Honorato Pérez J, Arcas Meca R
Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Pamplona.
Rev Med Univ Navarra. 1990 Apr-Jun;34(2):77-9.
A controlled double-blind clinical trial was performed comparing therapeutic efficacy of hidrosmin versus diosmin in patients suffering from chronic venous insufficiency with varicose symptomatology in the inferior limbs. Ten patients were treated with hidrosmin and other 10 with diosmin randomly. The controls carried out during the trial were as follows; basal control before the beginning of the trial and therapeutic controls on days 15, 30, 60 and 90 of the study. With that aim clinical examinations and different explorations were performed: physical exam, phlebography, electrocardiogram, ophthalmological examination and biochemical analyses (hemogram, globular sedimentation rate, platelet counts, etc.). The clinical therapeutic efficacy of hidrosmin in the treatment of chronic venous insufficiency of inferior limbs was superior to the diosmin in most of the studied parameters even though a lower posology was employed. From a clinical point of view the clinical improvement in the subjective symptomatology (heaviness, local tenderness, cramps, paresthesias, etc.) was very superior to the one obtained with the objective signs (phlebography, skin trophism, evolution of the edema, etc.). No significative adverse reactions appeared.
进行了一项对照双盲临床试验,比较了羟乙香豆素与地奥司明对患有下肢静脉曲张症状的慢性静脉功能不全患者的治疗效果。10名患者随机接受羟乙香豆素治疗,另外10名患者接受地奥司明治疗。试验期间进行的对照如下:试验开始前的基础对照以及研究第15、30、60和90天的治疗对照。为此进行了临床检查和不同的检查:体格检查、静脉造影、心电图、眼科检查和生化分析(血常规、血沉、血小板计数等)。尽管使用的剂量较低,但在大多数研究参数中,羟乙香豆素治疗下肢慢性静脉功能不全的临床疗效优于地奥司明。从临床角度来看,主观症状(沉重感、局部压痛、痉挛、感觉异常等)方面的临床改善远优于客观体征(静脉造影、皮肤营养状况、水肿演变等)方面的改善。未出现明显的不良反应。