Cachovan M, de Marées H, Kunitsch G
Z Kardiol. 1978 Apr;67(4):289-98.
In 23 patients suffering from intermittent claudication due to chronic occlusions of the femoral artery proved on angiography, a double-blind study was performed to compare the effects of treatment with oxyfedrine and interval-training and of interval-training alone. The claudication distance, physical work capacity and physical work intensity were measured on the treadmill before, during and after 10-weeks training period in each case. After training, the walking ability improved in both groups, however, quantitatively being more pronounced in the oxyfedrine group. In the placebo group, the increase in physical work intensity was mainly caused by the improvement of walking ability in patients with higher levels of performance at the beginning of the training. In the oxyfedrine group, on the other hand, a continuous and regular increase in physical work intensity was found at all levels of performance and during the whole training period. For the differences found, blood supply lowering mechanisms after physical training and improvement of collaterals after combination oxyfedrine and physical training are discussed. The possibility of additive action of the pharmacologic treatment and physical training are pointed out.
对23例经血管造影证实因股动脉慢性闭塞导致间歇性跛行的患者进行了一项双盲研究,以比较奥昔非君与间歇训练联合治疗以及单纯间歇训练的效果。在每种情况下,于10周训练期之前、期间及之后在跑步机上测量跛行距离、体力工作能力及体力工作强度。训练后,两组患者的行走能力均有改善,但在数量上奥昔非君组更为显著。在安慰剂组,体力工作强度的增加主要是由于训练开始时表现水平较高的患者行走能力的改善。另一方面,在奥昔非君组,在所有表现水平及整个训练期间均发现体力工作强度持续且有规律地增加。针对所发现的差异,讨论了体育训练后血液供应降低机制以及奥昔非君与体育训练联合后侧支循环的改善情况。指出了药物治疗与体育训练相加作用的可能性。