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血管紧张素转换酶抑制剂与钙拮抗剂治疗高血压的比较

Angiotensin-converting enzyme inhibitor versus calcium antagonist in the treatment of hypertension.

作者信息

Brunner H R, Bidiville J, Waeber G, Porchet M, Nussberger J, Waeber B

机构信息

Division of Nephrology and Hypertension, Centre Hospitalier Universitaire, Lausanne, Switzerland.

出版信息

Nephron. 1987;47 Suppl 1:87-9. doi: 10.1159/000184560.

DOI:10.1159/000184560
PMID:2827044
Abstract

Sixteen patients with essential hypertension were treated for 2 consecutive 6-week periods with either the angiotensin-converting enzyme (ACE) inhibitor enalapril (20 mg once daily) or the calcium antagonist diltiazem (120 mg twice daily). The sequence of the treatment phases was randomly allocated. Blood pressure decreased from 154/102 +/- 5/2 mm Hg (mean +/- SEM) to 135/96 +/- 4/2 and 140/98 +/- 3/2 mm Hg during treatment with enalapril and diltiazem, respectively. It was impossible in the individual hypertensive patient to predict the long-term blood pressure response to one of the agents studied based on the long-term blood pressure response to the other agent.

摘要

16例原发性高血压患者连续接受两个为期6周的治疗阶段,分别使用血管紧张素转换酶(ACE)抑制剂依那普利(每日1次,20毫克)或钙拮抗剂地尔硫䓬(每日2次,120毫克)。治疗阶段的顺序是随机分配的。在使用依那普利和地尔硫䓬治疗期间,血压分别从154/102±5/2毫米汞柱(平均值±标准误)降至135/96±4/2和140/98±3/2毫米汞柱。对于个体高血压患者,不可能根据对另一种研究药物的长期血压反应来预测对其中一种药物的长期血压反应。

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1
Angiotensin-converting enzyme inhibitor versus calcium antagonist in the treatment of hypertension.血管紧张素转换酶抑制剂与钙拮抗剂治疗高血压的比较
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引用本文的文献

1
Enalapril and nifedipine in the treatment of mild to moderate essential hypertension: a 6 month comparison.依那普利与硝苯地平治疗轻至中度原发性高血压:6个月的比较
Br J Clin Pharmacol. 1990 Aug;30(2):203-11. doi: 10.1111/j.1365-2125.1990.tb03766.x.
2
Comparative efficacy and safety of enalapril and sustained-release nifedipine in patients with mild to moderate hypertension. The Enalapril vs Nifedipine French Study Group.依那普利与硝苯地平缓释片治疗轻至中度高血压患者的疗效及安全性比较。依那普利与硝苯地平法国研究组
Drugs. 1990;39 Suppl 2:67-72. doi: 10.2165/00003495-199000392-00013.
3
Enalapril. A reappraisal of its pharmacology and therapeutic use in hypertension.
依那普利。对其药理学及在高血压治疗中的应用的重新评估。
Drugs. 1992 Mar;43(3):346-81. doi: 10.2165/00003495-199243030-00005.