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前列环素成功治疗雷诺氏综合征。

Successful treatment of Raynaud's Syndrome with prostacyclin.

作者信息

Belch J J, Newman P, Drury J K, Capell H, Leiberman P, James W B, Forbes C D, Prentice C R

出版信息

Thromb Haemost. 1981 Jun 30;45(3):255-6.

PMID:7025341
Abstract

There is evidence to suggest that platelet activation occurs in Raynaud's syndrome. We evaluated the effect of prostacyclin (PGI2) a potent antiplatelet and vasodilator agent in 5 female patients with Raynaud's syndrome. Outpatient visits were made at weekly intervals for 4 weeks. At the first visit buffer solution (Wellcome Laboratories) was infused intravenously for 5 hrs, thereafter three five hr infusions of PGI2 at a peak dose of 10 ng/Kg/min were given. Six weeks after the infusions patients were reviewed. Symptomatic improvement, including healing of ischaemic ulcers, occurred in 4 out of 5 patients. Thermography confirmed an increase in hand temperature after PCI2. Subjective and objective improvement has persisted for at least 6 weeks after the last treatment.

摘要

有证据表明血小板活化发生在雷诺综合征中。我们评估了前列环素(PGI2),一种强效抗血小板和血管扩张剂,对5名雷诺综合征女性患者的影响。门诊随访每周进行一次,共4周。第一次就诊时,静脉输注缓冲溶液(威康实验室)5小时,此后给予三次5小时的PGI2输注,峰值剂量为10 ng/Kg/分钟。输注后六周对患者进行复查。5名患者中有4名出现了症状改善,包括缺血性溃疡愈合。热成像证实PCI2后手部温度升高。主观和客观改善在最后一次治疗后至少持续了6周。

相似文献

1
Successful treatment of Raynaud's Syndrome with prostacyclin.前列环素成功治疗雷诺氏综合征。
Thromb Haemost. 1981 Jun 30;45(3):255-6.
2
Intermittent epoprostenol (prostacyclin) infusion in patients with Raynaud's syndrome. A double-blind controlled trial.雷尼尔氏综合征患者间歇性输注依前列醇(前列环素):一项双盲对照试验。
Lancet. 1983 Feb 12;1(8320):313-5. doi: 10.1016/s0140-6736(83)91624-0.
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Treatment of Raynaud's phenomenon by intravenous infusion of prostacyclin (PGI2).通过静脉输注前列环素(PGI2)治疗雷诺现象。
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[Treatment of Raynaud's phenomenon in scleroderma with a new stable prostacyclin derivative].
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Evidence for the Use of Epoprostenol to Treat Raynaud's Phenomenon With or Without Digital Ulcers.使用依前列醇治疗伴或不伴指端溃疡的雷诺现象的证据。
Ann Pharmacother. 2016 Dec;50(12):1060-1067. doi: 10.1177/1060028016660324. Epub 2016 Jul 26.
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Successful treatment of Raynaud's syndrome with Iloprost, a chemically stable prostacyclin analogue.用伊洛前列素(一种化学性质稳定的前列环素类似物)成功治疗雷诺综合征。
Br J Rheumatol. 1988 Jun;27(3):220-6. doi: 10.1093/rheumatology/27.3.220.
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[Treatment of severe Raynaud syndrome in scleroderma or thromboangiitis obliterans with prostacyclin (prostaglandin I2)].[用前列环素(前列腺素I2)治疗硬皮病或血栓闭塞性脉管炎中的严重雷诺综合征]
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[Trial treatment of severe Raynaud's phenomenon with prostacyclin (PGI2)].
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Raynaud's phenomenon in systemic lupus erythematosus.系统性红斑狼疮中的雷诺现象。
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引用本文的文献

1
Practical management of Raynaud's phenomenon - a primer for practicing physicians.雷诺现象的实用管理——临床医生实用指南。
Curr Opin Rheumatol. 2022 Jul 1;34(4):235-244. doi: 10.1097/BOR.0000000000000877. Epub 2022 Jun 9.
2
Side effects occurring during administration of epoprostenol (prostacyclin, PGI2), in man.依前列醇(前列环素,PGI2)在人体给药期间出现的副作用。
Br J Clin Pharmacol. 1982 Aug;14(2):177-85. doi: 10.1111/j.1365-2125.1982.tb01959.x.
3
Dazoxiben: a pharmacological tool or clinical candidate?达唑氧苯:一种药理学工具还是临床候选药物?
Br J Clin Pharmacol. 1983;15 Suppl 1(Suppl 1):13S-16S. doi: 10.1111/j.1365-2125.1983.tb02101.x.
4
Nobel lecture. Adventures and excursions in bioassay--the stepping stones to prostacyclin.诺贝尔演讲。生物测定中的冒险与探索——通往前列环素的垫脚石。
Postgrad Med J. 1983 Dec;59(698):743-58. doi: 10.1136/pgmj.59.698.743.
5
Nobel lecture, 8th December 1982. Adventures and excursions in bioassay: the stepping stones to prostacyclin.1982年12月8日诺贝尔演讲。生物测定中的冒险与探索:通往前列环素的垫脚石。
Br J Pharmacol. 1983 Aug;79(4):821-38. doi: 10.1111/j.1476-5381.1983.tb10020.x.
6
Prostacyclin.前列环素
J R Soc Med. 1983 Apr;76(4):245-9. doi: 10.1177/014107688307600401.
7
Prostaglandins and the cardiovascular system.前列腺素与心血管系统。
Br Heart J. 1983 May;49(5):405-9. doi: 10.1136/hrt.49.5.405.
8
Dazoxiben, a thromboxane synthetase inhibitor, in the treatment of Raynaud's syndrome: a double-blind trial.血栓素合成酶抑制剂达唑氧苯治疗雷诺氏综合征的双盲试验
Br J Clin Pharmacol. 1983;15 Suppl 1(Suppl 1):113S-116S. doi: 10.1111/j.1365-2125.1983.tb02119.x.
9
Clinical studies on the vasodilating and anti-platelet effects of OP-41483, a prostacyclin derivative.前列环素衍生物OP-41483的血管舒张和抗血小板作用的临床研究
Jpn J Surg. 1991 Jan;21(1):8-13. doi: 10.1007/BF02470860.
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A double blind, randomised, multicentre comparison of two doses of intravenous iloprost in the treatment of Raynaud's phenomenon secondary to connective tissue diseases.两剂量静脉注射伊洛前列素治疗结缔组织病继发雷诺现象的双盲、随机、多中心比较
Ann Rheum Dis. 1991 Nov;50(11):800-4. doi: 10.1136/ard.50.11.800.