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卡托普利联合氢氯噻嗪的慢性抗高血压治疗可改善自发性高血压大鼠的主动脉扩张性。

Chronic antihypertensive treatment with captopril plus hydrochlorothiazide improves aortic distensibility in the spontaneously hypertensive rat.

作者信息

Chillon J M, Capdeville-Atkinson C, Lartaud I, Guillou J, Mertès P M, Atkinson J

机构信息

Laboratoire de Pharmacologie Cardio-vasculaire, Faculté de Pharmacie, Nancy, France.

出版信息

Br J Pharmacol. 1992 Nov;107(3):710-4. doi: 10.1111/j.1476-5381.1992.tb14511.x.

DOI:10.1111/j.1476-5381.1992.tb14511.x
PMID:1472968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1907749/
Abstract
  1. Adult male spontaneously hypertensive rats (SHR) were given captopril plus hydrochlorothiazide mixed in the diet for 10 weeks. Calculated daily doses were 44 mg kg-1 per day for captopril, and 22 mg kg-1 per day for hydrochlorothiazide. Separate groups received captopril or hydrochlorothiazide alone, at similar doses, or no treatment. A final group of WKY normotensive rats received no drug. 2. Systolic arterial blood pressure, measured at regular intervals throughout the 10 weeks' period was lowered but not normalized, in groups receiving either captopril plus hydrochlorothiazide, or captopril alone, but not in the group receiving hydrochlorothiazide alone. 3. Following pentobarbitone anaesthesia, systolic arterial blood pressure, measured in the femoral artery, was found to be lower in all treated groups, but the greatest effect was observed in SHR previously treated with captopril plus hydrochlorothiazide. Aortic pulse wave velocity was also lower in treated SHR, and once again the greatest decrease was observed in the group previously treated with captopril plus hydrochlorothiazide. 4. Following pithing, systolic arterial blood pressures were similar in all SHR groups. Aortic pulse wave velocity was lower in pithed rats previously treated with captopril and hydrochlorothiazide. 5. In conclusion, antihypertensive treatment of SHR produces falls in blood pressure and pulse wave velocity, an indicator of aortic distensibility. Results in pithed rats suggest that treatment with the combination of captopril plus hydrochlorothiazide may increase aortic distensibility independently of blood pressure.
摘要
  1. 成年雄性自发性高血压大鼠(SHR)在饮食中添加卡托普利和氢氯噻嗪混合剂,持续10周。计算得出的每日剂量为卡托普利44毫克/千克体重,氢氯噻嗪22毫克/千克体重。单独的几组分别接受相似剂量的卡托普利或氢氯噻嗪,或不接受治疗。最后一组WKY正常血压大鼠不接受药物治疗。2. 在整个10周期间定期测量的收缩期动脉血压,在接受卡托普利加氢氯噻嗪或单独接受卡托普利治疗的组中有所降低但未恢复正常,而在单独接受氢氯噻嗪治疗的组中则没有降低。3. 戊巴比妥麻醉后,在股动脉测量的收缩期动脉血压在所有治疗组中均较低,但在先前接受卡托普利加氢氯噻嗪治疗的SHR中观察到的效果最为显著。治疗后的SHR主动脉脉搏波速度也较低,同样,在先前接受卡托普利加氢氯噻嗪治疗的组中下降幅度最大。4. 脊髓切断术后,所有SHR组的收缩期动脉血压相似。在先前接受卡托普利和氢氯噻嗪治疗的脊髓切断大鼠中,主动脉脉搏波速度较低。5. 总之,对SHR进行抗高血压治疗可使血压和脉搏波速度下降,脉搏波速度是主动脉可扩张性的指标。脊髓切断大鼠的结果表明,卡托普利加氢氯噻嗪联合治疗可能独立于血压增加主动脉可扩张性。

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本文引用的文献

1
Studies on the mechanism of the synergistic antihypertensive activity of captopril and hydrochlorothiazide following acute administration in spontaneously hypertensive rats.卡托普利与氢氯噻嗪对自发性高血压大鼠急性给药后协同降压活性机制的研究。
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Antihypertensive effects of captopril in combination with diuretics in spontaneously hypertensive rats.卡托普利与利尿剂联合应用对自发性高血压大鼠的降压作用。
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Fixed-dose combination medications for the treatment of hypertension: a critical review.用于治疗高血压的固定剂量复方药物:一项批判性综述。
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8
Acute blood pressure and urinary responses to single dose combinations of captopril and diuretics in conscious spontaneously hypertensive rats.清醒自发性高血压大鼠对卡托普利和利尿剂单剂量组合的急性血压和尿液反应。
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Effects of acute and chronic angiotensin-converting enzyme inhibition on large arteries in human hypertension.急性和慢性血管紧张素转换酶抑制对人类高血压患者大动脉的影响。
J Cardiovasc Pharmacol. 1985;7 Suppl 1:S45-51. doi: 10.1097/00005344-198507001-00010.
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Angiotensin-converting enzyme inhibition and compliance of the carotid artery in normotensive and hypertensive rats.血管紧张素转换酶抑制与正常血压和高血压大鼠颈动脉顺应性
J Hum Hypertens. 1989 Jun;3 Suppl 1:57-62.