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噻吗洛尔与二特戊酰肾上腺素治疗眼压升高的效果(作者译)

[The effect of timolol and dipivalyl-epinephrine in the treatment of the elevated intraocular pressure (author's transl)].

作者信息

Ober M, Scharrer A

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1980;213(4):273-81. doi: 10.1007/BF00417550.

DOI:10.1007/BF00417550
PMID:6906160
Abstract

Twenty-seven patients with ocular hypertension or open angle glaucoma were tested to see if, and to what extent, timolol and dipivalyl-epinephrine produced a supplementary reduction of intraocular pressure. In a shortterm study, 14 patients were tested with timolol (0.1%) and dipivalyl-epinephrine (0.25%). Simultaneous application of both substances produced a statistically more significant reduction of intraocular pressure than either timolol (0.1%) or dipivalyl-epinephrine (0.25%) alone. In 13 patients a comparison was made between patients who received both timolol (0.25%) and dipivalyl-epinephrine (0.1%) bis x and patients who received only timolol (0.25%) bis x over a period of 6, 9 and 12 weeks. Both substances used in combination produced a statistically more significant reduction in intraocular pressure than timolol (0.25%) bis x alone. The simultaneous application of an alpha and beta-adrenergic agonist and beta-adrenergic antagonist is not contradictory. The results are discussed on the basis of the mode of action of the applied substances.

摘要

对27例高眼压症或开角型青光眼患者进行测试,以观察噻吗洛尔和二特戊酰肾上腺素是否以及在何种程度上能产生额外的眼压降低效果。在一项短期研究中,对14例患者使用噻吗洛尔(0.1%)和二特戊酰肾上腺素(0.25%)进行测试。两种药物同时应用时,眼压降低程度在统计学上比单独使用噻吗洛尔(0.1%)或二特戊酰肾上腺素(0.25%)更显著。对13例患者进行了为期6周、9周和12周的比较,一组患者接受噻吗洛尔(0.25%)和二特戊酰肾上腺素(0.1%)各两次,另一组患者仅接受噻吗洛尔(0.25%)各两次。两种药物联合使用时,眼压降低程度在统计学上比单独使用噻吗洛尔(0.25%)各两次更显著。同时应用α和β肾上腺素能激动剂以及β肾上腺素能拮抗剂并不矛盾。根据所用药物的作用方式对结果进行了讨论。

相似文献

1
[The effect of timolol and dipivalyl-epinephrine in the treatment of the elevated intraocular pressure (author's transl)].噻吗洛尔与二特戊酰肾上腺素治疗眼压升高的效果(作者译)
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1980;213(4):273-81. doi: 10.1007/BF00417550.
2
Timolol and dipivalyl epinephrine combination therapy.噻吗洛尔与二特戊酰肾上腺素联合疗法。
Aust J Ophthalmol. 1982 Aug;10(3):179-82. doi: 10.1111/j.1442-9071.1982.tb00381.x.
3
A study of the intraocular pressure lowering effect of timolol and dipivalyl epinephrine.噻吗洛尔与二特戊酰肾上腺素降低眼压作用的研究。
Aust J Ophthalmol. 1982 May;10(2):121-3. doi: 10.1111/j.1442-9071.1982.tb00370.x.
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Experience with dipivalyl epinephrine. Its effectiveness, alone or in combination, and its side effects.二特戊酰肾上腺素的使用经验。其单独使用或联合使用时的有效性及其副作用。
Aust J Ophthalmol. 1983 Aug;11(3):159-61. doi: 10.1111/j.1442-9071.1983.tb01071.x.
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Drop attack in glaucoma. The Melbourne experience with topical miotics, adrenergic and neuronal blocking drops.
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[Effect of timolol-epinephrine combination on intraocular pressure (author's transl)].噻吗洛尔 - 肾上腺素联合用药对眼压的影响(作者译)
J Fr Ophtalmol. 1980;3(5):359-62.
7
A study of the intraocular pressure lowering effect of timolol and dipivalyl epinephrine.
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[The effect of timolol and parasympathicomimetica in the treatment of the elevated intraocular pressure (author's transl)].
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[Comparative study between timolol and d-epinephrine in the treatment of open-angle glaucoma (author's transl)].
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Timolol and epinephrine: long-term evaluation of concurrent administration.
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引用本文的文献

1
Timolol treatment of chronic open-angle glaucoma and ocular hypertension. A 2.5-year multicenter study.
Graefes Arch Clin Exp Ophthalmol. 1982;219(2):68-71. doi: 10.1007/BF02173443.
2
Dose response of oral timolol combined with adrenaline.口服噻吗洛尔联合肾上腺素的剂量反应。
Br J Ophthalmol. 1982 Apr;66(4):242-6. doi: 10.1136/bjo.66.4.242.
3
Dose-related interaction between timolol and adrenaline.噻吗洛尔与肾上腺素之间的剂量相关相互作用。
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1981;216(1):55-9. doi: 10.1007/BF00407777.

本文引用的文献

1
The role of ciliary blood flow and ultrafiltration in aqueous humor formation.睫状体血流和超滤在房水生成中的作用。
Exp Eye Res. 1973 Aug 10;16(4):287-98. doi: 10.1016/0014-4835(73)90094-8.
2
Beta-adrenergic responses in the eyes of rabbits, primates, and man.兔子、灵长类动物和人类眼睛中的β-肾上腺素能反应。
Exp Eye Res. 1974 Sep;19(3):281-95. doi: 10.1016/0014-4835(74)90147-x.
3
The alpha and beta adrenergic responses to epinephrine in the rabbit eye.兔子眼睛对肾上腺素的α和β肾上腺素能反应。
4
A single-blind randomised trial comparing adrenaline 1.0% with dipivalyl epinephrine (propine) 0.1% in the treatment of open-angle glaucoma and ocular hypertension.一项单盲随机试验,比较1.0%肾上腺素与0.1%双特戊酰肾上腺素(丙美卡因)治疗开角型青光眼和高眼压症的效果。
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Cardiac effects of topical timolol.噻吗洛尔局部应用对心脏的影响。
N Engl J Med. 1979 Mar 8;300(10):566. doi: 10.1056/NEJM197903083001018.
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Absence of an effect of timolol on the pupil.
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A fluorophotometric study of the effect of topical timolol on aqueous humor dynamics.
Exp Eye Res. 1978 Aug;27(2):135-42. doi: 10.1016/0014-4835(78)90083-0.
9
[The effect of timolol eye drops on the intraocular pressure in simple glaucoma (author's transl)].噻吗洛尔滴眼液对单纯性青光眼眼压的影响(作者译)
Klin Monbl Augenheilkd. 1978 May;172(5):677-85.
10
Timolol. A new drug for management of chronic simple glaucoma.噻吗洛尔。一种用于治疗慢性单纯性青光眼的新药。
Arch Ophthalmol. 1978 Jun;96(6):1003-8. doi: 10.1001/archopht.1978.03910050527005.