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[单剂量肼屈嗪、恩屈嗪、哌唑嗪和普萘洛尔对高血压患者药效学作用个体评估的方法学探讨]

[Methodologic approach to individual evaluation of the pharmacodynamic effects of single doses of hydralazine, endralazine, prazosine and propranolol in hypertension patients].

作者信息

Izotov A I, Postol'nikov S F, Vygodin V A

出版信息

Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1984;7(1):79-85.

PMID:6732937
Abstract

The possibility to apply impedance cardiography technique and individual statistical analysis based on Dixon's criterion to pharmacodynamic studies of single hydralazine ( apressine ), prazosine ( pratsiol ), endralazine ( mirethilan ), propranolol (obsidan) doses is discussed. 12 patients with essential hypertension, stage II were examined. Blood pressure was measured by the method of Korotkov , heart volume and total peripheral vascular resistance were determined by impedance cardiography. Apressin , mirethilan , pratsiol and obsidan doses were 50-100 mg, 5-15 mg, 2-5 mg and 80-120 mg, respectively. The drug effect was compared with that of placebo. Impedance cardiography in combination with the method of Korotkov were shown to be appropriate for recording qualitative alterations of hemodynamic parameters during pharmacodynamic studies of single apressine , mirethilan , pratsiol an obsidan doses. The data obtained allow objective individual assessment of single dose efficacy based on Dixon's criterion.

摘要

讨论了将阻抗心动描记术和基于狄克逊准则的个体统计分析应用于单剂量肼屈嗪(阿普利辛)、哌唑嗪(普拉西奥)、恩屈嗪(米雷西兰)、普萘洛尔(奥西丹)药效学研究的可能性。对12例Ⅱ期原发性高血压患者进行了检查。采用柯罗特科夫法测量血压,通过阻抗心动描记术测定心脏容积和总外周血管阻力。阿普利辛、米雷西兰、普拉西奥和奥西丹的剂量分别为50 - 100毫克、5 - 15毫克、2 - 5毫克和80 - 120毫克。将药物效果与安慰剂进行了比较。结果表明,在单剂量阿普利辛、米雷西兰、普拉西奥和奥西丹的药效学研究中,阻抗心动描记术与柯罗特科夫法相结合适用于记录血流动力学参数的定性变化。所获得的数据允许基于狄克逊准则对单剂量疗效进行客观的个体评估。

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