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单剂量酒石酸麦角胺对偏头痛患者外周动脉的影响:方法学方面及时间效应曲线

The effect of single dose ergotamine tartrate on peripheral arteries in migraine patients: methodological aspects and time effect curve.

作者信息

Tfelt-Hansen P, Eickhoff J H, Olesen J

出版信息

Acta Pharmacol Toxicol (Copenh). 1980 Aug;47(2):151-6. doi: 10.1111/j.1600-0773.1980.tb01855.x.

DOI:10.1111/j.1600-0773.1980.tb01855.x
PMID:7435199
Abstract

Ergotamine tartrate (0.5 mg/70 kg) was given intravenously to 17 migraine patients. Arm, finger, ankle and big toe systolic blood pressures were measured with strain gauge technique for up to 4 hours and again after 22 hours. Systolic arm blood pressure increased transiently (duration less than 3 hours). Peripheral systolic blood pressures decreased in all patients (for toes a few to 55 mmHg) and at 22 hours well sustained decreases were still found. Further 10 migraine patients received 2-4 mg ergotamine tartrate as suppositories and peripheral systolic blood pressures were measured for 3 days. A decrease in peripheral systolic blood pressure was found after 24 hours but had disappeared after 48 hours. Contrary to common belief the present study investigating the effect of ergotamine directly on arteries has shown a long duration of its vasoconstrictory effect. Thus the effect of a single dose of ergotamine on the arteries should be followed for days.

摘要

将酒石酸麦角胺(0.5毫克/70千克)静脉注射给17名偏头痛患者。采用应变计技术测量手臂、手指、脚踝和大脚趾的收缩压,测量时间长达4小时,并在22小时后再次测量。手臂收缩压短暂升高(持续时间少于3小时)。所有患者的外周收缩压均下降(脚趾下降幅度为几毫米汞柱至55毫米汞柱),在22小时时仍发现有持续的下降。另外10名偏头痛患者接受2 - 4毫克酒石酸麦角胺栓剂治疗,并测量外周收缩压3天。24小时后发现外周收缩压下降,但48小时后消失。与普遍看法相反,本研究调查酒石酸麦角胺对动脉的直接作用,显示出其血管收缩作用持续时间较长。因此,单次剂量酒石酸麦角胺对动脉的作用应持续观察数天。

相似文献

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The effect of single dose ergotamine tartrate on peripheral arteries in migraine patients: methodological aspects and time effect curve.单剂量酒石酸麦角胺对偏头痛患者外周动脉的影响:方法学方面及时间效应曲线
Acta Pharmacol Toxicol (Copenh). 1980 Aug;47(2):151-6. doi: 10.1111/j.1600-0773.1980.tb01855.x.
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引用本文的文献

1
Intranasal medications for the treatment of migraine and cluster headache.用于治疗偏头痛和丛集性头痛的鼻内用药。
CNS Drugs. 2004;18(10):671-85. doi: 10.2165/00023210-200418100-00004.
2
Ergotamine and dihydroergotamine: a review.麦角胺与双氢麦角胺综述
Curr Pain Headache Rep. 2003 Feb;7(1):55-62. doi: 10.1007/s11916-003-0011-7.
3
The effect of rizatriptan, ergotamine, and their combination on human peripheral arteries: a double-blind, placebo-controlled, crossover study in normal subjects.利扎曲普坦、麦角胺及其联合用药对人体外周动脉的影响:一项在正常受试者中进行的双盲、安慰剂对照、交叉研究。
Br J Clin Pharmacol. 2002 Jul;54(1):38-44. doi: 10.1046/j.1365-2125.2002.01403.x.
4
Triptans in migraine: a comparative review of pharmacology, pharmacokinetics and efficacy.曲坦类药物治疗偏头痛:药理学、药代动力学及疗效的比较综述
Drugs. 2000 Dec;60(6):1259-87. doi: 10.2165/00003495-200060060-00003.
5
Kinetics of ergotamine after intravenous and intramuscular administration to migraine sufferers.偏头痛患者静脉注射和肌肉注射麦角胺后的药代动力学。
Eur J Clin Pharmacol. 1982;23(3):235-40. doi: 10.1007/BF00547560.
6
Bioavailability of sublingual ergotamine.舌下麦角胺的生物利用度。
Br J Clin Pharmacol. 1982 Feb;13(2):239-40. doi: 10.1111/j.1365-2125.1982.tb01366.x.
7
Nitroglycerin for ergotism. Experimental studies in vitro and in migraine patients and treatment of an overt case.用于麦角中毒的硝酸甘油。体外及偏头痛患者的实验研究及1例显性病例的治疗。
Eur J Clin Pharmacol. 1982;22(2):105-9. doi: 10.1007/BF00542453.
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Low bioavailability of ergotamine tartrate after oral and rectal administration in migraine sufferers.偏头痛患者口服和直肠给药后酒石酸麦角胺的生物利用度较低。
Br J Clin Pharmacol. 1983 Dec;16(6):695-9. doi: 10.1111/j.1365-2125.1983.tb02243.x.
9
Ergotamine, flunarizine and sumatriptan do not change cerebral blood flow velocity in normal subjects and migraneurs.麦角胺、氟桂利嗪和舒马曲坦不会改变正常人和偏头痛患者的脑血流速度。
J Neurol. 1991 Aug;238(5):245-50. doi: 10.1007/BF00319734.