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心脏选择性β受体阻滞剂塞利洛尔对哮喘患者肺功能的影响。

The effect of the cardioselective beta blocker celiprolol on pulmonary function in asthmatic patients.

作者信息

Schindl R, Würtz J, Hoffmann H

出版信息

J Cardiovasc Pharmacol. 1986;8 Suppl 4:S99-101. doi: 10.1097/00005344-198608004-00021.

DOI:10.1097/00005344-198608004-00021
PMID:2427862
Abstract

The influence of single oral doses of 200 mg celiprolol, 100 mg atenolol, and 200 mg metoprolol on airway resistance (Raw) FEV1, VC, and MEF 50 was studied in a randomized double-blind crossover trial. Eighteen patients with hypertension and asthma, 14 men and 4 women, aged 43-75 years, took part. Pulmonary function tests were performed in the morning before treatment and 2 and 5 h after each treatment in the whole-body plethysmograph. The use of bronchodilators was not allowed during the 3 days. There was no significant change in airway resistance, FEV1, and MEF 50 after celiprolol and a slight increase of vital capacity at 2 h. After atenolol there was a decrease of FEV1 and MEF 50 at 5 h. Metoprolol caused an increase in resistance at 2 and 5 h and a fall in FEV1, VC, and MEF 50 at 2 and 5 h. Two patients required bronchodilator therapy after metoprolol and were excluded from evaluation. We conclude that celiprolol appears to be a safe drug in the treatment of asthmatic patients.

摘要

在一项随机双盲交叉试验中,研究了单次口服200毫克塞利洛尔、100毫克阿替洛尔和200毫克美托洛尔对气道阻力(Raw)、第一秒用力呼气容积(FEV1)、肺活量(VC)和最大呼气中期流速(MEF 50)的影响。18例患有高血压和哮喘的患者参与了研究,其中14名男性和4名女性,年龄在43至75岁之间。在全身体积描记器中,于治疗前的早晨以及每次治疗后的2小时和5小时进行肺功能测试。在3天内不允许使用支气管扩张剂。服用塞利洛尔后气道阻力、FEV1和MEF 50无显著变化,肺活量在2小时时有轻微增加。服用阿替洛尔后,5小时时FEV1和MEF 50下降。美托洛尔在2小时和5小时时导致阻力增加,在2小时和5小时时FEV1、VC和MEF 50下降。两名患者在服用美托洛尔后需要支气管扩张剂治疗,被排除在评估之外。我们得出结论,塞利洛尔似乎是治疗哮喘患者的一种安全药物。

相似文献

1
The effect of the cardioselective beta blocker celiprolol on pulmonary function in asthmatic patients.心脏选择性β受体阻滞剂塞利洛尔对哮喘患者肺功能的影响。
J Cardiovasc Pharmacol. 1986;8 Suppl 4:S99-101. doi: 10.1097/00005344-198608004-00021.
2
Celiprolol, atenolol and propranolol: a comparison of pulmonary effects in asthmatic patients.塞利洛尔、阿替洛尔和普萘洛尔:哮喘患者肺部效应的比较
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Comparison of respiratory effects of two cardioselective beta-blockers, celiprolol and atenolol, in asthmatics with mild to moderate hypertension.
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Bronchosparing properties of celiprolol, a new beta 1, alpha 2-blocker, in propranolol-sensitive asthmatic patients.新型β1、α2受体阻滞剂塞利洛尔对普萘洛尔敏感的哮喘患者的支气管保护特性
J Cardiovasc Pharmacol. 1986;8 Suppl 4:S40-2.
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Effects of high doses of celiprolol in asthmatic patients.高剂量塞利洛尔对哮喘患者的影响。
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Effects of celiprolol, a cardioselective beta-blocker, on respiratory function in asthmatic patients.
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Effect of long-term treatment with celiprolol on pulmonary function in a group of mild hypertensive asthmatics.塞利洛尔长期治疗对一组轻度高血压哮喘患者肺功能的影响。
J Int Med Res. 1988;16 Suppl 1:27A-33A.
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Comparative effects of celiprolol, propranolol, oxprenolol, and atenolol on respiratory function in hypertensive patients with chronic obstructive lung disease.塞利洛尔、普萘洛尔、氧烯洛尔和阿替洛尔对慢性阻塞性肺疾病高血压患者呼吸功能的比较影响。
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The bronchosparing effect of celiprolol, a new beta 1- alpha 2-receptor antagonist on pulmonary function of propranolol-sensitive asthmatics.新型β1-α2受体拮抗剂塞利洛尔对普萘洛尔敏感型哮喘患者肺功能的支气管 sparing 效应。 (注:这里bronchosparing可能有误,推测应该是bronchosparing,“支气管保护”之意,翻译按推测进行了修正)
J Clin Pharmacol. 1985 Jul-Aug;25(5):354-9. doi: 10.1002/j.1552-4604.1985.tb02854.x.

引用本文的文献

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An updated insight into the effect of β-adrenergic receptor antagonists (β-blockers) on respiratory function in asthma patients: a systematic review and meta-analysis.β-肾上腺素能受体拮抗剂(β受体阻滞剂)对哮喘患者呼吸功能影响的最新见解:一项系统评价和荟萃分析。
Front Physiol. 2025 Jul 25;16:1582740. doi: 10.3389/fphys.2025.1582740. eCollection 2025.
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Do beta-adrenergic blocking agents increase asthma exacerbation? A network meta-analysis of randomized controlled trials.β肾上腺素能阻滞剂会增加哮喘恶化吗?一项随机对照试验的网络荟萃分析。
Sci Rep. 2021 Jan 11;11(1):452. doi: 10.1038/s41598-020-79837-3.
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Cardioselective beta-blocker use in patients with reversible airway disease.
可逆性气道疾病患者使用心脏选择性β受体阻滞剂。
Cochrane Database Syst Rev. 2001;2002(2):CD002992. doi: 10.1002/14651858.CD002992.
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A risk-benefit assessment of celiprolol in the treatment of cardiovascular disease.塞利洛尔治疗心血管疾病的风险效益评估。
Drug Saf. 1994 Mar;10(3):220-32. doi: 10.2165/00002018-199410030-00004.
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Pharmacological actions of the selective and non-selective beta-adrenoceptor antagonists celiprolol, bisoprolol and propranolol on human bronchi.选择性和非选择性β-肾上腺素能拮抗剂塞利洛尔、比索洛尔和普萘洛尔对人支气管的药理作用。
Br J Pharmacol. 1994 Nov;113(3):1043-9. doi: 10.1111/j.1476-5381.1994.tb17098.x.
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