Smulski H S
Oddziału Klinicznego Chorób Zawodowych Instytutu Farmakologii i Toksykologii Pomorskiej Akademii Medycznej.
Ann Acad Med Stetin. 1991;37:191-202.
Chronic ischemia of the lower extremities with atherosclerosis background is being manifested by intermittent claudication. For treating the intermittent claudication many drugs are used, which may give rise to therapeutical side effects. In 50 patients with diagnosed arteriosclerosis affecting the lower extremities in II stage according to Fontain, a vegetable preparation PADMA-28 was applied for 16 weeks. A marked, statistically significant elongation of the claudication distance was achieved. That was measured, under standardized condition, on an ergometer-treadmill. Moreover, there was also a decrease in the index of blood platelets aggregation, a drop in the level of cholesterol, triglycerides, total lipids, beta lipoproteins, and an increase in ++alpha lipoproteins. Also 50 patients were receiving placebo for 16 weeks, but no positive results were observed in comparison with preparation PADMA-28. The studies were carried out by the method of double blind test, the latter was accomplished by randomized method. Observation, the performed biochemical examinations did not reveal any undesirable effect. Drug tolerance was excellent. The positive influence of the drug may result from summed action of components contained in the preparation namely: bioflavonoides, salicylates, valepotriates, tannins, phenol acids, ethereal oils and esters of acids. PADMA-28 may be a useful adjuvant to therapeutic methods with regard to chronic ischemia of the lower extremities in II stage, according to Fontain.
伴有动脉粥样硬化背景的下肢慢性缺血表现为间歇性跛行。治疗间歇性跛行使用了多种药物,这些药物可能会产生治疗副作用。对50例根据Fontain分级处于II期的下肢动脉硬化确诊患者应用植物制剂PADMA - 28,疗程为16周。在标准条件下,通过功率计 - 跑步机测量,发现跛行距离有显著的、具有统计学意义的延长。此外,血小板聚集指数降低,胆固醇、甘油三酯、总脂质、β脂蛋白水平下降,α脂蛋白水平升高。另外50例患者接受了16周的安慰剂治疗,但与PADMA - 28制剂相比未观察到阳性结果。研究采用双盲试验方法,后者通过随机方法完成。观察发现,所进行的生化检查未显示任何不良影响。药物耐受性良好。该药物的积极作用可能源于制剂中所含成分的综合作用,即生物类黄酮、水杨酸盐、缬草三酯、单宁、酚酸、挥发油和酸酯。根据Fontain分级,对于II期下肢慢性缺血,PADMA - 28可能是治疗方法的一种有用辅助药物。