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[长效硝酸盐对血小板聚集和前列腺素形成的影响]

[Effects of prolonged-action nitrates on platelet aggregation and prostaglandin formation].

作者信息

Kirichenko L L, Masenko V P, Evdokimova A G, Iunusov M A

出版信息

Kardiologiia. 1992 Apr;32(4):8-10.

PMID:1405245
Abstract

Platelet aggregation and prostaglandin levels were examined in 50 patients with coronary heart disease concurrent with Functional Classes II-III angina who received nitroglycerin-retard (n = 20; Group 1), corovas (n = 20; Group 2), and placebo (n = 10; Group 3). Long-acting nitrates were found to exert a positive action on thrombocytic hemostasis as decreased platelet aggregation and reverse aggregation in 25% of the corovas-treated patients. Placebo failed to have the same action. Nitroglycerin-retard caused an increase in prostacyclin concentrations. Nitroglycerin-retard and corovas produced a clear-cut antianginal effect. They promoted the reduction in the number of anginal episodes and of nitroglycerin tablets used. No antianginal effect was absent when placebo was used.

摘要

对50例患有冠心病并发II - III级心绞痛的患者进行了血小板聚集和前列腺素水平检测,这些患者分别接受了缓释硝酸甘油(n = 20;第1组)、可洛伐斯(n = 20;第2组)和安慰剂(n = 10;第3组)治疗。发现长效硝酸盐对血小板止血有积极作用,在25%接受可洛伐斯治疗的患者中血小板聚集减少且出现反向聚集。安慰剂没有相同作用。缓释硝酸甘油使前列环素浓度升高。缓释硝酸甘油和可洛伐斯产生了明显的抗心绞痛作用。它们促使心绞痛发作次数和所用硝酸甘油片数量减少。使用安慰剂时未出现抗心绞痛作用。

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