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高血压患者长期服用酮色林治疗期间的降压作用及5-羟色胺诱导的血小板聚集

Antihypertensive action and serotonin-induced platelet aggregation during long-term ketanserin treatment in hypertensive patients.

作者信息

Amery A, Fagard R, Fiocchi R, Lijnen P, Staessen J, Vermylen J

出版信息

J Cardiovasc Pharmacol. 1984 Jan-Feb;6(1):182-5.

PMID:6199602
Abstract

Ketanserin (3 X 40 mg daily) was administered during 6 weeks in 14 patients with mild to moderate essential hypertension using a double-blind, placebo-controlled, crossover design. Ketanserin decreased (p less than 0.01) the recumbent blood pressure from 159/104 to 153/97 mm Hg and the recumbent heart rate from 75 to 72 beats/min. Platelet aggregation induced by 5-hydroxytryptamine (5-HT), whether or not amplified by threshold doses of collagen, was not inhibited; however, it was reduced in 10 normal volunteers after a single oral dose of 40 mg ketanserin. The results suggest that long-term treatment with ketanserin reduces blood pressure; whereas 5-HT receptor inhibition could not be demonstrated when assessed by platelet aggregation.

摘要

采用双盲、安慰剂对照、交叉设计,对14例轻至中度原发性高血压患者给予酮色林(每日3次,每次40毫克),疗程6周。酮色林使卧位血压从159/104毫米汞柱降至153/97毫米汞柱(p<0.01),卧位心率从75次/分钟降至72次/分钟。5-羟色胺(5-HT)诱导的血小板聚集,无论是否由阈剂量胶原增强,均未受到抑制;然而,10名正常志愿者单次口服40毫克酮色林后,血小板聚集减少。结果表明,酮色林长期治疗可降低血压;而通过血小板聚集评估时,未证实5-HT受体受到抑制。

相似文献

1
Antihypertensive action and serotonin-induced platelet aggregation during long-term ketanserin treatment in hypertensive patients.高血压患者长期服用酮色林治疗期间的降压作用及5-羟色胺诱导的血小板聚集
J Cardiovasc Pharmacol. 1984 Jan-Feb;6(1):182-5.
2
Double-blind comparison of ketanserin with atenolol: antihypertensive activity and effect on platelet function.酮色林与阿替洛尔的双盲比较:降压活性及对血小板功能的影响。
J Hypertens Suppl. 1986 Apr;4(1):S67-71.
3
Effects of ketanserin on blood pressure, peripheral circulation and haemocoagulative parameters in essential hypertensives with or without arteriosclerosis obliterans of the lower limbs.
Int J Clin Pharmacol Res. 1986;6(3):199-211.
4
Effect of long-term ketanserin treatment on 5-HT levels, platelet aggregation and peripheral circulation in patients with Raynaud's phenomenon. A double-blind, placebo-controlled cross-over study.长期服用酮色林对雷诺现象患者5-羟色胺水平、血小板聚集及外周循环的影响。一项双盲、安慰剂对照的交叉研究。
Int Angiol. 1988 Jan-Mar;7(1):19-25.
5
Experience with ketanserin and ritanserin in hypertensive patients.酮色林和利坦色林在高血压患者中的应用经验。
J Cardiovasc Pharmacol. 1988;11 Suppl 1:S44-8.
6
Ketanserin in hypertension. Early clinical evaluation and dose finding study of a new 5-HT2 receptor antagonist.酮色林治疗高血压。一种新型5-羟色胺2受体拮抗剂的早期临床评估及剂量探索研究。
Acta Med Scand. 1983;214(2):125-30.
7
Moderate essential hypertension control: a double-blind crossover study between a serotonin antagonist and a post-synaptic alpha-blocker.中度原发性高血压的控制:5-羟色胺拮抗剂与突触后α阻滞剂的双盲交叉研究。
J Hypertens Suppl. 1986 Apr;4(1):S85-7.
8
Platelet deactivation by 5HT2-receptor blockade parallels the antihypertensive response to ketanserin.
J Hypertens. 1989 Apr;7(4):255-60.
9
Ketanserin (S2-receptor blocking agents), hypertension and chronic alcoholism.酮色林(S2受体阻断剂)、高血压与慢性酒精中毒。
Int J Clin Pharmacol Res. 1986;6(1):77-9.
10
Antihypertensive properties of ketanserin (R 41 468).酮色林(R 41 468)的降压特性。
Fed Proc. 1983 Feb;42(2):182-5.

引用本文的文献

1
New drugs for the treatment of hypertension: where do they fit?治疗高血压的新药:它们处于什么地位?
Can Fam Physician. 1987 Nov;33:2583-9.
2
Pharmacological management of intermittent claudication: a meta-analysis of randomised trials.间歇性跛行的药物治疗:随机试验的荟萃分析
Drugs. 2000 May;59(5):1057-70. doi: 10.2165/00003495-200059050-00003.
3
Serotonin and the vascular system. Role in health and disease, and implications for therapy.血清素与血管系统。在健康和疾病中的作用以及对治疗的意义。
Drugs. 1986 Feb;31(2):149-63. doi: 10.2165/00003495-198631020-00004.
4
Ketanserin treatment and serotonin in patients with primary and secondary Raynaud's phenomenon.酮色林治疗与原发性和继发性雷诺现象患者的血清素
Eur J Clin Pharmacol. 1988;35(4):419-21. doi: 10.1007/BF00561375.
5
Effects of ketanserin, a selective 5-HT2 serotonergic antagonist, on the secondary recruitment of human platelets in vitro.选择性5-羟色胺2(5-HT2)血清素拮抗剂酮色林对人血小板体外二次募集的影响。
Agents Actions. 1986 Mar;17(5-6):515-26. doi: 10.1007/BF01965524.
6
Comparison of ketanserin and slow-release nifedipine added to the treatment of hypertensive patients uncontrolled by a thiazide diuretic plus beta-adrenoceptor blocker.酮色林与缓释硝苯地平添加至噻嗪类利尿剂加β-肾上腺素受体阻滞剂治疗未控制高血压患者的疗效比较。
Br J Clin Pharmacol. 1987 Nov;24(5):591-7. doi: 10.1111/j.1365-2125.1987.tb03217.x.
7
Ketanserin. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in hypertension and peripheral vascular disease.酮色林。对其药效学和药代动力学特性以及在高血压和外周血管疾病中的治疗潜力的综述。
Drugs. 1990 Dec;40(6):903-49. doi: 10.2165/00003495-199040060-00010.