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前列地尔单用或与硝酸异山梨酯和硝苯地平合用治疗心绞痛 被引量:10

Alprostadil alone or combined with isosorbide dinitrate and nifedipine in treating angina pectoris
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摘要 目的:比较单用前列地尔或与硝酸异山梨酯和硝苯地平合用治疗心绞痛的疗效。方法:74例冠心病心绞痛病人(男性43例,女性31例;年龄53±s9a)随机分为3组,A组27例以前列地尔200300μg加入5%葡萄糖水250mL内静脉滴注,2h滴毕,qd。B组23例舌下含化硝酸异山梨酯10mg,qid,硝苯地平10mg,po,tid。C组24例合用上述3种药物。均以7d为一个疗程,间隔5d后进行第2疗程。结果:显示A,B,C3组症状总有效率分别为85%,83%及100%,心电图总有效率分别为56%,52%及83%。A组和B组疗效相仿(P>0.05),C组疗效显著优于A,B2组(P<0.05)。未发生严重副作用。结论:3药联用是最佳选择。 AIM : To compare the therapeutic effects of alprostadil (Alp) alone or combined with isosorbide dinitrate (Iso) and nifedipine (Nif) in 74 patients with angina pectoris. METHODS: Patients(M 43,F31, age 53± s 9 a) were randomly divided into 3 groups :(A)27 patients were infused iv Alp 200-300 μg daily :(B)23 patients received sublingually Iso 10 mg qid and po Nif 10 mg tid; and (C)24 patients were given the 3 drugs in combination. The patients were treated 2 wk as a course. RESULTS: The anti-anginal effects in groups A,B, and C were 85%, 83 %, and 100%, respectively. The ECG-effective rates were 56%, 52% and 83%, respectively. The therapeutic efficacy of group C was higher than those of groups A and B(P<0.05).CONCLUSION:The regime of Alp+Iso+Nif was the best choice.
出处 《新药与临床》 CSCD 北大核心 1995年第4期248-250,共3页
关键词 前列无尔 硝苯地平 冠状动脉疾病 心绞痛 alprostadil isosorbide dinitrate nifedipine coronary disease angina pectories combination drug therapy
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  • 1刘忠铭,戴绍东,林国珍,卢尔滨,高长斌,赵林阳,魏大愚.治疗冠心病的临床总结[J]临床心血管病杂志,1987(02).
  • 2胡琛.前列腺素与冠心病[J]临床内科杂志,1985(01).

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