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气道阻塞中支气管痉挛的可逆性。

Reversibility of bronchospasm in airway obstruction.

作者信息

von Wichert P

出版信息

Am Heart J. 1982 Aug;104(2 Pt 2):446-50. doi: 10.1016/0002-8703(82)90138-7.

DOI:10.1016/0002-8703(82)90138-7
PMID:7102530
Abstract

In a double-blind, randomized crossover study of 12 patients suffering from chronic bronchitis, the comparative influence of equipotent doses of pindolol (5 mg) and metoprolol (100 mg) on the bronchodilatory potential of inhaled fenoterol (0.4 mg), a beta 2-agonist, was investigated by means of body plethysmography. Neither beta-blocker caused bronchospasm or attenuated the bronchodilation due to fenoterol. The results are not pertinent to the potential risk of bronchospastic complications induced by beta 1-selective or nonselective drugs, but they rule out a therapy-oriented differentiation between pindolol and cardioselective agents as far as the potential response to the bronchodilating activity of inhaled sympathomimetics is concerned.

摘要

在一项针对12例慢性支气管炎患者的双盲随机交叉研究中,通过体积描记法研究了等效剂量的吲哚洛尔(5毫克)和美托洛尔(100毫克)对吸入β2激动剂非诺特罗(0.4毫克)的支气管扩张潜力的比较影响。两种β受体阻滞剂均未引起支气管痉挛,也未减弱非诺特罗所致的支气管扩张。这些结果与β1选择性或非选择性药物引起支气管痉挛并发症的潜在风险无关,但就吸入拟交感神经药的支气管扩张活性的潜在反应而言,排除了吲哚洛尔与心脏选择性药物之间基于治疗的差异。

相似文献

1
Reversibility of bronchospasm in airway obstruction.气道阻塞中支气管痉挛的可逆性。
Am Heart J. 1982 Aug;104(2 Pt 2):446-50. doi: 10.1016/0002-8703(82)90138-7.
2
[Beta-receptor blocking drugs and the bronchial system. A comparative study of pindolol and metoprolol (author's transl)].[β受体阻滞剂与支气管系统。吲哚洛尔和美托洛尔的比较研究(作者译)]
Med Klin. 1979 Oct 19;74(42):1544-7.
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Br J Clin Pharmacol. 1982;13(Suppl 2):429S-430S. doi: 10.1111/j.1365-2125.1982.tb01951.x.
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Arzneimittelforschung. 1980;30(4):686-8.
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[Propranolol and pindolol in chronic obstructive lung disease (author's transl)].
Dtsch Med Wochenschr. 1976 Nov 26;101(48):1765-8. doi: 10.1055/s-0028-1104336.
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[Protective effect of forskolin in acetylcholine provocation in healthy probands. Comparison of 2 doses with fenoterol and placebo].[福司可林对健康受试者乙酰胆碱激发试验的保护作用。两种剂量与非诺特罗及安慰剂的比较]
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Hemodynamic responses to beta-adrenergic blockade with metoprolol and pindolol after coronary artery bypass surgery.冠状动脉搭桥手术后美托洛尔和吲哚洛尔对β-肾上腺素能阻滞的血流动力学反应。
Chest. 1983 May;83(5):739-43. doi: 10.1378/chest.83.5.739.
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[Changes in lung function following administration of eyedrops containing timolol, metipranolol, pindolol and pilocarpine in healthy probands and patients with mild bronchial asthma].[健康受试者和轻度支气管哮喘患者使用含噻吗洛尔、美替洛尔、吲哚洛尔和毛果芸香碱滴眼液后肺功能的变化]
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Metoprolol and pindolol in hypertension: different effects on peripheral haemodynamics.美托洛尔与吲哚洛尔治疗高血压:对外周血流动力学的不同影响
Clin Sci (Lond). 1981 Dec;61 Suppl 7:425s-427s. doi: 10.1042/cs061425s.

引用本文的文献

1
Beta-blockers use in patients with chronic obstructive pulmonary disease and concomitant cardiovascular conditions.β受体阻滞剂在慢性阻塞性肺疾病合并心血管疾病患者中的应用。
Int J Chron Obstruct Pulmon Dis. 2007;2(4):535-40.
2
Cardioselective beta-blockers for chronic obstructive pulmonary disease.用于慢性阻塞性肺疾病的心脏选择性β受体阻滞剂。
Cochrane Database Syst Rev. 2005 Oct 19;2005(4):CD003566. doi: 10.1002/14651858.CD003566.pub2.