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[钙拮抗剂治疗肾性高血压]

[Calcium antagonists in the treatment of nephrogenic hypertension].

作者信息

Tareeva I E, Kutyrina I M, Galstian G M, Rogov V A

出版信息

Klin Med (Mosk). 1990 Aug;68(8):52-6.

PMID:2084371
Abstract

Monotherapy with calcium antagonists nifedipine, foridon and verapamil hydrochloride was assessed in 46 patients with chronic glomerulonephritis and arterial hypertension by hypotensive effect and changes in systemic and renal hemodynamics, water-electrolytic balance, renin-angiotensin system. It is shown that nifedipine and foridon act as peripheral vasodilators. A hypotensive effect manifested most potently in nifedipine administration. None of the drugs aggravated renal hemodynamics, elevated intraglomerular tension, activated renin-angiotensin system, promoted water and sodium retention. Calcium antagonists are thought a treatment of choice in management of nephrogenic hypertension.

摘要

通过降压效果以及全身和肾脏血流动力学、水电解质平衡、肾素 - 血管紧张素系统的变化,对46例慢性肾小球肾炎合并动脉高血压患者使用钙拮抗剂硝苯地平、福达和盐酸维拉帕米进行单一疗法评估。结果表明,硝苯地平和福达具有外周血管扩张作用。硝苯地平给药时降压效果最为显著。这些药物均未加重肾脏血流动力学、升高肾小球内压力、激活肾素 - 血管紧张素系统或促进水钠潴留。钙拮抗剂被认为是治疗肾性高血压的首选药物。

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