Effect of intravenous alfuzosin on urethral pressure in patients with neurogenic bladder dysfunction

Effect of intravenous alfuzosin on urethral pressure in patients with neurogenic bladder dysfunction
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静脉注射阿夫唑嗪对神经源性膀胱功能障碍患者尿道压力的影响

DOI:
10.1002/nau.1930150203
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发表时间:
1996
影响因子:
2
通讯作者:
E. Mcguire
E. Mcguire
中科院分区:
医学3区
文献类型:
--
作者:
M. Perrigot;M. Delauche‐Cavallier;G. Amarenco;C. Geffriaud;A. Stalla‐Bourdillon;P. Costa;E. Mcguire

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为了评估单次静脉(IV)注射阿夫唑嗪(一种选择性α 1受体阻滞剂)降低症状性神经源性膀胱功能障碍(NBD)患者高尿道张力的能力,163例患者(平均最大尿道压[MUP] 108 ± 46 cm H2O)入组一项双盲、安慰剂对照、平行组试验,随机分配接受0.5 mg(n = 45)、1 mg(n = 41)、2 mg(n = 39)阿夫唑嗪或安慰剂(n = 38)。与安慰剂组(23 ± 30 cm H2O)相比,1 mg和2 mg阿夫唑嗪组的MUP降低具有剂量依赖性和统计学显著性(P <0.05)(分别为43 ± 28 cm H2O和46 ± 27 cm H2O较基线降低)。2 mg剂量水平是最有效的,分别导致69和44%的患者的MUP降低30%或50%。所有3种阿夫唑嗪剂量水平的安全性均令人满意,且与安慰剂相当。
In order to assess the ability of a single intravenous (IV) injection of alfuzosin, a selective alpha‐1 blocker, in reducing high urethral tone in patients with symptomatic neurogenic bladder dysfunction (NBD), 163 patients (mean maximal urethral pressure [MUP] 108 ± 46 cm H2O) were enrolled in a double‐blind, placebo‐controlled, parallel‐group trial and were randomly allocated to receive 0.5 mg (n = 45), 1 mg (n = 41), 2 mg (n = 39) alfuzosin or placebo (n = 38). The decrease in MUP was dose‐dependent and statistically significant (P ⩽ 0.05) for 1 and 2 mg alfuzosin (respectively, 43 ± 28 cm H2O and 46 ± 27 cm H2O decreases vs. baseline) in comparison with placebo (23 ± 30 cm H2O). The 2 mg dose level was the most effective leading to a ⩾30 or 50% decrease in MUP in, respectively, 69 and 44% of patients. The safety of all three alfuzosin dose levels was satisfactory and comparable to placebo.
DOI: 10.1016/s0022-5347(17)48996-8
发表时间: 1985-01-01
期刊: JOURNAL OF UROLOGY
影响因子: 6.6
作者:
STERNBERG, CN;YAGODA, A;WHITMORE, WF
通讯作者: WHITMORE, WF