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多重作用降压药乌拉地尔的血流动力学效应

Haemodynamic effects of the multiple action antihypertensive drug urapidil.

作者信息

Mancia G

机构信息

Cattedra di Semeiotica Medica, Università di Milano, Centro Auxologico Italiano, Italy.

出版信息

Drugs. 1990;40 Suppl 4:14-20; discussion 28-30. doi: 10.2165/00003495-199000404-00005.

DOI:10.2165/00003495-199000404-00005
PMID:2092964
Abstract

This paper reviews the evidence that the antihypertensive effect of urapidil is due to a systemic vasodilatation with no change in cardiac output, no tachycardia and no under-perfusion of vital organs. Urapidil does not impair the cardiovascular control exerted by arterial baroreceptors and cardiopulmonary receptors. This is probably the reason why no orthostatic hypotension and derangement in blood pressure homeostasis follows its administration.

摘要

本文综述了有关证据,表明乌拉地尔的降压作用是由于全身性血管舒张,心输出量无变化,无心动过速,重要器官无灌注不足。乌拉地尔不损害动脉压力感受器和心肺感受器对心血管的控制。这可能就是其用药后不出现体位性低血压和血压稳态紊乱的原因。

相似文献

1
Haemodynamic effects of the multiple action antihypertensive drug urapidil.多重作用降压药乌拉地尔的血流动力学效应
Drugs. 1990;40 Suppl 4:14-20; discussion 28-30. doi: 10.2165/00003495-199000404-00005.
2
Cardiac and circulatory response to the intravenous administration of urapidil during general anaesthesia.
Drugs Exp Clin Res. 1990;16(6):315-8.
3
Urapidil in normotensive and spontaneously hypertensive rats: the effects on systemic and regional haemodynamics and cardiac mass.乌拉地尔对正常血压和自发性高血压大鼠的影响:对全身和局部血流动力学及心脏质量的作用
J Hypertens. 1984 Jun;2(3):317-20.
4
Systemic and regional hemodynamic effects of acute and prolonged treatment with urapidil or prazosin in normotensive and spontaneously hypertensive rats.
Am J Med. 1984 Oct 5;77(4A):64-73. doi: 10.1016/s0002-9343(84)80039-x.
5
Acute haemodynamic effects of urapidil in patients with chronic left ventricular failure.乌拉地尔对慢性左心室衰竭患者的急性血流动力学影响。
Eur J Clin Pharmacol. 1988;35(3):305-8. doi: 10.1007/BF00558269.
6
Hemodynamic effects of urapidil in patients with pulmonary hypertension. A comparative study with hydralazine.乌拉地尔对肺动脉高压患者的血流动力学影响。与肼屈嗪的对比研究。
Am Rev Respir Dis. 1987 Feb;135(2):288-93. doi: 10.1164/arrd.1987.135.2.288.
7
[Cardiovascular effects of urapidil].[乌拉地尔的心血管效应]
J Pharmacol. 1983 Oct-Dec;14(4):465-72.
8
The hemodynamics of hypertension and antihypertensive therapy.高血压的血流动力学与抗高血压治疗
Angiology. 1966 Sep;17(9):627-39. doi: 10.1177/000331976601700902.
9
[Studies on the influence of the antihypertensive drug urapidil on blood circulation and its regulation in animal experiments (author's transl)].抗高血压药物乌拉地尔对动物实验中血液循环及其调节影响的研究(作者译)
Arzneimittelforschung. 1977;27(10):1908-19.
10
Influence of urapidil on intracranial pressure and intracranial compliance in dogs.乌拉地尔对犬颅内压及颅内顺应性的影响。
Br J Anaesth. 1983 May;55(5):443-8. doi: 10.1093/bja/55.5.443.

本文引用的文献

1
Neural control of circulation before and after intravenous urapidil in essential hypertension.
Drugs. 1988;35 Suppl 6:104-10. doi: 10.2165/00003495-198800356-00015.
2
Cardiopulmonary receptor modulation of plasma renin activity in normotensive and hypertensive subjects.
Hypertension. 1988 Jan;11(1):92-9. doi: 10.1161/01.hyp.11.1.92.
3
Urapidil in patients with severe hypertension and in long-term treatment.乌拉地尔用于重度高血压患者及长期治疗。
J Hypertens Suppl. 1988 Dec;6(2):S37-42.
4
Basic pharmacology of alpha-adrenoceptor antagonists and hybrid drugs.α-肾上腺素能受体拮抗剂及混合药物的基础药理学
J Hypertens Suppl. 1988 Dec;6(2):S3-11.
5
Systemic haemodynamic and humoral changes during urapidil treatment in hypertensive patients.高血压患者使用乌拉地尔治疗期间的全身血流动力学和体液变化。
J Hypertens Suppl. 1988 Dec;6(2):S25-9.
6
Renal haemodynamic and neurohumoral responses to urapidil in hypertensive man.高血压患者对乌拉地尔的肾血流动力学及神经体液反应
Drugs. 1988;35 Suppl 6:74-7. doi: 10.2165/00003495-198800356-00010.