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卡托普利每日给药一次时对控制血压是否有效?一项使用24小时动态血压监测的评估。

Is captopril effective in controlling blood pressure when administered once daily? An assessment using 24-h ambulatory blood pressure monitoring.

作者信息

Frewin D B, Buik C, Rennie G

机构信息

Department of Clinical Pharmacology, Royal Adelaide Hospital, Australia.

出版信息

Eur J Clin Pharmacol. 1989;36(1):11-5. doi: 10.1007/BF00561016.

DOI:10.1007/BF00561016
PMID:2645145
Abstract

Twelve patients with essential hypertension receiving captopril monotherapy or captopril in conjunction with a diuretic had their 24-h blood pressure profiles monitored using an automatic, non-invasive ambulatory method. The study examined the efficacy of once a day versus twice a day administration of the ACE inhibitor in controlling blood pressure. Six untreated subjects with borderline hypertension were also studied using the same monitoring equipment and with the same frequency, to act as controls because of the possibility of repeated use of the device causing a 'familiarisation' effect. The results obtained indicated that if anything, the once daily dosing produced marginally better blood pressure values. The amplitude of the diurnal blood pressure variation was reduced on a 'second-wearing' of the monitoring equipment suggesting some degree of familiarisation with the apparatus.

摘要

12例接受卡托普利单一疗法或卡托普利与利尿剂联合治疗的原发性高血压患者,采用自动、无创的动态监测方法监测其24小时血压情况。该研究考察了血管紧张素转换酶抑制剂一日一次给药与一日两次给药在控制血压方面的疗效。还对6例临界高血压的未治疗受试者使用相同的监测设备并以相同频率进行研究,作为对照,因为重复使用该设备可能会产生“熟悉”效应。获得的结果表明,一日一次给药在降低血压值方面略好。在监测设备“第二次佩戴”时,昼夜血压变化幅度减小,这表明对该设备有一定程度的熟悉。

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Is captopril effective in controlling blood pressure when administered once daily? An assessment using 24-h ambulatory blood pressure monitoring.卡托普利每日给药一次时对控制血压是否有效?一项使用24小时动态血压监测的评估。
Eur J Clin Pharmacol. 1989;36(1):11-5. doi: 10.1007/BF00561016.
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Comparison of effects of captopril used either alone or in combination with a thiazide diuretic on insulin action in hypertensive Type 2 diabetic patients: a double-blind crossover study.卡托普利单独使用或与噻嗪类利尿剂联合使用对高血压2型糖尿病患者胰岛素作用的影响比较:一项双盲交叉研究。
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本文引用的文献

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Biorhythms of the nonpregnant human uterus.未孕女性子宫的生物节律
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Comparative study of the efficacy of captopril at a single daily dose of 100 mg and at a twice daily dose of 50 mg by measuring ambulatory pressure over 24 hours.通过测量24小时动态血压,比较每日单次服用100毫克卡托普利与每日两次服用50毫克卡托普利的疗效。
Postgrad Med J. 1986;62 Suppl 1:97-100.
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Efficacy of low dose captopril once daily in diuretic resistant hypertension.每日一次小剂量卡托普利治疗利尿剂抵抗性高血压的疗效
Postgrad Med J. 1986;62 Suppl 1:127-30.
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Implications of local angiotensin production in cardiovascular physiology and pharmacology.局部血管紧张素生成在心血管生理学和药理学中的意义。
Am J Cardiol. 1987 Jan 23;59(2):59A-65A. doi: 10.1016/0002-9149(87)90178-0.
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Effects of captopril once daily on blood pressure and angiotensin converting enzyme in hypertensive patients.卡托普利每日一次给药对高血压患者血压及血管紧张素转换酶的影响。
Postgrad Med J. 1986;62 Suppl 1:94-6.
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Pharmacokinetics of captopril and its effects on blood pressure during acute and chronic administration and in relation to food intake.卡托普利的药代动力学及其在急性和慢性给药期间对血压的影响以及与食物摄入的关系。
J Cardiovasc Pharmacol. 1985;7 Suppl 1:S20-4. doi: 10.1097/00005344-198507001-00005.