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益多酯在闭塞性动脉硬化症中的疗效。对高脂血症合并闭塞性动脉硬化症患者的初步研究

[Effectiveness of etofibrate in arteriosclerosis obliterans. Pilot study in hyperlipidemic patients with arteriosclerosis obliterans].

作者信息

Dembińska-Kieć A, Kostka-Trabka E, Grodzińska L, Bieroń K, Kedzior A, Basista M, Zmuda A, Trabka E, Slawiński M, Czarnecka H

出版信息

Fortschr Med. 1989 Jul 10;107(20):450-2.

PMID:2767596
Abstract

In a pilot study the therapeutic effect of 2 x 500 mg etofibrate (Lipo Merz retard) on lipids and lipoproteins, fibrinolytic activity and clinical parameters was studied for four weeks in hyperlipidemic patients suffering from arteriosclerosis obliterans (Fontaine stage II/III). The study parameters were evaluated prior to and after the four weeks of treatment. Administration of etofibrate resulted in a significant decrease in serum cholesterol and triglyceride levels, the decrease in LDL-/HDL-cholesterol-ratio due mainly to an elevation of the HDL-cholesterol fraction, an increase in plasma fibrinolytic activity, an increased peripheral blood flow in the ischemic leg, and an increase in the pain-free walking distance. Thus, etofibrate applied twice daily might be recommended for the treatment of hyperlipidemic patients with signs of arteriosclerosis obliterans, Fontaine stage II/III.

摘要

在一项试点研究中,对患有闭塞性动脉硬化(Fontaine II/III期)的高脂血症患者,研究了2×500mg益多酯(利波·默克缓释片)对脂质和脂蛋白、纤溶活性及临床参数的治疗效果,为期四周。在治疗四周前后对研究参数进行评估。服用益多酯后,血清胆固醇和甘油三酯水平显著降低,低密度脂蛋白/高密度脂蛋白胆固醇比值降低,主要是由于高密度脂蛋白胆固醇部分升高,血浆纤溶活性增加,缺血腿部外周血流增加,无痛行走距离增加。因此,对于患有闭塞性动脉硬化体征(Fontaine II/III期)的高脂血症患者,建议每日服用两次益多酯进行治疗。

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