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间歇性跛行的药物治疗:三种药物对间歇性跛行患者疗效的客观评估

Drug therapy in intermittent claudication: an objective assessment of the effects of three drugs on patients with intermittent claudication.

作者信息

Mashiah A, Patel P, Schraibman I G, Charlesworth D

出版信息

Br J Surg. 1978 May;65(5):342-5. doi: 10.1002/bjs.1800650515.

DOI:10.1002/bjs.1800650515
PMID:647201
Abstract

It has been suggested that, by reducing the viscosity of blood, flow through capillaries is increased with consequent improvement in the symptoms of patients with peripheral vascular disease. We examined the effects of treatment with drugs purported to reduce blood viscosity to test the validity of this claim. Measurements of viscosity and the rate of blood flow to the leg were made in a group of patients before and after treatment with three different drugs--tetranicotinoylfructose (Bradilan), oxypentifylline (Trental) and cinnarizine (Stugeron). All patients had intermittent claudication in one leg and the distribution of arteriosclerosis was similar in each patient. After treatment there was little or no change in blood viscosity and no change in the rate of flow recorded in the symptomatic legs. We did not find any objective evidence to support the use of these drugs in patients with intermittent claudication.

摘要

有人认为,通过降低血液粘度,流经毛细血管的血流量会增加,从而改善外周血管疾病患者的症状。我们研究了使用据称能降低血液粘度的药物进行治疗的效果,以检验这一说法的正确性。在一组患者中,在使用三种不同药物(四烟酰果糖(曲克芦丁)、己酮可可碱(培达)和桂利嗪(脑益嗪))治疗前后,测量了粘度和腿部血流量。所有患者均有一条腿间歇性跛行,且每位患者的动脉硬化分布相似。治疗后,血液粘度几乎没有变化,有症状腿部记录的血流量也没有变化。我们没有发现任何客观证据支持在间歇性跛行患者中使用这些药物。

相似文献

1
Drug therapy in intermittent claudication: an objective assessment of the effects of three drugs on patients with intermittent claudication.间歇性跛行的药物治疗:三种药物对间歇性跛行患者疗效的客观评估
Br J Surg. 1978 May;65(5):342-5. doi: 10.1002/bjs.1800650515.
2
A controlled trial of pentoxifylline (Trental 400) in intermittent claudication: clinical, haemostatic and rheological effects.己酮可可碱(曲克芦丁400)治疗间歇性跛行的对照试验:临床、止血和流变学效应
N Z Med J. 1987 Jul 22;100(828):445-7.
3
Treatment of claudication with pentoxifylline: are benefits related to improvement in viscosity?己酮可可碱治疗间歇性跛行:疗效是否与黏度改善有关?
J Vasc Surg. 1987 Sep;6(3):211-6. doi: 10.1067/mva.1987.avs0060211.
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[Intermittent claudication treated with pentoxifylline. A controlled trial].[己酮可可碱治疗间歇性跛行。一项对照试验]
Ugeskr Laeger. 1983 Nov 21;145(47):3649-52.
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Failure of pentoxifylline or cilostazol to improve blood and plasma viscosity, fibrinogen, and erythrocyte deformability in claudication.己酮可可碱或西洛他唑未能改善间歇性跛行患者的血液和血浆粘度、纤维蛋白原及红细胞变形性。
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Photoplethysmographic documentation of improved microcirculation after pentoxifylline therapy.
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Clinical pharmacology of pentoxifylline with special reference to its hemorrheologic effect for the treatment of intermittent claudication.
J Clin Pharmacol. 1985 Jan-Feb;25(1):8-26. doi: 10.1002/j.1552-4604.1985.tb02796.x.
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[Ozone therapy and viscosity of blood and plasma, distance of intermittent claudication and certain biochemical plasma components in patients with occlusive arteriosclerosis of the lower limbs].
Pol Tyg Lek. 1991;46(37-39):700-3.
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[Ozone therapy and viscosity of blood and plasma, distance of intermittent claudication and certain biochemical components in patients with diabetes type II and ischemia of the lower extremities].
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引用本文的文献

1
Non-surgical management of peripheral vascular disease: a review.外周血管疾病的非手术治疗:综述
Br Med J. 1980 Sep 20;281(6243):794-7. doi: 10.1136/bmj.281.6243.794.
2
Current therapy for intermittent claudication.间歇性跛行的当前治疗方法。
Drugs. 1982 Sep;24(3):240-7. doi: 10.2165/00003495-198224030-00004.