期刊文献+

硝苯地平控释片与联合降压治疗轻度及中度高血压疗效对比研究 被引量:5

原文传递
导出
摘要 目的评价单用硝苯地平控释片(拜新同)对轻度及中度维吾尔族原发性高血压的疗效。方法120例维吾尔族轻度及中度原发性高血压患者随机接受硝苯地平控释片30mg或福辛普利5mg联合氢氯噻嗪12.5mg,血压控制不满意,则福辛普利加量到10mg,1O:/d,总疗程8周。结果硝苯地平控释片组治疗前的收缩压(SBP)/舒张压(DBP)为(155.2±11.4)/(96.2±5.3)mmHg,治疗后的血压为(138.8±10.2)/(86.5±4.9)mmHg,血压下降幅度(16.6±8.0/9.6±5.1)mmHg。联合组治疗前的SBP/DBP为(156.2±12.3)/(97.5±4.9)mmHg,治疗后的血压(140.5±10.3)/(76.5±9.9)mmHg,血压下降幅度为(15.6±7.8/9.1±4.9)mmHg。2组治疗前后血压下降幅度差异均有统计学意义(P〈0.01),2组间差异无统计学意义(P〉0.05)。硝苯地平控释片组和联合组显效率分别为65.5%和70.1%,总有效率分别为87.9%和89.3%,2组间差异无统计学意义。本实验中硝苯地平控释片组不良反应少。结论硝苯地平控释片治疗轻度及中度维吾尔族原发性高血压疗效确切,且安全可靠。
出处 《中国临床实用医学》 2010年第10期168-169,共2页 China Clinical Practical Medicine
  • 相关文献

参考文献11

  • 1卫生部心血管病防治研究中心.中国心血管病报告.中国大百科全书出版社,2006.
  • 2Major outcomes in high-risk hypertensive patients randomized toangiotensin-converting enzyme inhibitor or calcium channel bloc-ker vs diuretic. The antihypertensive and lopid-lowering treatment to prevent heart attack trial ( ALLHAT ). HAMA, 2002, 288: 2981-2997.
  • 3曹广民,蔡云峰.从价—效医学评价抗高血压药物的选择[J].医学临床研究,2002,19(5):321-324. 被引量:15
  • 4Brown M, Palmer C, Castaigne A, et al. Morbidity and Mor-tality in patients randomized to double-blind treatment with along-acting calcium channel blocker or diuretic in the interna-tional Nefedipine GITS study:intervention as a goal in hyper-tension treatment (INSIGHT). Lancet, 2000,356 : 366 -372.
  • 5美国预防、检测、评估与治疗高血压全国委员会第七次报告.
  • 6Zanchetti A. The 24-hour efficacy of a new once-daily foumula-tion of nifedipine. Drugs, 1994,48 : S23-31.
  • 7Krakoff LR, Effectiveness of nefidipine gastrointestinal thera-peutic system for treatment of hypertension : results of the MATH trial. J Cardiovasc Pharmacol, 1993,21 : S14-17.
  • 8Sacco RL, Adams R, Albers G, el al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack a statement for healthcare professionals from The American Heart Association/American Stroke Association Council on Stroke co-Sponsored by the council on cardiovascular radiology and intervene-tion : the American Academy of Neurology affirms the value of this guideline. Stroke ,2006,37:577-617.
  • 9Sean R, Venkatesh A. Cerebral autoregulation and blood pressure lowering. Hypertension, 2007,49,977 -978.
  • 10曾广民,黄淑媛,王艾.脑卒中二级预防中的降压药治疗:钙拮抗剂与血管紧张素转换酶抑制剂,孰优孰劣?[J].中华高血压杂志,2008,16(4):291-293. 被引量:11

二级参考文献19

  • 1刘力生.2004年中国高血压防治指南(实用本)[J].中华心血管病杂志,2004,32(12):1060-1064. 被引量:2611
  • 2陈鲁原,林曙光.降压本身与药物的选择谁更重要?——关于抗高血压药物作用机制的争论[J].循证医学,2005,5(2):65-67. 被引量:1
  • 3刘力生,龚兰生,王文,降压治疗预防卒中再发研究协作组.降压治疗对中国脑血管病患者脑卒中再发预防的多中心随机双盲对照临床研究[J].中华心血管病杂志,2005,33(7):613-617. 被引量:50
  • 4王拥军.钙通道阻滞剂防治脑血管病专家共识[J].中华内科杂志,2006,45(3):261-262. 被引量:23
  • 5武阳丰,周北凡.我国人群心血管病主危险因素流行现状及发展趋势[M].21世纪心血管危险控制全国巡回继续教育会议,专题报告,2001,5-10.
  • 6Brown MJ, palmer CR, Castaigne A, et al .Morbidity and mortality in patients randomized to doubleblind treatment with a long-acting calcium-channel blocker or diuretic in the international Nifedipine GITS study: intervention as a goal in hypertension treatment (Insight)[J]. Lancet ,2000,356:366-372.
  • 7Hansson L, Lindholm LH, Niskanen L, et al .Effect of angiotensin-converting-enzyme inhibition compared with conventional therapy on cardiovascular morbidity and mortality in hypertension :the captopril prevention project (Cappp) randomised trial [J] .Lancet ,1999,353:611-616.
  • 8Hansson L,Hedner T, Lund johansen P, et al .Randomised trial of effects of calcium antagonists compared with diuretics and β -blockers on cardiovasvular morbidity and mortality in hypertension: the Nordic Diltiazem(Nordil) study[J].Lancet, 2000,356:359-365.
  • 9Wikstrand J,Warnold I, Olsson C, et al . Primary prevention in patients with hypertension:comments on the clinical implications of the MAPHY study metoprolol atherosclerosis prevention in hypertensives study [J]. Am Heart J, 1998, 116 (1 pt 2):338-347.
  • 10UK Prospective Diabetes Study Group.High blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes:UKPDS.38[J] . Br Med J, 1998,317:703-713.

共引文献126

同被引文献26

引证文献5

二级引证文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部