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甲巯丙脯酸(卡托普利)在血液透析患者抗高血压治疗中的应用。

Use of tensiomin (captopril) in the antihypertensive treatment of haemodialysis patients.

作者信息

Kakuk G, Kurta G, Kárpáti I, Mátyus J

机构信息

First Department of Medicine, University School of Medicine, Debrecen, Hungary.

出版信息

Ther Hung. 1990;38(2):71-6.

PMID:2198678
Abstract

The observations of a 16-week Tensiomin therapy of 10 hypertensive patients treated with hemodialysis have been discussed. The patients have been treated for about 5 years with hemodialysis, suffered from anuria and required besides systhematical ultrafiltration a combination antihypertensive therapy. Tensiomin was combined with Minipress, Trasicor, Depressan, Estulic and Corinfar by using three- or four-drug combinations. In the course of the administration of Tensiomin the doses of the other antihypertensive drugs could be decreased by 50% on average, while the blood pressure of the patients was normalized. By controlling the patients on weeks 1, 4, 12 and 16 of therapy toxic side-effects or notable pathological changes of the examined laboratory parameters (WBC, serum total protein, Na, K, Ca, P, bilirubin, blood sugar and SGOT values) were not seen. It has been concluded that Tensiomin is an effective drug in combination therapy applied for normalizing the hypertension of dialysed patients.

摘要

讨论了对10例接受血液透析治疗的高血压患者进行的为期16周的Tensiomin治疗观察。这些患者接受血液透析治疗约5年,患有无尿症,除了系统性超滤外,还需要联合抗高血压治疗。Tensiomin与敏乐定、心得宁、Depressan、Estulic和冠心宁联合使用,采用三药或四药联合方案。在使用Tensiomin的过程中,其他抗高血压药物的剂量平均可减少50%,而患者的血压恢复正常。在治疗的第1、4、12和16周对患者进行监测,未发现有毒性副作用或所检查实验室参数(白细胞、血清总蛋白、钠、钾、钙、磷、胆红素、血糖和谷草转氨酶值)的显著病理变化。得出的结论是,Tensiomin是联合治疗中用于使透析患者高血压恢复正常的有效药物。

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