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吉非贝齐用于患有外周动脉疾病的高脂血症患者:一些未被发现的作用。

Gemfibrozil in hyperlipidaemic patients with peripheral arterial disease: some undiscovered actions.

作者信息

Stringer M D, Steadman C A, Kakkar V V

机构信息

Thrombosis Research Unit, King's College Hospital, London, England.

出版信息

Curr Med Res Opin. 1990;12(4):207-14. doi: 10.1185/03007999009111649.

DOI:10.1185/03007999009111649
PMID:2076620
Abstract

The effects of gemfibrozil were assessed in 27 hyperlipidaemic patients with stable peripheral arterial occlusive disease. Gemfibrozil (600 mg twice daily) was administered for 12 weeks after 2 weeks of placebo medication, thus enabling patients to act as their own controls. Serum cholesterol levels were reduced by a mean of 11.3%, triglycerides by 42.3% and low density lipoprotein cholesterol by 19.9%. Small but significant increases in HDL3 and apolipoprotein A-II also occurred. New findings included significant reductions in plasma lipid peroxides and Factor VIIc levels and a mean increase of 19% in antithrombin III concentrations. Furthermore, plasma fibrinogen levels increased by a mean of 17.6%, a potentially adverse effect of gemfibrozil that has not been previously reported.

摘要

在27名患有稳定型外周动脉闭塞性疾病的高脂血症患者中评估了吉非贝齐的效果。在服用2周安慰剂后,给予吉非贝齐(每日两次,每次600毫克),持续12周,这样患者就可以作为自身对照。血清胆固醇水平平均降低了11.3%,甘油三酯降低了42.3%,低密度脂蛋白胆固醇降低了19.9%。高密度脂蛋白3和载脂蛋白A-II也有小幅但显著的升高。新发现包括血浆脂质过氧化物和因子VIIc水平显著降低,抗凝血酶III浓度平均升高19%。此外,血浆纤维蛋白原水平平均升高了17.6%,这是吉非贝齐一个此前未被报道过的潜在不良反应。

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Gemfibrozil in hyperlipidaemic patients with peripheral arterial disease: some undiscovered actions.吉非贝齐用于患有外周动脉疾病的高脂血症患者:一些未被发现的作用。
Curr Med Res Opin. 1990;12(4):207-14. doi: 10.1185/03007999009111649.
2
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Ciprofibrate versus gemfibrozil in the treatment of primary hyperlipidaemia.环丙贝特与吉非贝齐治疗原发性高脂血症的比较。
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Gemfibrozil improves abnormalities of lipid metabolism in patients on continuous ambulatory peritoneal dialysis: the role of postheparin lipases in the metabolism of high-density lipoprotein subfractions.吉非贝齐改善持续非卧床腹膜透析患者的脂质代谢异常:肝素后脂肪酶在高密度脂蛋白亚组分代谢中的作用。
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引用本文的文献

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Gemfibrozil. A reappraisal of its pharmacological properties and place in the management of dyslipidaemia.吉非贝齐。对其药理特性及在血脂异常管理中的地位的重新评估。
Drugs. 1996 Jun;51(6):982-1018. doi: 10.2165/00003495-199651060-00009.
2
Lipids in non-insulin dependent diabetes: a case for treatment?非胰岛素依赖型糖尿病中的脂质:是否需要治疗?
J R Soc Med. 1991 Nov;84(11):694.