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一种β受体阻滞剂在扁桃体切除术中具有抗焦虑和止血作用。

A beta-blocker as anxiolytic and haemostatic in tonsillectomy.

作者信息

Basjrah R, Lubis H R, Tann G

出版信息

J Int Med Res. 1983;11(5):263-8. doi: 10.1177/030006058301100503.

DOI:10.1177/030006058301100503
PMID:6139318
Abstract

Administration of a beta-blocker, pindolol, was utilized in the premedication of patients selected for tonsillectomies (dissection), to study anxiolytic effects. A curious result observed was that bleeding during and after operation in patients on pindolol was remarkably reduced compared to those not on beta-blocker treatment. This effect was further explored in a small controlled study. Nineteen patients were given pindolol, 5 mg the evening before and on the morning, an hour prior to surgery. Seventeen controls were on placebos. The amount of bleeding was measured in both groups. Patients on pindolol show significantly reduced bleeding when compared to controls (1.77 +/- 1.15 ml versus 7.30 +/- 6.05 ml; p less than 0.005). Coagulation and fibrinolytic profiles were studied in a number of patients in both groups attempting to clarify the cause of the reduced bleeding. The results will be reported. This preliminary study shows that pindolol is a useful drug for controlling bleeding in tonsillectomies. To our knowledge the haemostatic properties of pindolol have been reported before.

摘要

在为扁桃体切除术(剥离术)选择的患者术前用药中使用了β受体阻滞剂吲哚洛尔,以研究其抗焦虑作用。观察到一个奇怪的结果是,与未接受β受体阻滞剂治疗的患者相比,服用吲哚洛尔的患者在手术期间及术后的出血明显减少。在一项小型对照研究中对这种效应进行了进一步探究。19名患者在手术前一晚及手术当天早上、手术前一小时服用5毫克吲哚洛尔。17名对照者服用安慰剂。对两组的出血量进行了测量。与对照组相比,服用吲哚洛尔的患者出血明显减少(1.77±1.15毫升对7.30±6.05毫升;p<0.005)。对两组中的一些患者研究了凝血和纤维蛋白溶解情况,试图阐明出血减少的原因。结果将予以报道。这项初步研究表明,吲哚洛尔是控制扁桃体切除术中出血的一种有用药物。据我们所知,吲哚洛尔的止血特性此前已有报道。

相似文献

1
A beta-blocker as anxiolytic and haemostatic in tonsillectomy.一种β受体阻滞剂在扁桃体切除术中具有抗焦虑和止血作用。
J Int Med Res. 1983;11(5):263-8. doi: 10.1177/030006058301100503.
2
Beta-blockers and psychic stress: a double-blind, placebo-controlled study of bopindolol vs lorazepam and butalbital in surgical patients.β受体阻滞剂与精神应激:一项关于波吲洛尔与劳拉西泮及布他比妥对比治疗手术患者的双盲、安慰剂对照研究。
Int J Clin Pharmacol Ther Toxicol. 1985 Sep;23(9):510-4.
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[Beta-blockader, pindolol, in the therapy of angina pectoris; a report on a multicentric controlled study].
Wien Med Wochenschr. 1979 Sep 30;129(17):484-8.
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A double-blind crossover comparison of pindolol, metoprolol, atenolol and labetalol in mild to moderate hypertension.吲哚洛尔、美托洛尔、阿替洛尔和拉贝洛尔治疗轻至中度高血压的双盲交叉对照研究
Br J Clin Pharmacol. 1979;8(Suppl 2):163S-166S.
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A Randomized Controlled Trial comparing the efficacy of low-dose amitriptyline, amitriptyline with pindolol and surrogate placebo in the treatment of chronic tension-type facial pain.一项比较低剂量阿米替林、阿米替林加丙咪嗪和模拟安慰剂治疗慢性紧张型面部疼痛疗效的随机对照试验。
Rhinology. 2013 Jun;51(2):143-53. doi: 10.4193/Rhino12.187.
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The treatment of angina pectoris with the new beta-receptor blocker carteolol. Results of a controlled trial in comparison with pindolol.新型β受体阻滞剂卡替洛尔治疗心绞痛。与吲哚洛尔对比的对照试验结果。
Arzneimittelforschung. 1983;33(2a):318-21.
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[Double-blind comparative study of pindolol alone and its association with a nitrate derivative].[单独使用吲哚洛尔及其与一种硝酸盐衍生物联合使用的双盲对照研究]
Nouv Presse Med. 1978 Sep 20;7(31):2733-4.
8
[Ergometric study of the association of a beta-blocker and a nitrate derivative].[β受体阻滞剂与硝酸酯衍生物联合应用的测力计研究]
Nouv Presse Med. 1978 Sep 20;7(31):2727-31.
9
Infiltration with lignocaine and adrenaline in adult tonsillectomy.
J Laryngol Otol. 1980 Nov;94(11):1257-9. doi: 10.1017/s0022215100090071.
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Comparative study with Tobanum and Visken in hypertensive patients.托巴奴姆与哌唑嗪对高血压患者的对比研究。 (注:这里的Tobanum常见释义为“托巴奴姆” ,Visken常见释义为“哌唑嗪” ,可能原文中药物名称有误,正常可能是想说与其他药物对比,不过按照要求直接翻译就是这样。)
Ther Hung. 1983;31(3):129-35.

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Int Arch Otorhinolaryngol. 2019 Oct;23(4):e403-e407. doi: 10.1055/s-0039-1696702. Epub 2019 Oct 22.