药品评价
藥品評價
약품평개
DRUG REEVALUATION
2013年
12期
25-28,33
,共5页
郝建峰%李书瑞%张绍义%范红娟%关连颖%康凯宁
郝建峰%李書瑞%張紹義%範紅娟%關連穎%康凱寧
학건봉%리서서%장소의%범홍연%관련영%강개저
降压药物%血压昼夜节律%服药时间
降壓藥物%血壓晝夜節律%服藥時間
강압약물%혈압주야절률%복약시간
Antihypertensive Drugs%Blood Pressure Circadian Rhythm%Time for Drug Administration
本文通过检索对常用降压药物的服药时间与疗效进行研究的文献,对可供晚睡前服用的降压药物进行了评价,并提出晚睡前服用降压药物时的注意事项。⑴大多数高血压患者需要在早晨服用降压药物;⑵20%左右的高血压病患者血压昼夜节律异常,动态血压监测确定为非杓型高血压后,应调整为晚睡前或早晨+晚睡前服用降压药物;⑶晚睡前服用降压药物时应选择长效制剂,结合临床并按规定剂量服药。晚睡前服用降压药物,有助于恢复正常血压昼夜节律,减缓晨峰现象,减轻或逆转靶器官损伤。
本文通過檢索對常用降壓藥物的服藥時間與療效進行研究的文獻,對可供晚睡前服用的降壓藥物進行瞭評價,併提齣晚睡前服用降壓藥物時的註意事項。⑴大多數高血壓患者需要在早晨服用降壓藥物;⑵20%左右的高血壓病患者血壓晝夜節律異常,動態血壓鑑測確定為非杓型高血壓後,應調整為晚睡前或早晨+晚睡前服用降壓藥物;⑶晚睡前服用降壓藥物時應選擇長效製劑,結閤臨床併按規定劑量服藥。晚睡前服用降壓藥物,有助于恢複正常血壓晝夜節律,減緩晨峰現象,減輕或逆轉靶器官損傷。
본문통과검색대상용강압약물적복약시간여료효진행연구적문헌,대가공만수전복용적강압약물진행료평개,병제출만수전복용강압약물시적주의사항。⑴대다수고혈압환자수요재조신복용강압약물;⑵20%좌우적고혈압병환자혈압주야절률이상,동태혈압감측학정위비표형고혈압후,응조정위만수전혹조신+만수전복용강압약물;⑶만수전복용강압약물시응선택장효제제,결합림상병안규정제량복약。만수전복용강압약물,유조우회복정상혈압주야절률,감완신봉현상,감경혹역전파기관손상。
This Article retrieved literatures about the relationship between the time of administration antihypertensive drugs and the circadian rhythm of blood pressure, evaluated the effect of administration antihypertensive at bedtime, provided recommendation of how to take antihypertensive. Firstly, most patient should to take antihypertensive in the morning. Secondly, about 20 percent of patient show abnormal circadian rhythm of blood pressure, that is mean non-dipper hypertension through ambulatory blood pressure monitoring, should adjust the medication administration from morning to night or morning and night. Thirdly, antihypertensive which are chosen to administrate at bedtime should be long time acting. Administration hypertensive at bedtime will help restore the normal circadian rhythm of blood pressure, alleviate the morning surge, and reduce even reverse the damage to target organs.