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[用钙通道阻滞剂治疗雷诺综合征]

[Treatment of Raynaud's syndrome with calcium entry blockers].

作者信息

Shcherbakov A B, Guseva N G, Mach E S

出版信息

Ter Arkh. 1987;59(4):89-92.

PMID:3296288
Abstract

The authors have presented the results of a 14-day open randomized trial of the efficacy of 3 calcium inlet blocking agents: nifedipine, verapamil and phendilin in 61 patients with Raynaud's syndrome. In the group of patients receiving 30-80 mg of nifedipine (20) there was a significant decrease in the frequency and expression of Raynaud's syndrome attacks, a positive effect of varying degree was noted in 19 patients. The drug raised slightly the skin and muscular blood flow and skin temperature. The use of 120-360 mg of verapamil in 21 patients caused no significant inhibition of Raynaud's syndrome and rise of hemocirculation. Phendilin (150-300 mg) though being comparable with nifedipine in efficacy, often produced side-effects resulting in the drug cancellation (8 out of 20). The efficacy of the calcium inlet blocking agents, especially nifedipine, for therapy of Raynaud's syndrome was emphasized.

摘要

作者介绍了一项为期14天的开放随机试验结果,该试验针对61例雷诺氏综合征患者,比较了3种钙通道阻滞剂:硝苯地平、维拉帕米和芬地林的疗效。在接受30 - 80毫克硝苯地平治疗的20例患者组中,雷诺氏综合征发作的频率和症状显著减轻,19例患者有不同程度的积极效果。该药物使皮肤和肌肉的血流量及皮肤温度略有升高。21例患者使用120 - 360毫克维拉帕米,对雷诺氏综合征无显著抑制作用,血液循环也未增加。芬地林(150 - 300毫克)虽然疗效与硝苯地平相当,但常产生副作用,导致停药(20例中有8例)。强调了钙通道阻滞剂,尤其是硝苯地平,对雷诺氏综合征的治疗效果。

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