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[慢性脑血管疾病中的全血滤过率:盐酸丁咯地尔使用的影响]

[Whole blood filterability in chronic cerebrovascular disorders: effects of the use of buflomedil hydrochloride].

作者信息

Ciuffetti G, Mercuri M, Lombardini R, Palazzetti D, Rizzo M T, Parnetti L

机构信息

Istituto di II Clinica Medica-Geriatria, Università degli Studi di Perugia.

出版信息

Minerva Med. 1989 Nov;80(11):1237-40.

PMID:2689916
Abstract

Buflomedil chlorhydrate is a newly synthesized molecule with a notable effect of vasodilatation even on cerebral blood vessels. It is effective in the treatment of Chronic Cerebrovascular Disorders (CCVD) as it reduces membrane rigidity in red blood cells. Since, however, new techniques for the evaluation of this haemorheological parameter suggest it may no longer be considered the sole expression of whole blood filterability we decided to monitor the haemorheological effect of Buflomedil once again. The aim of this random blind vs. Placebo study was to monitor whole blood filterability (Reid and coll., 1976) and its main determinants (hematocrit, leucocyte count, fibrinogen levels, plasma viscosity and red blood cell deformability) in 20 (10 male and 10 female) CCVD patients (Ad Hoc Committee, Paris, 1980), aged between 66 and 75 years of age before and after intravenous injection in bolus of 150 mg Buflomedil chlorhydrate. Our results showed a significant increase in whole blood filterability, confirming those of recent studies on other molecules with a known effect on the haemorheological pattern but not only on the plasticity of red blood cells. Further studies are therefore necessary to define the rheological activity of this drug more precisely.

摘要

盐酸丁咯地尔是一种新合成的分子,即使对脑血管也有显著的血管舒张作用。它可降低红细胞膜的刚性,因此对慢性脑血管疾病(CCVD)的治疗有效。然而,由于评估这一血液流变学参数的新技术表明,它可能不再被视为全血滤过性的唯一指标,我们决定再次监测丁咯地尔的血液流变学效应。这项随机双盲对照安慰剂研究的目的是,在20名(10名男性和10名女性)CCVD患者(巴黎特设委员会,1980年)中,监测其全血滤过性(Reid等人,1976年)及其主要决定因素(血细胞比容、白细胞计数、纤维蛋白原水平、血浆粘度和红细胞变形性),这些患者年龄在66至75岁之间,在静脉推注150毫克盐酸丁咯地尔前后进行监测。我们的结果显示全血滤过性显著增加,这与最近对其他对血液流变学模式有已知作用、但不仅对红细胞可塑性有作用的分子的研究结果一致。因此,有必要进行进一步研究,以更精确地确定这种药物的流变学活性。

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