目的 总结盐酸沙格雷酯治疗周围动脉炎性疾病的初步疗效。
方法 2009年10月至2012年3月期间我院共收治32例周围动脉炎性疾病患者,其中血栓闭塞性脉管炎(TAO) 18例,雷诺综合征14例,经患者知情同意的情况下给予盐酸沙格雷酯治疗,给予西络他唑100mg/d以及必须的强的松治疗后加服盐酸沙格雷酯100mg,3次/d口服,治疗后3个月观察疗效。
结果 18例TAO患者中有10例服用了盐酸沙格雷酯,治疗后其间歇性跛行距离〔(362±127) m〕较治疗前 〔(224±86) m〕延长;8例静息痛患者中7例症状消失,1例改善;4例溃疡患者中3例愈合,1例未愈合。8例未加服盐酸沙格雷酯患者,有6例间歇性跛行消失,2例改善;5例静息痛患者中3例症状消失,2例改善;2例溃疡患者中1例愈合,1例未愈合。14例雷诺综合征患者中8例加服盐酸沙格雷酯,雷诺症状7例消失,1例改善;3例溃疡患者完全愈合。6例未加服盐酸沙格雷酯患者雷诺症状4例消失,2例改善;1例溃疡患者未愈合。
结论 从本组有限病例资料看,盐酸沙格雷酯对于治疗周围动脉炎性疾病是有效的。
Citation:
黄晓钟,张纪蔚. Sarpogrelate Hydrochloride in Treatment for Peripheral Arterial Inflammatory Disease. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(11): 1227-1228. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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兰锡纯, 冯卓荣. 心脏血管外科[M]. 第2版. 北京:人民卫生出版社, 2002:1234-1241, 1406-1418.
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2. |
王嘉桔, 赵文光, 孙思翘, 等. 血栓闭塞性脉管炎治疗方法的演变和现状(百年回顾之三)[J/OL]. 中国血管外科杂志(电子版), 2011, 3(2):80-83, 87.
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黎建华, 汤秀芬. 肾上腺皮质激素治疗血栓闭塞性脉管炎急性期的临床观察[J]. 当代医学, 2009, 15(16):97-98.
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4. |
Qi R, Ozaki Y, Satoh K, et al. Quantitative measurement of various 5-HT receptor antagonists on platelet activation induced by serotonin[J]. Thromb Res, 1996, 81(1):43-54.
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5. |
Rashid M, Manivet P, Nishio H, et al. Identification of the bindingsites and selectivity of sarpogrelate, a novel 5-HT2 antagonist, to human 5-HT2A, 5-HT2B and 5-HT2C receptor subtypes by molecular modeling[J]. Life Sci, 2003, 73(2):193-207.
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HT2-receptor antagonist, improves the coronary microcirculation in coronary artery disease[J]. Clin Cardiol, 2002, 25(1):28-32.
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Jeflrey W, Olin Do. Thromboangiitis Obliterans (BuergersDisease)//Rutherford RB. Vascular Surgery[M]. 6th ed,Elsevier, Inc. 2005:404-416.
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Chen YW, Iwai T, Umeda M, et al. Elevated IgG titers to periodontal pathogens related to Buerger disease[J]. Int J Cardiol, 2007, 122(1):79-81.
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9. |
Sharma SK, Zahradka P, Chapman D, et al. Inhibition of serotonin-induced vascular smooth muscle cell proliferation by sarpogrelate[J]. J Pharmacol Exp Ther, 1999, 290(3):1475-1481.
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10. |
Nakamura K, Kariyazono H, Masuda H, et al. Effects ofsarpogrelate hydrochloride on adenosine diphosphate- or collagen-induced platelet responses in arteriosclerosis obliterans[J]. Blood Coagul Fibrinolysis, 2001, 12(5):391-397.
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11. |
霍勇, 孟磊, 温绍君, 等. 抗血小板药物在动脉血栓栓塞性疾病中的合理应用[J]. 中华内科杂志, 2006, 45(4):347-348.
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12. |
Satomura K, Takase B, Hamabe A, et al. Sarpogrelate, a specific.
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13. |
Mikawa K, Akamatsu H, Nishina K, et al. The effects ofsarpogrelate on superoxide production by human neutrophils[J]. Reg Anesth Pain Med, 2000, 25(2):181-186.
