Lehtonen A
Acta Med Scand. 1985;218(2):213-6. doi: 10.1111/j.0954-6820.1985.tb08849.x.
The effects on plasma lipids, blood glucose and serum insulin levels of oral administration of trimazosin and pindolol over a 6-month period were studied in 11 patients with essential hypertension. Total plasma cholesterol and LDL cholesterol concentrations were higher (p less than 0.05) after one month's treatment with trimazosin than basal values, but the significance of changes disappeared with continuation of treatment. The concentrations of plasma triglycerides, VLDL cholesterol, HDL cholesterol and free fatty acids and the HDL cholesterol/total cholesterol ratio remained about constant during treatment with trimazosin. During pindolol treatment the plasma levels of total cholesterol and LDL cholesterol were slightly but not significantly lowered at 3 and 6 months. The levels of plasma triglycerides, VLDL cholesterol and HDL cholesterol remained about constant and the ratio of HDL cholesterol to total cholesterol had increased slightly (p less than 0.05) at 3 months. Serum free fatty acid concentration decreased significantly. There were no significant differences between plasma lipid levels during either trimazosin or pindolol treatment. Blood glucose concentrations showed a slight tendency to increase during the treatment periods, but no impairment in insulin release was found.
对11例原发性高血压患者进行了为期6个月的研究,观察口服曲马唑嗪和吲哚洛尔对血脂、血糖及血清胰岛素水平的影响。服用曲马唑嗪1个月后,血浆总胆固醇和低密度脂蛋白胆固醇浓度高于基础值(p<0.05),但随着治疗的持续,变化的显著性消失。在曲马唑嗪治疗期间,血浆甘油三酯、极低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和游离脂肪酸的浓度以及高密度脂蛋白胆固醇/总胆固醇比值保持大致恒定。在吲哚洛尔治疗期间,3个月和6个月时血浆总胆固醇和低密度脂蛋白胆固醇水平略有下降,但无显著性差异。血浆甘油三酯、极低密度脂蛋白胆固醇和高密度脂蛋白胆固醇水平保持大致恒定,3个月时高密度脂蛋白胆固醇与总胆固醇的比值略有升高(p<0.05)。血清游离脂肪酸浓度显著降低。曲马唑嗪或吲哚洛尔治疗期间的血脂水平无显著差异。治疗期间血糖浓度有轻微升高趋势,但未发现胰岛素释放受损。