Mikami M, Tatsumi K, Kimura H, Honda Y, Kuriyama T
Department of Chest Medicine, School of Medicine, Chiba University, Japan.
Chest. 1989 Nov;96(5):1073-5. doi: 10.1378/chest.96.5.1073.
Twelve healthy men were studied to determine the effect of ventilatory stimulation with chlormadinone acetate (CMA), a potent synthetic progesterone, in small doses (5 mg/day), on arterial blood gas levels. Using a randomized, double-blind, crossover trial, one week of CMA administration caused a significant reduction in arterial CO2 tension (PaCO2) by 4.1 +/- 2.9 (SD) mm Hg. The magnitude of the fall in PaCO2 was about the same as that obtained with dose of 50 mg per day in our previous study. The results indicate that the dosages of progestin and the effect of the drug on ventilation were not in parallel, and it may provide the idea that larger doses of progestin would not necessarily be required to stimulate ventilation.
对12名健康男性进行了研究,以确定小剂量(5毫克/天)的强效合成孕激素醋酸氯地孕酮(CMA)通气刺激对动脉血气水平的影响。采用随机、双盲、交叉试验,给予CMA一周可使动脉血二氧化碳分压(PaCO2)显著降低4.1±2.9(标准差)毫米汞柱。PaCO2下降的幅度与我们之前研究中每天50毫克剂量时获得的幅度大致相同。结果表明,孕激素剂量与药物对通气的影响并不平行,这可能提示不一定需要更大剂量的孕激素来刺激通气。