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[硝酸甘油的支气管溶解作用]

[Broncholytic effectiveness of nitroglycerin].

作者信息

Gregori P

出版信息

Z Gesamte Inn Med. 1980 Feb 1;35(3):107-12.

PMID:6771931
Abstract

The acute bronchospasmolytic effect of nitroglycerin was clinically and experimentally tested and confirmed in 92 patients with chronic obstructive bronchopneumopathies. It is longer provable than the cardiocirculatory and haemodynamic effect, respectively, of nitroglycerin and in its intensiveness depends on the initial value, the degree of bronchial obstruction. The average increase of the ventilation parameters FEV1 and FVK achieved by the perlinqual application of 0.4 mg nitroglycerin during the first thirty minutes corresponds approximately to the broncholytic effect of 0.6 mg inhalatively given isoprenalin. In comparison with the efficacy of adrenalin, alupent, ephedrine, euphyllin, methyl ephedrine, prednisolone and papaverin, which were controlled during 2 hours and graduated in its succession, at the end of the test a "lower" mean position between euphyllin and methyl ephedrine belongs to nitroglycerin. Concerning the frequency of positive tests nitroglycerin is to equalize to prednisolone and methyl ephedrine and more favourable than papaverin.

摘要

对92例慢性阻塞性支气管肺炎患者进行了临床和实验测试,证实了硝酸甘油的急性支气管解痉作用。其作用时间比硝酸甘油的心脏循环和血液动力学作用时间更长,强度取决于初始值、支气管阻塞程度。在前30分钟内经直肠应用0.4mg硝酸甘油后,通气参数FEV1和FVK的平均增加量大约相当于吸入0.6mg异丙肾上腺素的支气管溶解作用。与肾上腺素、间羟异丙肾上腺素、麻黄碱、氨茶碱、甲基麻黄碱、泼尼松龙和罂粟碱的疗效相比(在2小时内进行监测并按顺序分级),在测试结束时,硝酸甘油在氨茶碱和甲基麻黄碱之间处于“较低”的平均位置。关于阳性测试的频率,硝酸甘油与泼尼松龙和甲基麻黄碱相当,且比罂粟碱更有效。

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