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阿夫唑嗪(10毫克)对年轻健康男性的血压没有影响。

Alfuzosin (10 mg) does not affect blood pressure in young healthy men.

作者信息

Mondaini Nicola, Giubilei Gianluca, Ungar Andrea, Gontero Paolo, Cai Tommaso, Gavazzi Andrea, Bartoletti Riccardo, Geppetti Pierangelo, Carini Marco

机构信息

Urology Division, S. Maria Annunziata Hospital, University of Florence, Florence, Italy.

出版信息

Eur Urol. 2006 Dec;50(6):1292-6; discussion 1297-8. doi: 10.1016/j.eururo.2006.06.016. Epub 2006 Jun 28.

Abstract

OBJECTIVES

Alfuzosin 10mg is a uroselective alpha(1)-adrenoceptor antagonist used to treat lower urinary tract symptoms suggestive of benign prostatic hyperplasia. Recent studies have suggested the potential efficacy of alfuzosin in the treatment of distal ureteral stones and prostatitis syndrome, two conditions frequently encountered in young patients. The objective of this study was to evaluate the effect of 10mg alfuzosin on blood pressure (BP) and heart rate (HR) in young healthy volunteers.

MATERIALS AND METHODS

In a randomized, double-blind, placebo-controlled, crossover study, the effect of alfuzosin 10mg on BP and HR was evaluated in 14 male volunteers (mean age: 28 yr; range: 24-30). BP<135/85 obtained in two separated measurements was a main inclusion criterion. Patients were then randomized to alfuzosin (10mg once a day) or placebo for 1 wk, followed by a washout week, and then crossed over to the other treatment. Patients were instructed to self-measure systolic (SBP) and diastolic (DBP) blood pressure and HR every hour between 8am and 8pm during the first and the last day of each cycle treatment.

RESULTS

All 14 enrolled volunteers completed the study. No significant difference in either SBP, DBP, or HR was observed between the placebo and alfuzosin groups at baseline. Alfuzosin did not affect SBP, DBP, or HR. No hypotensive episode (SBP reduction >10%) was recorded during each treatment.

CONCLUSIONS

This study shows that alfuzosin 10mg is well tolerated by young healthy subjects and may therefore be safely administered to young normotensive patients affected by distal ureteral stones and prostatitis.

摘要

目的

阿夫唑嗪10毫克是一种尿路选择性α(1)-肾上腺素能受体拮抗剂,用于治疗提示良性前列腺增生的下尿路症状。最近的研究表明,阿夫唑嗪在治疗远端输尿管结石和前列腺炎综合征方面可能有效,这是年轻患者中经常遇到的两种病症。本研究的目的是评估10毫克阿夫唑嗪对年轻健康志愿者血压(BP)和心率(HR)的影响。

材料和方法

在一项随机、双盲、安慰剂对照、交叉研究中,对14名男性志愿者(平均年龄:28岁;范围:24 - 30岁)评估了10毫克阿夫唑嗪对BP和HR的影响。两次单独测量中血压<135/85是主要纳入标准。患者随后被随机分为阿夫唑嗪组(每天10毫克一次)或安慰剂组,治疗1周,随后有1周的洗脱期,然后交叉接受另一种治疗。在每个周期治疗的第一天和最后一天,指导患者在上午8点至晚上8点之间每小时自行测量收缩压(SBP)、舒张压(DBP)和HR。

结果

所有14名入选志愿者均完成了研究。在基线时,安慰剂组和阿夫唑嗪组之间的SBP、DBP或HR均未观察到显著差异。阿夫唑嗪不影响SBP、DBP或HR。在每次治疗期间均未记录到低血压发作(SBP降低>10%)。

结论

本研究表明,年轻健康受试者对10毫克阿夫唑嗪耐受性良好,因此对于受远端输尿管结石和前列腺炎影响的年轻血压正常患者,可以安全给药。

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