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阿温用于外周动脉循环障碍:对照多中心试验。

Arwin in peripheral arterial circulatory disorders: controlled multicentre trials.

作者信息

Wolf G K

出版信息

Eur J Clin Pharmacol. 1976 Mar 22;09(5-6):387-92. doi: 10.1007/BF00606553.

DOI:10.1007/BF00606553
PMID:786664
Abstract

The effect of Arwin on peripheral arterial occlusive disease has been studied in two multicentre trials. In the first, in cases of severe peripheral arterial circulatory disorders of the lower extremities with permanent rest pain (stages III and III + IV according to Fontaine) Arwin had a better intravenous therapeutic effect than anticoagulant treatment. A further trial was done to investigate whether subcutaneous administration of Arwin would have an effect superior to classical conservative therapy with vasodilator drugs in this type of disease. The results were assessed by sequential analysis. Arwin was again shown to be a much better treatment. Problems of medical documentation and statistics are discussed in relation to the value of sequential analysis.

摘要

已在两项多中心试验中研究了阿尔文(Arwin)对周围动脉闭塞性疾病的疗效。在第一项试验中,对于患有严重下肢周围动脉循环障碍且伴有持续性静息痛(根据方丹分类为III期和III + IV期)的病例,阿尔文的静脉治疗效果优于抗凝治疗。还进行了另一项试验,以研究皮下注射阿尔文在这类疾病中是否具有优于使用血管扩张剂的传统保守疗法的效果。通过序贯分析对结果进行评估。结果再次表明阿尔文是一种更好的治疗方法。结合序贯分析的价值讨论了医学记录和统计学方面的问题。

相似文献

1
Arwin in peripheral arterial circulatory disorders: controlled multicentre trials.阿温用于外周动脉循环障碍:对照多中心试验。
Eur J Clin Pharmacol. 1976 Mar 22;09(5-6):387-92. doi: 10.1007/BF00606553.
2
[Defibrination with the snake venom enzyme arwin in peripheral arterial obstructive disease. Possibilities and limitations (author's transl)].
MMW Munch Med Wochenschr. 1978 Nov 10;120(45):1501-4.
3
[Clinical experience with Arwin (author's transl)].[阿文的临床经验(作者译)]
MMW Munch Med Wochenschr. 1975 Aug 8;117(32-33):1317-20.
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[Results of treatment with ancrod (Arwin) in 21 patients with chronic arterial occlusive disease].[21例慢性动脉闭塞性疾病患者使用安克洛(Arwin)治疗的结果]
Rev Clin Esp. 1982 Mar 15;164(5):313-6.
5
[Thrombotic arterial and venous obstructions under ancrod (Arwin) therapy (author's transl)].[安克洛酶(阿尔文)治疗下的血栓性动静脉阻塞(作者译)]
Med Klin. 1978 May 26;73(21):798-800.
6
Proceedings: Clinical improvement in peripheral circulation by controlled defibrinogenation.论文集:通过可控去纤维蛋白原法改善外周循环的临床研究
Br J Surg. 1976 Aug;63(8):661-2.
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Long-term results after defibrinogenation by Arwin in chronic occlusive arterial disease.阿尔文法去纤维蛋白原治疗慢性闭塞性动脉疾病的长期疗效
Bibl Haematol. 1981(47):252-7. doi: 10.1159/000402232.
8
[Modified dosage scheme for the subcutaneous use of arvin in patients with chronic arterial occlusive diseases].[慢性动脉闭塞性疾病患者皮下使用蝮蛇抗栓酶的改良给药方案]
Vasa. 1976;5(2):155-62.
9
Treatment of severe intermittent claudication by controlled defibrination.通过可控去纤维蛋白法治疗严重间歇性跛行
Lancet. 1977 Mar 19;1(8012):625-6. doi: 10.1016/s0140-6736(77)92059-1.
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[Therapeutic defibrination by arwin in unstable angina pectoris combined with hyperfibrinogenaemia (author's transl)].阿尔文治疗不稳定型心绞痛合并高纤维蛋白原血症的去纤维蛋白疗法(作者译)
Wien Klin Wochenschr. 1978 Nov 24;90(22):792-6.

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本文引用的文献

1
The isolation and properties of the thrombin-like activity from Ancistrodon rhodostoma venom.从圆斑蝰蛇毒中分离出类凝血酶活性及其性质
Br J Haematol. 1967 Jul;13(4):581-90. doi: 10.1111/j.1365-2141.1967.tb00765.x.
2
[Therapeutic defibrination with ancrod (author's transl)].
Dtsch Med Wochenschr. 1973 Nov 30;98(48):2298-304. doi: 10.1055/s-0028-1107244.