Lenders J W, Salemans J, de Boo T, Lemmens W A, Thien T, van't Laar A
Clin Pharmacol Ther. 1986 Mar;39(3):353-7. doi: 10.1038/clpt.1986.52.
A double-blind randomized study was designed to investigate differences in the recovery of finger skin temperature after finger cooling during dosing with placebo or one of four beta-blockers: propranolol, atenolol, pindolol, and acebutolol. In 11 normotensive nonsmoking subjects, finger skin temperature was measured with a thermocouple before and 20 minutes after immersion of one hand in a water bath at 16 degrees C. This finger cooling test caused no significant changes in systemic hemodynamics such as arterial blood pressure, heart rate, and forearm blood flow. The recovery of finger skin temperature during propranolol dosing was better than that during pindolol and atenolol dosing. There were no differences between the recoveries of skin temperature during pindolol, atenolol, and acebutolol dosing. Thus we could demonstrate no favorable effect of intrinsic sympathomimetic activity or beta 1-selectivity on the recovery of finger skin temperature after finger cooling.
一项双盲随机研究旨在调查在服用安慰剂或四种β受体阻滞剂(普萘洛尔、阿替洛尔、吲哚洛尔和醋丁洛尔)之一期间,手指冷却后手指皮肤温度恢复的差异。在11名血压正常的非吸烟受试者中,用热电偶在一只手浸入16摄氏度水浴之前和之后20分钟测量手指皮肤温度。这种手指冷却试验未引起全身血流动力学的显著变化,如动脉血压、心率和前臂血流量。服用普萘洛尔期间手指皮肤温度的恢复优于服用吲哚洛尔和阿替洛尔期间。吲哚洛尔、阿替洛尔和醋丁洛尔给药期间皮肤温度的恢复没有差异。因此,我们无法证明内在拟交感神经活性或β1选择性对手指冷却后手指皮肤温度恢复有有利影响。