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碘克沙醇对冠心病患者皮肤微循环的影响:随机、双盲、安慰剂对照研究。

Effect of Ioxaglate on the cutaneous microcirculation in patients with coronary artery disease: Randomized, double blind, placebo-controlled study.

作者信息

Gerk U, Mrowietz C, Sternitzky R, Franke R P, Spitzer S G, Jung F

机构信息

Krankenhaus Dresden-Friedrichstadt, II. Medizinische Klinik, Dresden, Germany.

Institute for Heart and Circulation Research, Eißendorfer Pferdeweg, Hamburg-Harburg, Germany.

出版信息

Clin Hemorheol Microcirc. 2016;64(3):297-304. doi: 10.3233/CH-168101.

Abstract

Radiographic contrast media (RCM) can initiate microcirculatory disorders. This study was performed to investigate effects of Ioxaglate on the cutaneous microcirculation. The investigation was carried out as prospective randomized double-blind comparison in parallel-group design on two groups of n = 10 patients each who had to undergo a diagnostic coronary angiography.The confirmatory parameter of the study was mean erythrocyte capillary velocity [vRBC in mm/sec]. VRBC in the ipsilateral nail-fold capillaries was recorded continuously for 3 min before and 6 min after injection of RCM or isotonic saline solution in the A. axillaris respectively, and was evaluated off-line.VRBC in nailfold capillaries was found to be decreased by Ioxaglate by 34% 150 seconds after injection, while isotonic NaCl solution immediately induced a slight increase of 14%.

摘要

放射造影剂(RCM)可引发微循环障碍。本研究旨在探讨碘克沙醇对皮肤微循环的影响。该研究采用前瞻性随机双盲平行组设计,对两组各10例必须接受诊断性冠状动脉造影的患者进行研究。本研究的确认参数为平均红细胞毛细血管速度[vRBC,单位为毫米/秒]。分别在腋动脉注射RCM或等渗盐溶液前3分钟和注射后6分钟,连续记录同侧甲襞毛细血管中的vRBC,并进行离线评估。发现碘克沙醇注射后150秒可使甲襞毛细血管中的vRBC降低34%,而等渗氯化钠溶液立即使其略有增加14%。

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