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氯贝丁酯与消胆胺或二乙氨基乙基葡聚糖联合用于治疗高胆固醇血症。

Combined use of clofibrate and cholestyramine or DEAE sephadex in hypercholesterolaemia.

作者信息

Howard A N, Hyams D E

出版信息

Br Med J. 1971 Jul 3;3(5765):25-7. doi: 10.1136/bmj.3.5765.25.

DOI:10.1136/bmj.3.5765.25
PMID:4933388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1800097/
Abstract

A comparison was made of the effect of DEAE (diethylaminoethyl) Sephadex (an anion exchange resin) and cholestyramine (Questran) with and without the addition of clofibrate in normal and hypercholesterolaemic patients. DEAE Sephadex (12-15 g/day) alone appeared to be as effective as cholestyramine in lowering the plasma cholesterol by 12-15%. Clofibrate acted synergistically with DEAE Sephadex and increased the activity of the latter by over twofold. This combination proved superior to that of clofibrate and cholestyramine and has the greatest potential use in the treatment of type II pattern hyperlipoproteinaemia.

摘要

对正常和高胆固醇血症患者,比较了二乙氨基乙基葡聚糖(DEAE,一种阴离子交换树脂)和消胆胺(考来烯胺)在添加和不添加氯贝丁酯情况下的效果。单独使用DEAE葡聚糖(12 - 15克/天)在降低血浆胆固醇方面似乎与消胆胺一样有效,可降低12 - 15%。氯贝丁酯与DEAE葡聚糖协同作用,使后者的活性提高了两倍多。这种组合被证明优于氯贝丁酯和消胆胺的组合,在治疗II型高脂蛋白血症方面具有最大的潜在应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5292/1800097/015617737b83/brmedj02655-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5292/1800097/015617737b83/brmedj02655-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5292/1800097/015617737b83/brmedj02655-0037-a.jpg

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Combined use of clofibrate and cholestyramine or DEAE sephadex in hypercholesterolaemia.氯贝丁酯与消胆胺或二乙氨基乙基葡聚糖联合用于治疗高胆固醇血症。
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引用本文的文献

1
Treatment of hyperlipoproteinaemia type II A with a new anion exchange resin secholex.
Eur J Clin Pharmacol. 1974;7(1):65-9. doi: 10.1007/BF00614393.
2
Gemfibrozil in the treatment of resistant familial hypercholesterolaemia and type III hyperlipoproteinaemia.吉非贝齐治疗难治性家族性高胆固醇血症和Ⅲ型高脂蛋白血症。
J R Soc Med. 1988 May;81(5):274-6. doi: 10.1177/014107688808100512.
3
Hypolipaemic drugs and coronary heart disease.降血脂药物与冠心病
J Clin Pathol Suppl (R Coll Pathol). 1975;9:106-14.

本文引用的文献

1
A revision of the Schoenheimer-Sperry method for cholesterol determination.舍恩海默-斯佩里胆固醇测定方法的修订版。
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Hypolipidemic effects of orally administered dextran and cellulose anion exchangers in cockerels and dogs.口服葡聚糖和纤维素阴离子交换剂对公鸡和犬的降血脂作用
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CHOLESTYRAMINE RESIN THERAPY FOR HYPERCHOLESTEREMIA: CLINICAL AND METABOLIC STUDIES.考来烯胺树脂治疗高胆固醇血症:临床与代谢研究
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[Drug treatment of primary hyperlipoproteinemia (author's transl)].原发性高脂蛋白血症的药物治疗(作者译)
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Fat transport in lipoproteins--an integrated approach to mechanisms and disorders.脂蛋白中的脂肪运输——机制与疾病的综合研究方法
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