血液と脈管
Online ISSN : 1884-2372
Print ISSN : 0386-9717
腎培養組織由来ウロキナーゼ (TCUK) による脳血栓症治療効果の評価に関する二重盲検試験
安部 英風間 睦美内藤 巌上田 満田中 輝彦樋口 紘笹生 俊一刈米 重夫吉村 正治前川 正森松 光紀森安 信雄高木 偉前沢 秀憲加瀬 正夫桑名 信匡小田倉 力高須 健次菅原 譲高橋 昭大久保 満伊知地 濱夫山本 祐夫菊池 晴彦鬼頭 昭三時任 純孝岩崎 由雄
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1981 年 12 巻 3 号 p. 321-341

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A multi-center double blind study for the clinical evaluation of TCUK was carried out on 115 patients with cerebral thrombosis.
The administration of TCUK was done continuously in doses of 60, 000 I. U. for 7 days under comparison with negative placebo.
The study was performed according to the protocol, shown in Table 1-6 and the effects of TCUK were judged by the grade of improvement of apparent subjective complaints, disturbances of consciousness, motorius and sensorial disorders of extremities and comprehensive daily life activities. The total scoring of improvements in individual disorders and their comprehensive evaluation were made for judgement of the global improvement and availability of the drugs, obtaining the following conclusions:
(1) The availability, particularly the global improvement of TCUK were better than those of placebo in their statistical significance (Table 10).
(2) In the serial evaluations, the clinical effects were more significant in patient groups of mild or moderate grades in the severity of disorders, of ages between 40-69, without histories of brain damages and without simultaneous infusions of large amount of solutions.
(3) The side effects of TCUK were rare (Table 11) with only two exceptional cases with disturbance of liver functions (Table 18), but the relationship between this liver function disturbance and administration of TCUK was obscure and no cases of hemorrhagic infarction were found in connection with TCUK administration in this study.
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© 日本血栓止血学会
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