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[普罗布考500毫克/天和1000毫克/天剂量对中度高脂蛋白血症的降血脂作用比较]

[A comparison of the hypolipidemic action of probucol at doses of 500 and 1000 mg/day in moderate hyperlipoproteinemia].

作者信息

Tvorogova M G, Lupanov V P, Nuraliev E Iu, Zaĭtseva T M, Kukharchuk V V, Titov V N

出版信息

Ter Arkh. 1998;70(8):17-21.

PMID:9770737
Abstract

AIM

Evaluation of effectiveness of hypolipidemic action of probucol in doses 500 and 1000 mg/day and comparison of probucol blood concentrations on the treatment month 3 and 6.

MATERIALS AND METHODS

Probucol (Akrikhin, Russia) was given to 41 patients with primary hypercholesterolemia in a dose 500 mg/day. 3 months later the patients were divided into two groups. Group 1 patients exhibited a > 10% decrease in cholesterol levels and continued to take probucol in the dose 500 mg/day. Group 2 patients were crossed over to higher cholesterol dose--up to 1000 mg/day. Lipids levels were measured by enzyme tests, apoproteins--by immunoturbidimetry and immunodiffusion, probucol concentrations--by high-performance liquid chromatography.

RESULTS

After 3 months of treatment, cholesterol lowered by 14.3 and 9.2% in groups 1 and 2, respectively. After 6 months, by 19.7 and 12.9%, respectively. Probucol concentrations in blood were higher after 6 months of treatment than after 3 months in both groups. No significant differences existed between the groups by probucol concentrations in 3 and 6 months.

CONCLUSION

Hypolipidemic effect of probucol depended on the individual features of lipoproteins metabolic disorders rather than the drug blood concentration. Larger probucol doses fail to reduce cholesterol further.

摘要

目的

评估剂量为500毫克/天和1000毫克/天的普罗布考降血脂作用的有效性,并比较治疗第3个月和第6个月时普罗布考的血药浓度。

材料与方法

将普罗布考(俄罗斯阿克里欣公司生产)给予41例原发性高胆固醇血症患者,剂量为500毫克/天。3个月后,将患者分为两组。第1组患者胆固醇水平下降超过10%,继续服用500毫克/天的普罗布考。第2组患者交叉使用更高剂量的普罗布考——高达1000毫克/天。血脂水平通过酶法检测,载脂蛋白通过免疫比浊法和免疫扩散法检测,普罗布考浓度通过高效液相色谱法检测。

结果

治疗3个月后,第1组和第2组的胆固醇分别降低了14.3%和9.2%。6个月后,分别降低了19.7%和12.9%。两组治疗6个月后的血药浓度均高于治疗3个月后的血药浓度。两组在第3个月和第6个月时的普罗布考浓度无显著差异。

结论

普罗布考的降血脂作用取决于脂蛋白代谢紊乱的个体特征,而非药物血药浓度。更大剂量的普罗布考不能进一步降低胆固醇。

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