Takemiya T, Shimizu M, Yamaguti S, Sugishita H, Miuria Y, Yamauti T
Neurological Institute, Tokyo Women's Medical College, Japan.
Clin Ther. 1992 May-Jun;14(3):385-9.
For two weeks, with the exception of one case involving long-term therapy, 15 hypertensive patients received 100 mg of dilevalol once daily and seven patients received 50 mg. Blood pressure and heart rate were measured and digital pulse plethysmography (DPG) was performed before and after the two-week trial. Systolic and diastolic blood pressure decreased significantly during treatment; heart rate did not change. There were also significant changes on the three DPG measures of vasodilatation: peak amplitude increased, the dicrotic index decreased, and peak amplitude on the differentiated DPG increased. A weak correlation was found between the changes in systolic blood pressure and changes in the two measures of DPG peak amplitude. It is concluded that dilevalol is effective in the treatment of hypertension and that DPG is a sensitive noninvasive method to measure vasodilatation.
在两周时间里,除了1例涉及长期治疗的病例外,15名高血压患者每日服用1次100毫克双醋洛尔,7名患者每日服用50毫克。在为期两周的试验前后测量了血压和心率,并进行了数字脉搏容积描记法(DPG)检测。治疗期间收缩压和舒张压显著下降;心率未发生变化。在DPG的三项血管舒张测量指标上也出现了显著变化:峰值振幅增加,重搏波指数降低,以及经微分后的DPG峰值振幅增加。在收缩压变化与DPG峰值振幅的两项测量指标变化之间发现了微弱的相关性。得出的结论是,双醋洛尔在高血压治疗中有效,并且DPG是一种测量血管舒张的敏感无创方法。