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[固定剂量乐卡地平/依那普利联合用药对老年高血压患者24小时血压谱的影响]

[Effect of Fixed Lercanidipine/Enalapril Combination on 24-Hour Blood Pressure Profile in Elderly Patients With Arterial Hypertension].

作者信息

Gosteva E V, Vasileva L V

机构信息

Voronezh State Medical Academy named after N.N. Burdenko of the Ministry of Public Health of the Russian Federation, Studencheskaya St., 394036 Voronezh, Russia.

出版信息

Kardiologiia. 2015 Feb;55(2):32-36.

PMID:28294808
Abstract

We studied effect of therapy with fixed combination of lercanidipine and enalapril on 24-hour blood pressure (BP) profile in 34 elderly patients (mean age 76.4+/-5.2 years, 14 men, 20 women) with degree II hypertension. After clinical examination patients were given lercanidipine/enalapril combination (10/10 mg/day). The dose was increased to 10+20 mg/day when necessary. Assessment of efficacy was conducted on Rate of achievement of target BP [systolic (S) BP <150 mm HG, diastolic (D) BP<90 mmHg] and dynamics of parameters of 24-hour BP profile. Re-examinations were carried out on weeks 4.8 and 12 of treatment. Administration of lercanidipine/enalapril combination was associated with mean 24-hour SBP and DBP lowering (by15.3 and 8.7%, respectively). Diurnal and nocturnal SBP/DBP decreased by 15.7/ 9.2.

摘要

我们研究了乐卡地平与依那普利固定复方疗法对34例II级高血压老年患者(平均年龄76.4±5.2岁,男性14例,女性20例)24小时血压(BP)情况的影响。经临床检查后,给予患者乐卡地平/依那普利复方制剂(10/10毫克/天)。必要时将剂量增至10 + 20毫克/天。根据目标血压[收缩压(S)BP < 150毫米汞柱,舒张压(D)BP < 90毫米汞柱]的达标率以及24小时血压情况参数的动态变化来评估疗效。在治疗的第4、8和12周进行复查。使用乐卡地平/依那普利复方制剂使24小时平均收缩压和舒张压降低(分别降低15.3%和8.7%)。日间和夜间收缩压/舒张压分别降低了15.7/9.2。

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