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伊拉地平治疗高血压安全性和有效性的多中心评估。意大利 - 比利时伊拉地平研究组。

Multicenter evaluation of the safety and efficacy of isradipine in hypertension. The Italian-Belgian Isradipine Study Group.

出版信息

Am J Med. 1989 Apr 17;86(4A):94-7. doi: 10.1016/0002-9343(89)90200-3.

DOI:10.1016/0002-9343(89)90200-3
PMID:2523664
Abstract

One hundred seventy-eight patients, aged 30 to 85, with mild-to-moderate hypertension entered a multicenter double-blind, randomized, between-patient comparison of isradipine (0.5, 1.25, or 2.5 mg twice daily) and placebo. Patients were assessed after three weeks of placebo treatment (for baseline) and after two and five weeks of active therapy. Despite a marked placebo effect, isradipine at 1.25 mg and 2.5 mg twice daily reduced blood pressure to a significantly lower level. The lowest blood pressures were recorded at four hours post-dose, and the residual antihypertensive effect at 12 hours was between 70 and 79 percent of the four-hour measurements. Isradipine did not produce more laboratory, electrocardiographic, or clinical abnormalities, or adverse events than did placebo. It is concluded that isradipine in doses of 1.25 mg and 2.5 mg twice daily is effective and well tolerated in the treatment of mild-to-moderate hypertension.

摘要

178名年龄在30至85岁之间的轻度至中度高血压患者,参与了一项多中心双盲、随机、患者间对照的研究,比较了伊拉地平(每日两次,每次0.5、1.25或2.5毫克)与安慰剂的效果。在接受三周安慰剂治疗(作为基线)后,以及在接受两周和五周的积极治疗后,对患者进行了评估。尽管存在明显的安慰剂效应,但每日两次服用1.25毫克和2.5毫克的伊拉地平可将血压显著降低至更低水平。服药后四小时记录到最低血压,12小时的残余降压效果为四小时测量值的70%至79%。与安慰剂相比,伊拉地平并未产生更多的实验室、心电图或临床异常情况,也未出现更多不良事件。得出的结论是,每日两次服用1.25毫克和2.5毫克的伊拉地平在治疗轻度至中度高血压方面有效且耐受性良好。

相似文献

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Multicenter evaluation of the safety and efficacy of isradipine in hypertension. The Italian-Belgian Isradipine Study Group.伊拉地平治疗高血压安全性和有效性的多中心评估。意大利 - 比利时伊拉地平研究组。
Am J Med. 1989 Apr 17;86(4A):94-7. doi: 10.1016/0002-9343(89)90200-3.
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Isradipine in essential hypertension: the Belgian General Practitioners' Study.伊拉地平治疗原发性高血压:比利时全科医生研究
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Antihypertensive effects of isradipine and captopril as monotherapy or in combination.伊拉地平与卡托普利单一疗法或联合疗法的降压效果。
Am J Hypertens. 1991 Feb;4(2 Pt 2):151S-153S. doi: 10.1093/ajh/4.2.151s.

引用本文的文献

1
Antihypertensive effect of once daily sustained release isradipine: a placebo controlled cross-over study.
Eur J Clin Pharmacol. 1993;44(1):23-5. doi: 10.1007/BF00315275.
2
Isradipine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in cardiovascular disease.伊拉地平。对其药效学和药代动力学特性以及在心血管疾病治疗中的应用的综述。
Drugs. 1990 Jul;40(1):31-74. doi: 10.2165/00003495-199040010-00004.