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14. |
Yamashita T, Kitamori K, Hashimoto M, et al. Conjunctiveeffects of the 5HT(2) receptor antagonist, sarpogrelate, on thrombolysis with modified tissue plasminogen activator in differentlaser-induced thrombosis models[J]. Haemostasis, 2000, 30(6):321-332.
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15. |
Kandabashi T, Shimokawa H, Mukai Y, et al. Involvement of rho-kinase in agonists-induced contractions of arteriosclerotichuman arteries[J]. Arterioscler Thromb Vasc Biol, 2002, 22(2):243-248.
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16. |
Ogawa T, Ogura T, Hirata A, et al. Sarpogrelate hydrochloride therapy for Raynaud’s phenomenon in patients with systemic sclerosis[J]. Interna J Rheum Dis, 2008, 11(suppl):P30-04, A483.
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- 1. 兰锡纯, 冯卓荣. 心脏血管外科[M]. 第2版. 北京:人民卫生出版社, 2002:1234-1241, 1406-1418.
- 2. 王嘉桔, 赵文光, 孙思翘, 等. 血栓闭塞性脉管炎治疗方法的演变和现状(百年回顾之三)[J/OL]. 中国血管外科杂志(电子版), 2011, 3(2):80-83, 87.
- 3. 黎建华, 汤秀芬. 肾上腺皮质激素治疗血栓闭塞性脉管炎急性期的临床观察[J]. 当代医学, 2009, 15(16):97-98.
- 4. Qi R, Ozaki Y, Satoh K, et al. Quantitative measurement of various 5-HT receptor antagonists on platelet activation induced by serotonin[J]. Thromb Res, 1996, 81(1):43-54.
- 5. Rashid M, Manivet P, Nishio H, et al. Identification of the bindingsites and selectivity of sarpogrelate, a novel 5-HT2 antagonist, to human 5-HT2A, 5-HT2B and 5-HT2C receptor subtypes by molecular modeling[J]. Life Sci, 2003, 73(2):193-207.
- 6. HT2-receptor antagonist, improves the coronary microcirculation in coronary artery disease[J]. Clin Cardiol, 2002, 25(1):28-32.
- 7. Jeflrey W, Olin Do. Thromboangiitis Obliterans (BuergersDisease)//Rutherford RB. Vascular Surgery[M]. 6th ed,Elsevier, Inc. 2005:404-416.
- 8. Chen YW, Iwai T, Umeda M, et al. Elevated IgG titers to periodontal pathogens related to Buerger disease[J]. Int J Cardiol, 2007, 122(1):79-81.
- 9. Sharma SK, Zahradka P, Chapman D, et al. Inhibition of serotonin-induced vascular smooth muscle cell proliferation by sarpogrelate[J]. J Pharmacol Exp Ther, 1999, 290(3):1475-1481.
- 10. Nakamura K, Kariyazono H, Masuda H, et al. Effects ofsarpogrelate hydrochloride on adenosine diphosphate- or collagen-induced platelet responses in arteriosclerosis obliterans[J]. Blood Coagul Fibrinolysis, 2001, 12(5):391-397.
- 11. 霍勇, 孟磊, 温绍君, 等. 抗血小板药物在动脉血栓栓塞性疾病中的合理应用[J]. 中华内科杂志, 2006, 45(4):347-348.
- 12. Satomura K, Takase B, Hamabe A, et al. Sarpogrelate, a specific.
- 13. Mikawa K, Akamatsu H, Nishina K, et al. The effects ofsarpogrelate on superoxide production by human neutrophils[J]. Reg Anesth Pain Med, 2000, 25(2):181-186.
- 14. Yamashita T, Kitamori K, Hashimoto M, et al. Conjunctiveeffects of the 5HT(2) receptor antagonist, sarpogrelate, on thrombolysis with modified tissue plasminogen activator in differentlaser-induced thrombosis models[J]. Haemostasis, 2000, 30(6):321-332.
- 15. Kandabashi T, Shimokawa H, Mukai Y, et al. Involvement of rho-kinase in agonists-induced contractions of arteriosclerotichuman arteries[J]. Arterioscler Thromb Vasc Biol, 2002, 22(2):243-248.
- 16. Ogawa T, Ogura T, Hirata A, et al. Sarpogrelate hydrochloride therapy for Raynaud’s phenomenon in patients with systemic sclerosis[J]. Interna J Rheum Dis, 2008, 11(suppl):P30-04, A483.