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[心得安对心绞痛患者不同给药方案的比较研究(一项合作研究)]

[Comparative study of various schedules of administration of propranolol to patients with stenocardia (a cooperative study)].

出版信息

Kardiologiia. 1989 Feb;29(2):38-42.

PMID:2498565
Abstract

Forty-eight anginal patients (mean age: 50.3 +/- 1.6 years) were included in the study, carried out in 6 centres. Both the continuous regimen of propranolol (PR) administration (4 or 3 times daily) and the intermittent regimen (twice daily) were associated with a significant drop in the frequency of anginal attacks and the quantity of nitroglycerine pills consumed (p less than 0.05). PR, used for 12 weeks in a regimen, determined by means of paired bicycle ergometric tests, produced an antianginal effect in 85% of anginal patients, the effect being absolute in 35% of those. However, in the "twice-daily" regimen of PR administration, paired bicycle ergometry, conducted in the course of treatment, revealed that antianginal effect was not stable within 12 hours. Treatment courses with higher daily PR doses failed to produce any significant drop in the frequency of anginal attacks as compared to the effect, already achieved with an earlier dose.

摘要

该研究在6个中心开展,纳入了48例心绞痛患者(平均年龄:50.3±1.6岁)。普萘洛尔(PR)的持续给药方案(每日4次或3次)和间歇给药方案(每日2次)均与心绞痛发作频率和硝酸甘油片消耗量的显著下降相关(p<0.05)。通过配对自行车测力计测试确定给药方案,PR用药12周,85%的心绞痛患者产生了抗心绞痛作用,其中35%的患者作用完全。然而,在PR“每日2次”的给药方案中,治疗过程中进行的配对自行车测力计测试显示,抗心绞痛作用在12小时内不稳定。与早期剂量已达到的效果相比,每日PR剂量更高的治疗疗程未能使心绞痛发作频率显著下降。

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