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伊洛前列素24小时静脉输注治疗间歇性跛行无效。

Lack of effect of a 24-hour infusion of iloprost in intermittent claudication.

作者信息

Hay C R, Waller P C, Carter C, Cameron H A, Parnell L, Ramsay L E, Preston F E, Greaves M

出版信息

Thromb Res. 1987 Apr 15;46(2):317-24. doi: 10.1016/0049-3848(87)90293-3.

DOI:10.1016/0049-3848(87)90293-3
PMID:2440125
Abstract

24 hour infusion of iloprost was compared with placebo infusion in 19 patients with stable intermittent claudication using a double blind, balanced crossover design. Despite significant inhibition of platelet aggregation to ADP and collagen (p less than 0.001) and the typical cardiovascular and gastrointestinal side effects, there was no significant effect on treadmill exercise times at any time up to 6 weeks after infusion. The 95% confidence limits indicated that an improvement of more than 25% was unlikely to occur. No significant changes in B thromboglobulin, platelet aggregate ratio, bleeding time, whole blood viscosity and euglobulin clot lysis time were demonstrated.

摘要

采用双盲、平衡交叉设计,对19例稳定型间歇性跛行患者进行了伊洛前列素24小时输注与安慰剂输注的比较。尽管对二磷酸腺苷(ADP)和胶原诱导的血小板聚集有显著抑制作用(p<0.001),且出现了典型的心血管和胃肠道副作用,但在输注后长达6周的任何时间,对跑步机运动时间均无显著影响。95%置信区间表明,改善超过25%的情况不太可能发生。β-血小板球蛋白、血小板聚集率、出血时间、全血粘度和优球蛋白凝块溶解时间均无显著变化。

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1
Lack of effect of a 24-hour infusion of iloprost in intermittent claudication.伊洛前列素24小时静脉输注治疗间歇性跛行无效。
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Clinical effects of intravenous iloprost in patients with intermittent claudication.静脉注射伊洛前列素治疗间歇性跛行患者的临床疗效。
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引用本文的文献

1
Prostanoids for intermittent claudication.用于间歇性跛行的前列腺素类药物。
Cochrane Database Syst Rev. 2013 Apr 30;2013(4):CD000986. doi: 10.1002/14651858.CD000986.pub3.
2
Drug treatment of intermittent claudication: a critical analysis of the methods and findings of published clinical trials, 1965-1985.间歇性跛行的药物治疗:对1965年至1985年已发表临床试验的方法和结果的批判性分析
Br J Clin Pharmacol. 1988 Nov;26(5):569-76. doi: 10.1111/j.1365-2125.1988.tb05297.x.
3
Pharmacological approaches to the treatment of intermittent claudication.
间歇性跛行治疗的药理学方法。
Drugs Aging. 1992 Mar-Apr;2(2):125-36. doi: 10.2165/00002512-199202020-00006.
4
Iloprost. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in peripheral vascular disease, myocardial ischaemia and extracorporeal circulation procedures.伊洛前列素。对其药效学和药代动力学特性以及在周围血管疾病、心肌缺血和体外循环手术中的治疗潜力的综述。
Drugs. 1992 Jun;43(6):889-924. doi: 10.2165/00003495-199243060-00008.