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[双胍类药物治疗糖尿病的适应证与禁忌证]

[Indications and contraindications of biguanide therapy in diabetes mellitus].

作者信息

Tatón J

出版信息

Z Gesamte Inn Med. 1981 Jan 15;36(2):33-7.

PMID:7222845
Abstract

In this review the actual stage of knowledge is mediated concerning the oral therapy of diabetes mellitus by biguanides. After a historical review the pharmacological data obtained by animal experiments as well as by clinical application are summarized and the effects and side-effects are derived. The problem of lactic acidosis and the controversial discussion due to the UGDP-study concerning the relation of the biguanides to the cardiovascular system are largely discussed. Concrete recommendations are given concerning the clinical practice by means of the communication of the revised indications and contraindications of the therapy with biguanides.

摘要

在本综述中,阐述了关于双胍类药物治疗糖尿病的实际知识阶段。在进行历史回顾后,总结了通过动物实验以及临床应用获得的药理学数据,并得出了其作用和副作用。重点讨论了乳酸酸中毒问题以及由于大学组糖尿病计划(UGDP)研究引发的关于双胍类药物与心血管系统关系的争议性讨论。通过传达双胍类药物治疗的修订适应症和禁忌症,给出了关于临床实践的具体建议。

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1
[Indications and contraindications of biguanide therapy in diabetes mellitus].[双胍类药物治疗糖尿病的适应证与禁忌证]
Z Gesamte Inn Med. 1981 Jan 15;36(2):33-7.
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[Biguanides: reasons for withdrawal of drugs and remaining indications].[双胍类药物:停药原因及剩余适应症]
Acta Med Austriaca. 1978;5(3):85-8.
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[Biguanides in the treatment of diabetes mellitus].[双胍类药物治疗糖尿病]
Acta Med Port. 1989 Sep;Suppl 1:15S-18S.
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[The importance of lactate acidosis as a side effect of biguanide therapy].[乳酸酸中毒作为双胍类药物治疗副作用的重要性]
Fortschr Med. 1976 Dec 16;94(35-36):2065-71.
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Biguanides. A review of history, pharmacodynamics and therapy.双胍类药物。历史、药效学及治疗学综述。
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[Glucose-lactic acid metabolism during clinical use of biguanides].[双胍类药物临床应用期间的葡萄糖-乳酸代谢]
Ugeskr Laeger. 1973 Jul 30;135(31):1632-5.
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[Lactate acidosis in biguanide therapy of diabetes mellitus].[糖尿病双胍类治疗中的乳酸酸中毒]
Dtsch Med Wochenschr. 1977 Jul 8;102(27):1009.
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[Biguanide therapy of diabetes mellitus].
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[Are oral antidiabetics ineffective-or even dangerous? The "University Group Diabetes Program" (UGDP) as basis for a controversial discussion on the therapy of diabetes in the aged].
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