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用苯扎贝特对原发性高脂蛋白血症进行有效的长期治疗

[Effective long-term treatment of primary hyperlipoproteinemias with bezafibrate].

作者信息

Schiffl H, Weidmann P, Fragiacomo C, Noseda G, Bachmann C

出版信息

Schweiz Med Wochenschr. 1985 Jun 29;115(26):907-11.

PMID:3927481
Abstract

Bezafibrate, a new hypolipidemic agent, was evaluated in a single blind, placebo-controlled study lasting 14 months to 3 years in 40 patients with primary hyperlipoproteinemia of various types (23 patients with type II, 15 with type IV and 2 with type V). Bezafibrate in a dose of 200 mg 3 times daily reduced total serum cholesterol by an average of 17% (p less than 0.001) in hyperlipoproteinemia type II and by 24% (p less than 0.001) in type IV or V, lowered serum triglycerides by 31% (p less than 0.001) in hyperlipoproteinemia type II and by 58% (p less than 0.001) in type IV or V, while high-density-lipoprotein-cholesterol was increased by 17% (p less than 0.001) in type II and by 36% (p less than 0.001) in type IV or V. The few side effects encountered were only mild and transient. These findings show that bezafibrate affords safe and effective long-term treatment of patients with hyperlipoproteinemia.

摘要

必降脂,一种新型降血脂药,在一项单盲、安慰剂对照研究中进行了评估。该研究持续14个月至3年,共有40例各型原发性高脂蛋白血症患者参与(Ⅱ型23例,Ⅳ型15例,Ⅴ型2例)。必降脂剂量为每日3次,每次200毫克,可使Ⅱ型高脂蛋白血症患者的血清总胆固醇平均降低17%(p<0.001),Ⅳ型或Ⅴ型降低24%(p<0.001);使Ⅱ型高脂蛋白血症患者的血清甘油三酯降低31%(p<0.001),Ⅳ型或Ⅴ型降低58%(p<0.001);而高密度脂蛋白胆固醇在Ⅱ型中升高17%(p<0.001),在Ⅳ型或Ⅴ型中升高36%(p<0.001)。所出现的少数副作用仅为轻度且短暂。这些研究结果表明,必降脂为高脂蛋白血症患者提供了安全有效的长期治疗。

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