Sunday, April 27, 2014

Suzanna Ndraha PENELITIAN: The effect of DLBS1033 in PAD



THE LUMBROKINASE DBLS 1033 EFFECT
 IN PERIPHERAL ARTERY DISEASE

Suzanna Ndraha*, Fendra Wician*, Henny Tannady*, Helena Yap*, Marshell Tendean*
*. Department of Internal Medicine UKRIDA Christian University, Jakarta-indonesia

ABSTRACT

Introduction. Lumbrokinase act as oral anti-thrombotic and thrombolytic is promising to treat cerebrovascular disease, including Peripheral Artery Disease (PAD).  The hallmarks of Peripheral Artery Disease (PAD) are intermittent claudication, rest calf pain and gangrenous ulcer.
Objective. This study aims to describe the clinical picture and risk factors of intermittent claudication in Koja Hospital, and to ascertain the efficacy of lumbrokinase DBLS1033 in patients with intermittent claudication.
Methods. The study was done among 20 patients in Koja hospital Internal Medicine outpatient department (IM-OPD) from April 2013 to August 2013. This is a preliminary RCT study. Patients were interviewed and measured for Ankle Brachial Index (ABI), they were divided into two groups. Group A was given  lumbrokinase DBLS1033 (DisolfÒ) tablet, 1 tab 3 times daily for 2 weeks and group B was given placebo. After 2 weeks, ABI were re-measured. Statistical analysis were done using SPSS 20.
Results. Among 20 subjects with ABI £ 0.9, 90% were woman, mean age 54.4±7.2 yrs. Independent risk factors related with PAD were: hypertension, diabetes, dyslipidemia and lack of exercise. Before treatment, ABI in DBLS1033 group was 0.81±0.05 and 0.82± 0.04 in control group (p=0.73). After treatment, ABI in DBLS1033 group was 1.08±0.7 and 0.78±0.03 in control group (p=0.00). There was significantly difference in improvement of ABI between DBLS1033 group and control group (0.27 vs -0.04, p=0.00). Within DBLS1033 group, mean ABI pre-test 0.81±0.05 and post-test 1.08±0.17 (p=0.00), ABI improvement 0.27±1.6. Within control group, the mean ABI pre-test 0.82± 0.04 and post-test 0.78±0.03(p=0.02), with ABI reduction 0.04±0.02
Conclusion. PAD patients in Koja Hospital were 90% woman, mean age 54.4 years old. Independent risk factors for PAD were hypertension, diabetes, dyslipidemia and lack of exercise. Lumbrokinase DBLS1033 showed to improve ABI in patients with intermittent claudication.

Keywords:  Lumbrokinase, Peripheral artery disease (PAD), Intermittent claudication


Artikel  Lengkap Penelitian ini dipublikasi di Jurnal
MEDICINUS
Scientific Journal of Pharmaceutical Development and Medical Application
vol 27 no 1 April 2014
ISSN 1979-39x

http://cme.medicinus.co/mod/resource/view.php?id=17
Penelitian DLBS




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