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[新型抗高血脂联合用药的临床研究]

[Clinical study with a new antihyperlipemic combination].

作者信息

Pistautz H

出版信息

Arzneimittelforschung. 1977;27(1):152-6.

PMID:576816
Abstract

70 patients with hyperlipemias of various types were treated perorally with 350 mg Mg-chlorophenoxyisobutyrate, and 250 mg of mesoinositol-hexanicotinate (Atroplex) three times daily. This treatment led to a statistically significant decrease in the respective elevated serum lipid levels. The serum total cholesterol level was decreased by 20.3% in Type IIa and by 19.8% in Type IIb, the triglyceride level was decreased by 27.7% in Type IIb and by 38.9% in Type IV. The phosphatide level was lowered by 14.6% in Type IIa, by 15.7% in Type IIb and by 15.9% in Type IV; the cholesterol-phospholipid ratio could be shifted in favour of the phospholipids in Type IIa and IIb. Glucose tolerance and systolic blood pressure were not influenced, but in Type IV a statistically significant decrease in the diastolic pressure and in serum uric acid level was noticed. Prothrombine time and normal fibrinogen levels remained unchanged, elevated fibrinogen levels returned to normal. Elevations of serum enzymes and of serum bilirubin were noted which were minimal and reversible, liver toxicity could not be noticed. Subjective symptoms of peripheral circulatory disturbances improved markedly in 10 cases, the most striking side effect was the occurrence of gastrointestinal imcompatibility, which in one case forced to discontinue the medication. The dosage of the single components is this combined therapy is significantly lower than the doses usually used for clofibrate or mesoinositol-hexanicotinate.

摘要

70例各型高脂血症患者口服350毫克氯苯丁酯和250毫克肌醇烟酸酯(阿妥明),每日3次。该治疗使各自升高的血脂水平有统计学意义的下降。IIa型血清总胆固醇水平下降20.3%,IIb型下降19.8%;IIb型甘油三酯水平下降27.7%,IV型下降38.9%。IIa型磷脂水平降低14.6%,IIb型降低15.7%,IV型降低15.9%;IIa型和IIb型胆固醇-磷脂比值可向有利于磷脂的方向转变。葡萄糖耐量和收缩压未受影响,但IV型舒张压和血清尿酸水平有统计学意义的下降。凝血酶原时间和正常纤维蛋白原水平保持不变,升高的纤维蛋白原水平恢复正常。血清酶和血清胆红素升高,程度轻微且可逆,未发现肝毒性。10例周围循环障碍的主观症状明显改善,最显著的副作用是出现胃肠道不耐受,1例因此被迫停药。这种联合治疗中单一成分的剂量明显低于通常用于氯贝丁酯或肌醇烟酸酯的剂量。

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