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[与己酮可可碱相比,口服曲匹地尔治疗闭塞性动脉硬化症的临床和血液流变学参数的影响——一项初步研究]

[The effect of oral trapidil therapy on clinical and hemorheological parameters in arteriosclerosis obliterans in comparison to pentoxifylline--a pilot study].

作者信息

Regenthal R, Voigt H, Reuter W, Preiss R

机构信息

Institut für Klinische Pharmakologie, des Bereiches Medizin, Universität Leipzig.

出版信息

Z Gesamte Inn Med. 1991 Apr;46(6):185-90.

PMID:2063598
Abstract

20 male patients from 44 to 61 years of age with arteriosclerotic disturbances of the blood supply of the legs (stage II after Fontaine) were in the cross-over treated with 3 x 200 mg trapidil or 3 x 200 mg pentoxifylline daily. The duration of the therapy was in each case 6 weeks with a one-week elutriation phase. Statistically ascertained was an increase of the distance of intermittent claudication for the two drugs in patients with initial values lower than 550 m. On the other hand the tibio-brachial Doppler quotient and the submaximal blood supply established by the venous-occlusion plethysmography did not change. The post-ischaemic recovery phase of the transcutaneous oxygen partial pressure at the lower leg shortened in particular under the influence of trapidil. Lipid parameter, haematocrit, fibrinogen and plasma viscosity remained unchanged. The subjective tolerance of the two remedies was good.

摘要

20名年龄在44至61岁之间、患有腿部动脉硬化性供血障碍(Fontaine分期II期)的男性患者,接受了交叉治疗,分别每日服用3次200毫克曲匹地尔或3次200毫克己酮可可碱。每种治疗的持续时间均为6周,并伴有1周的洗脱期。经统计学确定,对于初始值低于550米的患者,两种药物均可使间歇性跛行距离增加。另一方面,胫臂多普勒指数以及通过静脉阻塞体积描记法测定的次最大供血量并未改变。特别是在曲匹地尔的影响下,小腿经皮氧分压的缺血后恢复阶段缩短。血脂参数、血细胞比容、纤维蛋白原和血浆粘度均保持不变。两种药物的主观耐受性良好。

相似文献

1
[The effect of oral trapidil therapy on clinical and hemorheological parameters in arteriosclerosis obliterans in comparison to pentoxifylline--a pilot study].[与己酮可可碱相比,口服曲匹地尔治疗闭塞性动脉硬化症的临床和血液流变学参数的影响——一项初步研究]
Z Gesamte Inn Med. 1991 Apr;46(6):185-90.
2
[Oral trapidil treatment of Fontaine stage II arteriosclerotic circulatory disorders of the legs--a double-blind study].[口服曲匹地尔治疗Fontaine II期下肢动脉硬化性循环障碍——一项双盲研究]
Z Gesamte Inn Med. 1990 May 15;45(10):283-7.
3
[Lipid metabolism and peripheral hemodynamics in arteriosclerosis obliterans treated with nifedipine--a comparison with pentoxifylline].
Z Gesamte Inn Med. 1989 Feb 1;44(3):77-9.
4
Pentoxifylline--a new drug for the treatment of intermittent claudication.
Indian Heart J. 1989 Mar-Apr;41(2):127-33.
5
Pentoxifylline (Trental)--a new drug for the treatment of peripheral chronic occlusive arterial disease.
J Med. 1988;19(2):89-107.
6
A controlled trial of pentoxifylline (Trental 400) in intermittent claudication: clinical, haemostatic and rheological effects.己酮可可碱(曲克芦丁400)治疗间歇性跛行的对照试验:临床、止血和流变学效应
N Z Med J. 1987 Jul 22;100(828):445-7.
7
[Serum lipid levels in patients with arteriosclerosis obliterans of the legs during treatment with pentoxifylline].
Pol Tyg Lek. 1988 Aug 22;43(34):1092-4.
8
[Ozone therapy and viscosity of blood and plasma, distance of intermittent claudication and certain biochemical plasma components in patients with occlusive arteriosclerosis of the lower limbs].
Pol Tyg Lek. 1991;46(37-39):700-3.
9
[Effect of long-term pentoxifylline treatment on selected parameters of the fibrinolytic system in patients with arteriosclerosis obliterans of the legs].
Pol Tyg Lek. 1988 Jun 13;43(24):776-8.
10
Effects of pentoxifylline administration on blood viscosity and leukocyte cytoskeletal function in patients with intermittent claudication.己酮可可碱给药对间歇性跛行患者血液粘度和白细胞细胞骨架功能的影响。
J Lab Clin Med. 1990 Jun;115(6):738-44.

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