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长春西汀对肾衰竭血液透析患者顽固性肿瘤性钙化去除的临床评估

Clinical appraisal of vinpocetine for the removal of intractable tumoral calcinosis in haemodialysis patients with renal failure.

作者信息

Ueyoshi A, Ota K

机构信息

Department of Orthopaedic Surgery, Wakayama Medical College, Japan.

出版信息

J Int Med Res. 1992 Sep;20(5):435-43. doi: 10.1177/030006059202000508.

Abstract

Previous studies have shown that vinpocetine [14-ethoxycarbonyl-(3 alpha, 16 alpha-ethyl)-14,15-eburnamenine] scavenges minerals and/or metals in the soft tissues of rabbits with artificially induced arteriosclerosis. The present study was carried out to determine whether or not vinpocetine would bring about the removal of intractable tumoral calcinosis in haemodialysis patients with renal failure. After administration of 15 mg/day vinpocetine for 3-12 months in haemodialysis patients with X-ray evidence of tumoral calcinosis, calcinosis was completely eliminated in all eight cases. Serum alkaline phosphatase and bone osteocalcin concentrations tended to decrease after treatment with vinpocetine compared with before treatment. Vinpocetine thus appears to be an effective scavenger of tumoral calcinosis in haemodialysis patients with renal failure without any side-effects during treatment.

摘要

先前的研究表明,长春西汀[14 - 乙氧羰基 - (3α, 16α - 乙基)-14,15 - 长春胺]可清除人工诱导动脉粥样硬化的家兔软组织中的矿物质和/或金属。本研究旨在确定长春西汀是否能消除肾衰竭血液透析患者难治性肿瘤性钙化。在有肿瘤性钙化X线证据的血液透析患者中,给予长春西汀15毫克/天,持续3至12个月后,所有8例患者的钙化均完全消除。与治疗前相比,长春西汀治疗后血清碱性磷酸酶和骨钙素浓度有下降趋势。因此,长春西汀似乎是肾衰竭血液透析患者肿瘤性钙化的有效清除剂,治疗期间无任何副作用。

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