肠道的慢性复发性炎症性疾病,部分患者伴有肠外表现,肠道致残率高、具有终生复发倾向。生物制剂较高失应答率等原因导致目前单一靶向治疗为主的方案受到一定限制,既往比较成熟的联合治疗的获益,推动学者对于不同种类生物制剂联合或者生物制剂联合小分子药物的治疗方案的探索。本文就药物联合治疗策略的疗效、安全性、适合人群等问题进行总结,探索IBD治疗的新方法。

关键词: 炎症性肠病, 双靶治疗, 联合治疗, 生物制剂

Abstract: Inflammatory bowel disease (IBD) is a persistent and recurrent inflammatory condition primarily impacting the intestines. A subset of patients may experience extra-intestinal manifestations, characterized by a significant incidence of intestinal disability and a chronic propensity for recurrence. The limited success rate of biological agents underscores the constraints of the current single-targeted therapeutic approach. Historical evidence of the advantages associated with established combination therapies has motivated researchers to investigate dual-targeted therapeutic strategies involving diverse biological agents. This article provides a comprehensive review of the efficacy, safety, and appropriateness of drug combination therapy strategies based on biologics, while also exploring novel methodologies for the treatment of IBD.

Key words: Inflammatory bowel disease, Dual target therapy, Combination therapy, Biologic agents