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长期口服拉贝洛尔后肾功能的演变

Evolution of renal function under chronic oral administration of labetalol.

作者信息

Labeeuw M, Zech P, Pozet N, Hadj-Aissa A, Traeger J

出版信息

Int J Clin Pharmacol Ther Toxicol. 1987 Jan;25(1):23-5.

PMID:3557725
Abstract

The glomerular filtration rate (GFR, inulin clearance) and renal plasma flow (RPF, PAH clearance) were measured in 35 hypertensive patients during chronic administration of an alpha-beta-blocker, labetalol. No significant changes in GFR occurred but RPF increased significantly. The increase in RPF was positively correlated with the decrease in mean arterial blood pressure. Patients with renal failure showed changes similar to patients with normal renal function. Thus chronic treatment with labetalol, unlike most beta-blockers, can increase RPF, an effect which could be related to the alpha-blocking activity of the drug.

摘要

在35例高血压患者长期服用α-β阻滞剂拉贝洛尔期间,测量了肾小球滤过率(GFR,菊粉清除率)和肾血浆流量(RPF,对氨基马尿酸清除率)。GFR无显著变化,但RPF显著增加。RPF的增加与平均动脉血压的降低呈正相关。肾衰竭患者的变化与肾功能正常的患者相似。因此,与大多数β阻滞剂不同,拉贝洛尔长期治疗可增加RPF,这一作用可能与该药物的α阻断活性有关。

相似文献

1
Evolution of renal function under chronic oral administration of labetalol.长期口服拉贝洛尔后肾功能的演变
Int J Clin Pharmacol Ther Toxicol. 1987 Jan;25(1):23-5.
2
The short term effects of oral labetalol in patients with chronic renal disease and hypertension.口服拉贝洛尔对慢性肾病合并高血压患者的短期影响。
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3
Acute effects of the oral administration of midodrine, an alpha-adrenergic agonist, on renal hemodynamics and renal function in cirrhotic patients with ascites.口服α-肾上腺素能激动剂米多君对肝硬化腹水患者肾血流动力学和肾功能的急性影响。
Hepatology. 1998 Oct;28(4):937-43. doi: 10.1002/hep.510280407.
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Effect of propranolol and labetalol on renal haemodynamics at rest and during exercise in essential hypertension.普萘洛尔和拉贝洛尔对原发性高血压患者静息及运动时肾脏血流动力学的影响。
Postgrad Med J. 1980;56 Suppl 2:27-32.
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[Determinant factors in the acute functional deterioration caused by the inhibition of the conversion enzyme in reno-vascular arterial hypertension].
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Blood pressure, plasma volume, extracellular volume and glomerular filtration rate during treatment with labetalol in essential hypertension.原发性高血压患者使用拉贝洛尔治疗期间的血压、血浆容量、细胞外液容量及肾小球滤过率
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[Effects of labetalol, a new alpha- and beta-adrenoreceptor blocking drug, on arterial pressure, renal function and renin activity (author's transl)].新型α和β肾上腺素能受体阻断药拉贝洛尔对动脉血压、肾功能及肾素活性的影响(作者译)
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引用本文的文献

1
Labetalol. A reappraisal of its pharmacology, pharmacokinetics and therapeutic use in hypertension and ischaemic heart disease.拉贝洛尔:对其药理学、药代动力学以及在高血压和缺血性心脏病治疗中的应用的重新评估。
Drugs. 1989 May;37(5):583-627. doi: 10.2165/00003495-198937050-00002.
2
Influence of antihypertensive therapy on renal function.
Clin Investig. 1992;70 Suppl 1:S120-6. doi: 10.1007/BF00207622.