Forche G, Zenker G, Harnoncourt K
Wien Med Wochenschr. 1986 May 15;136(9):213-8.
Two groups of 10 patients each with a chronic obstructive pulmonary disease were the subjects of a comparative study of the effectiveness of 240 mg theophyllinethylendiamine (Euphyllin) and a combined medication consisting of 25 mg theophyllin, 85 mg etophyllin, 30 mg papaverine and 0.1 mg atropine methylnitrate (Perphyllon). Oscillatory resistance (measured with the Siregnost FD 5) and the circulatory parameters pulse and blood pressure were studied. A statistically significant bronchospasmolytic effect was found for both substances administered parenterally. It was shown, however, that the combined medication worked faster, longer and 4 to 5 times more effectively than theophyllinethylendiamine. The possible causes of the differences are discussed. Clinically, the cardiovascular side effects of the combined medication are to be classified as slight. The tested medication has a favorable therapeutic spectrum as a result of the low dosage of the individual substances.
两组各有10名慢性阻塞性肺疾病患者参与了一项对比研究,该研究旨在比较240毫克氨茶碱乙二胺(优喘平)与一种复方药物(由25毫克茶碱、85毫克喘定、30毫克罂粟碱和0.1毫克硝酸甲基阿托品(佩尔菲林)组成)的疗效。研究了振荡阻力(用Siregnost FD 5测量)以及循环参数脉搏和血压。结果发现,两种经肠胃外给药的物质均有统计学意义上的支气管解痉作用。然而,研究表明,复方药物起效更快、作用时间更长,且比氨茶碱乙二胺有效4至5倍。文中讨论了造成这些差异的可能原因。临床上,复方药物的心血管副作用可归类为轻微。由于各成分剂量较低,受试药物具有良好的治疗范围。