实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
7期
79-80,93
,共3页
刘向儒%王才安%唐春仕%李世煌%肖侃%彭露%陈超雄
劉嚮儒%王纔安%唐春仕%李世煌%肖侃%彭露%陳超雄
류향유%왕재안%당춘사%리세황%초간%팽로%진초웅
硝苯地平%吲达帕胺%单纯性收缩期高血压%肾功能
硝苯地平%吲達帕胺%單純性收縮期高血壓%腎功能
초분지평%신체파알%단순성수축기고혈압%신공능
nifedipine%indapamide%isolated systolic hypertension%renal function
目的:探讨硝苯地平控释片联合吲达帕胺治疗老年顽固性单纯性收缩期高血压的临床效果及对肾功能的影响。方法将本院2010年2月-2012年4月收治的老年单纯性收缩期高血压患者96例,按其入院单双日随机分为2组,每组各48例,对照组单纯给予硝苯地平控释片治疗,观察组在对照组基础上联合吲达帕胺治疗,疗程均为6月。结果2组患者治疗后血压均有下降,但观察组降压总有效率明显优于对照组(P <0.05);治疗前后观察组患者血清肌酐、肌酐清除率及尿微量白蛋白检测结果差异有统计学意义(P <0.05)。结论硝苯地平控释片联合吲达帕胺降低老年顽固性单纯收缩期高血压效果显著,还可改善患者肾功能,值得临床推广。
目的:探討硝苯地平控釋片聯閤吲達帕胺治療老年頑固性單純性收縮期高血壓的臨床效果及對腎功能的影響。方法將本院2010年2月-2012年4月收治的老年單純性收縮期高血壓患者96例,按其入院單雙日隨機分為2組,每組各48例,對照組單純給予硝苯地平控釋片治療,觀察組在對照組基礎上聯閤吲達帕胺治療,療程均為6月。結果2組患者治療後血壓均有下降,但觀察組降壓總有效率明顯優于對照組(P <0.05);治療前後觀察組患者血清肌酐、肌酐清除率及尿微量白蛋白檢測結果差異有統計學意義(P <0.05)。結論硝苯地平控釋片聯閤吲達帕胺降低老年頑固性單純收縮期高血壓效果顯著,還可改善患者腎功能,值得臨床推廣。
목적:탐토초분지평공석편연합신체파알치료노년완고성단순성수축기고혈압적림상효과급대신공능적영향。방법장본원2010년2월-2012년4월수치적노년단순성수축기고혈압환자96례,안기입원단쌍일수궤분위2조,매조각48례,대조조단순급여초분지평공석편치료,관찰조재대조조기출상연합신체파알치료,료정균위6월。결과2조환자치료후혈압균유하강,단관찰조강압총유효솔명현우우대조조(P <0.05);치료전후관찰조환자혈청기항、기항청제솔급뇨미량백단백검측결과차이유통계학의의(P <0.05)。결론초분지평공석편연합신체파알강저노년완고성단순수축기고혈압효과현저,환가개선환자신공능,치득림상추엄。
Objective To explore the influence of nifedipine controlled release tablets com-bined with indapamide on renal function of elderly patients with refractory isolated systolic hyper-tension.Methods 96 elderly patients with isolated systolic hypertension were randomly divided in-to two groups according to the admission odd and even day,48 cases in each group.Control group was treated with nifedipine controlled release tablets,while the observation group was treated with nifedipine controlled release tablets combined with indapamide on the basis of control group.Result After treatment,blood pressure in both groups decreased,and decreasing range of blood pressure in observation group was significantly greater than the control group(P <0.05).There were signif-icant differences of serum creatinine,creatinine clearance rate and microalbuminuria detection result before and after treatment in observation group (P <0.05).Conclusion Nifedipine controlled re-lease tablets combined with indapamide can effectively reduce blood pressure and promote renal func-tion in elderly patients with refractory isolated systolic hypertension,so it is worthy of clinical popu-larization.