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[依托贝特降血脂的现场研究]

[Field study on the decrease of lipids using etofibrate].

作者信息

Schneider J, Haase W, Kaffarnik H

出版信息

Fortschr Med. 1976 May 6;94(13):785-90.

PMID:8362
Abstract

A field-trial on Etofibrat was performed on 4405 patients suffering from primary and secondary hyperlipoproteinemia. The results were proved statistically. After a 3 to 4 weeks treatment the concentration of cholesterol as well as tryglicerides in the serum decreased significantly. After 6 to 8 weeks treatment the lipid-lowering effect was even stronger. Nearly 90% of the patients investigated gave a positive response to the treatment. Part of the population had undergone a treatment with other lipid-lowering agents before-most likely without sufficient success-in these cases a further lipid-lowering effect due to Etofibrat could be shown. Under-dosage in premedication cannot be excluded. The stratification of the patients in different groups of diagnosis showed a nearly similarity of both blood lipids independent of the diagnosis. This could also be confirmed for the group of patients suffering from diabetes. To prove the lipid-lowering efficacy of Etofibrat a population was withdrawn from treatment. Cholesterol as well as tryglicerides increased significantly during the interval without treatment. During a long-term study both lipid fractions could be kept down without increasing of the daily Etofibrat dose. The tolerance of Etofibrat was stated to be good up to very good. Objectively the measured enzymes SGOT, SGPT and gamma-GT showed a decrease of the means. Subjectively the occurrence of an often intermediate heat sensation and/or rubedo was of relevance. The low daily dose compared with other lipid-lowering agents gives indication for a better pharmacocinetic behaviour of the drug;

摘要

对4405例原发性和继发性高脂蛋白血症患者进行了依托贝特的现场试验。结果得到统计学验证。经过3至4周的治疗,血清中胆固醇和甘油三酯的浓度显著降低。经过6至8周的治疗,降脂效果更强。近90%接受调查的患者对治疗有积极反应。部分患者此前曾接受过其他降脂药物治疗——很可能效果不佳——在这些情况下,可以显示依托贝特具有进一步的降脂作用。不能排除用药前剂量不足的情况。根据不同诊断组对患者进行分层,结果显示血脂情况几乎与诊断无关。这一点在糖尿病患者组中也得到了证实。为了证明依托贝特的降脂效果,让一组患者停止治疗。在未治疗期间,胆固醇和甘油三酯均显著升高。在一项长期研究中,两种血脂成分都可以在不增加依托贝特每日剂量的情况下保持在较低水平。据指出,依托贝特的耐受性良好至非常好。客观上,所测的谷草转氨酶、谷丙转氨酶和γ-谷氨酰转移酶的平均值有所下降。主观上,经常出现中度发热感和/或皮肤发红具有相关性。与其他降脂药物相比,每日剂量较低表明该药物的药代动力学行为更佳;

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