Düntsch G
Fortschr Med. 1977 Jun 9;95(22):1492-6.
The study comprises 90 diabetic patients with hypercholesterolemia. They received colestipol, a basic anion exchange resin, which binds the bile acids in the intestinal tract and thus prevents its enterohepatic circulation. The constant regeneration of bile acids from cholesterol leads to a decrease of the cholesterol level. A significant reduction of the cholesterol level was achieved in 73 of 85 evaluated cases. The observed triglyceride levels showed a different behaviour. All other laboratory data, especially the blood-sugar level, remained unchanged under the treatment with colestipol. Colestipol was well tolerated and, due to its neutral taste, was readily taken by the patients. Only a few patients suffered from slight constipation which did not lead to discontinuation of the treatment.
该研究包括90名患有高胆固醇血症的糖尿病患者。他们服用了考来烯胺,一种碱性阴离子交换树脂,它能在肠道内结合胆汁酸,从而防止其肠肝循环。胆固醇不断再生为胆汁酸会导致胆固醇水平降低。在85例评估病例中的73例中,胆固醇水平有显著降低。观察到的甘油三酯水平表现出不同的变化。所有其他实验室数据,尤其是血糖水平,在服用考来烯胺治疗期间保持不变。考来烯胺耐受性良好,由于其无味,患者很容易接受。只有少数患者出现轻微便秘,但并未导致治疗中断。