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己酮可可碱治疗糖尿病性血管病

[Treatment of diabetic angiopathy with pentoxifylline].

作者信息

Pampulov L, Todorova S

出版信息

Vutr Boles. 1982;21(3):83-8.

PMID:7113189
Abstract

The therapeutic effect of pentoxyphilin substance--Trental, was followed up in 102 diabetics (35 females and 67 males) aged from 34 to 79 via a broad complex of clinical and paraclinical methods. Favourable results were found in 90.4 per cent of the treated; excellent effect--in 42.3 per cent of the treated; very good--in 22.4 per cent and good--in 28.3 per cent; only 9,6 per cent of the total number with a short-term treatment (average of 27 days) failed to respond with a sufficient effect. Pentoxyphilin is very well tolerated by the patients, not deteriorating the carbohydrate metabolism; has a high effect coefficient upon the diabetic macroangiopathy; that concerns all stages of arterial lesions in the lower limbs. As regards microangiopathy our experience is still poor, thus making definite conclusions is rather risky, in spite of the encouraging results so far. The preparation is worthy of being widely applied in the clinical practice both in the treatment and prophylaxis of diabetic macroangiopathy.

摘要

通过广泛的临床和临床旁方法,对102名年龄在34岁至79岁之间的糖尿病患者(35名女性和67名男性)使用己酮可可碱物质——曲克芦丁进行了疗效跟踪。在90.4%的接受治疗者中发现了良好效果;其中42.3%的接受治疗者效果极佳;22.4%效果非常好;28.3%效果良好;在接受短期治疗(平均27天)的患者总数中,只有9.6%没有获得足够的疗效。患者对己酮可可碱耐受性良好,不会使碳水化合物代谢恶化;对糖尿病性大血管病变有很高的疗效系数,涉及下肢动脉病变的各个阶段。至于微血管病变,我们的经验仍然不足,因此尽管目前有令人鼓舞的结果,但做出明确结论仍相当冒险。该制剂值得在糖尿病性大血管病变的治疗和预防的临床实践中广泛应用。

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