Angina pectorisでプロプラノロールを投与する. 長期作用プロプラノロールと標準配方プロプラノロルの比較
Circulation
|June 1, 1982
まとめ
1日1回服用する長効プロプラノロールは,安定した胸痛患者のために標準プロプラノロールと同等の有効性を提供します. この投与法は,アンギナエピソードとニトログリセリンの使用を副作用なく効果的に管理します.
科学分野:
- 心臓病学 心臓病学
- 薬理学 薬理学とは
背景:
- 安定したアンギナ・ペクトリスの管理には,しばしばベータブロッカーが含まれます.
- 標準プロプラノロルは頻繁な投与を必要とし,患者の遵守に影響を及ぼします.
- 長期作用剤は,治療の利便性と一貫性を向上させることを目的としています.
研究 の 目的:
- 1日1回投与される長期作用プロプラノロールと1日4回投与される標準プロプラノロールの有効性と安全性を比較する.
- アンギナエピソードとニトログリセリン消費に対する異なるプロプラノロール製剤の影響を評価する.
- 休息状態と運動中の血液動力学的効果を評価する.
主な方法:
- ダブルブラインド・クロスオーバー研究で,安定した胸の痛みを持つ20人の患者が参加した.
- 長期作用プロプラノロル (160 mg 1日1回) と標準プロプラノロル (40 mg 1日4回) を4週間それぞれ比較した結果.
- アンギナエピソードの評価,ニトログリセリンの使用,心拍数,血圧,および速度圧力製品の評価.
主要な成果:
- 治療スケジュールの切り替えの間,副作用は報告されていません.
- 似たような平均週間のアンギナエピソード (7.3対6.3) とニトログリセリン錠剤消費 (5.8対4.9) が観察されました.
- 心拍数と血圧を含む休憩と運動の血液動力学的パラメータは,2つのレジメン間で比較可能でした.
結論:
- 1日1回投与される長時間作用のプロプラノロール (160 mg) は,安定した胸痛に対して標準プロプラノロール (40 mg 1日4回) と同等に有効です.
- 長期作用の処方箋は,患者の従順性を改善する可能性のある実行可能な代替案を提供します.
- 両方の治療法は,アンギナ症状と血液動力学的反応の管理において,同様の安全性と有効性を示した.
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