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[塞利洛尔制剂的血浆水平及降压作用]

[Plasma levels and the antihypertensive effect of the preparation celiprolol].

作者信息

Vlakhov N, Belovezhdov N, Terziivanov D, Koĭchev A, Stefanov G

出版信息

Vutr Boles. 1986;25(6):62-6.

PMID:2951925
Abstract

The antihypertensive activity of the new cardioselective adrenergic blocker celiprolol in hypertonic disease, stage I-II, according to WHO as compared with the preparation acebutolol was assessed under the conditions of double blind study. Thirty patients with arterial hypertension were included in the study if after one week placebo period, met the criteria for inclusion. Blood samples from each patient, were collected for the determination of plasma concentrations of celiprolol before the beginning, by 2, 15 and 29 day of the treatment, 24 hour after the last intake and before the following intake. At the same time, each patient was subjected to complete physical and clinical-laboratory investigation. At a level of significance 99%, celiprolol and acebutolol reduced the systolic and diastolic arterial blood pressure to normal values by the end of the second and fourth week without any statistically significant difference between their antihypertensive activity. No significant difference was established between the values of blood pressure, recorded by the end of second and fourth week, in the patients treated with celiprolol and acebutolol. The analysis of the dependence of the reduced diastolic blood pressure on the value of plasma celiprolol concentration by the end of 14-day dose interval established a significant negative correlation (r = -0.737, p less than 0.1). The reduction of systolic blood pressure does not correlate with statistical significance, with the plasma levels of the preparation. The results from the study revealed that the preparations celiprolol and acebutolol have equivalent therapeutic effectiveness in the treatment of hypertonic disease, stage I-II according to WHO.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在双盲研究条件下,将新型心脏选择性肾上腺素能阻滞剂塞利洛尔与醋丁洛尔制剂相比较,评估其对世界卫生组织(WHO)界定的I-II期高血压疾病的降压活性。如果在为期一周的安慰剂期后符合纳入标准,30例动脉高血压患者被纳入研究。在治疗开始前、治疗第2天、第15天和第29天、最后一次服药后24小时以及下次服药前,采集每位患者的血样,用于测定血浆塞利洛尔浓度。与此同时,对每位患者进行全面的体格检查和临床实验室检查。在99%的显著性水平下,塞利洛尔和醋丁洛尔在第二周和第四周结束时将收缩压和舒张压降至正常值,它们的降压活性之间无任何统计学显著差异。在接受塞利洛尔和醋丁洛尔治疗的患者中,第二周和第四周结束时记录的血压值之间未发现显著差异。在14天剂量间隔结束时,分析舒张压降低与血浆塞利洛尔浓度值之间的相关性,发现存在显著的负相关(r = -0.737,p小于0.1)。收缩压的降低与该制剂的血浆水平无统计学显著相关性。研究结果表明,塞利洛尔和醋丁洛尔制剂在治疗WHO界定的I-II期高血压疾病方面具有同等的治疗效果。(摘要截断于250字)

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