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伊拉地平对高血压及肾脏血流动力学的影响。

Effects of isradipine on hypertension and renal hemodynamics.

作者信息

Siamopoulos K C, Elisaf M, Dardamanis M, Sferopoulos G, Pappas M

机构信息

Department of Internal Medicine, University of Ioannina, Greece.

出版信息

J Cardiovasc Pharmacol. 1992;19 Suppl 3:S87-9.

PMID:1376846
Abstract

The safety and efficacy of isradipine as well as its long-term effects on renal hemodynamics were evaluated in a study of 17 patients with mild-to-moderate essential hypertension and normal or slightly impaired renal function. After a 4-week placebo period, isradipine was administered according to a schedule of increasing dosages ranging from 1.25 to 5 mg twice daily. During treatment and at the latest follow-up (at 6 months), isradipine was found to lower blood pressure (diastolic and systolic) significantly. There were no significant side effects or changes in blood chemistry during treatment. Plasma renin activity and serum aldosterone were slightly raised whereas the glomerular filtration rate, renal plasma flow, and filtration fraction were significantly raised at the latest follow-up compared with the pretreatment levels.

摘要

在一项针对17例轻度至中度原发性高血压且肾功能正常或轻度受损患者的研究中,评估了伊拉地平的安全性、有效性及其对肾血流动力学的长期影响。在为期4周的安慰剂期后,按照每日两次、剂量从1.25毫克至5毫克递增的方案给予伊拉地平。在治疗期间及最新一次随访(6个月时),发现伊拉地平能显著降低血压(舒张压和收缩压)。治疗期间未出现显著副作用或血液生化指标变化。与治疗前水平相比,最新一次随访时血浆肾素活性和血清醛固酮略有升高,而肾小球滤过率、肾血浆流量和滤过分数则显著升高。

相似文献

1
Effects of isradipine on hypertension and renal hemodynamics.伊拉地平对高血压及肾脏血流动力学的影响。
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S87-9.
2
Effects of long-term administration of isradipine on renal hemodynamics and sodium metabolism.长期服用伊拉地平对肾血流动力学和钠代谢的影响。
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S90-2.
3
Long-term antihypertensive and renal effects of isradipine in hypertensive patients with normal and reduced renal function.伊拉地平对肾功能正常和减退的高血压患者的长期降压及肾脏影响
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S93-5.
4
Metabolic, hematological, and cardiac effects of long-term isradipine treatment in mild-to-moderate essential hypertension.
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S58-60.
5
Clinical efficacy and tolerability of isradipine in the treatment of mild-to-moderate hypertension in young and elderly patients.
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S53-7.
6
Isradipine in the treatment of mild-to-moderate hypertension in Portugal.伊拉地平治疗葡萄牙轻至中度高血压。
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S49-52.
7
Isradipine, a new calcium antagonist: effects on maternal and fetal hemodynamics.伊拉地平,一种新型钙拮抗剂:对母胎血流动力学的影响。
J Cardiovasc Pharmacol. 1991;18 Suppl 3:S37-40.
8
First clinical experience with isradipine in the treatment of hypertension in Portugal.伊拉地平在葡萄牙治疗高血压的首次临床经验。
J Cardiovasc Pharmacol. 1991;18 Suppl 3:S4-6.
9
Effects of the calcium antagonist isradipine on 24-hour ambulatory blood pressure, platelet aggregation, and neutrophil oxygen free radicals in hypertension.
J Cardiovasc Pharmacol. 1992;19 Suppl 3:S32-7.
10
A randomized and double-blind comparison of isradipine and spirapril as monotherapy and in combination on the decline in renal function in patients with chronic renal failure and hypertension.一项关于伊拉地平与螺普利作为单一疗法及联合疗法对慢性肾衰竭合并高血压患者肾功能下降影响的随机双盲对照研究。
Clin Nephrol. 2001 May;55(5):375-83.

引用本文的文献

1
Isradipine. An update of its pharmacodynamic and pharmacokinetic properties and therapeutic efficacy in the treatment of mild to moderate hypertension.伊拉地平。其药效学、药代动力学特性及治疗轻至中度高血压疗效的最新进展。
Drugs. 1995 Apr;49(4):618-49. doi: 10.2165/00003495-199549040-00009.