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[新型β受体阻滞剂-利尿剂联合用药对高血压的长期控制治疗]

[Treatment of hypertension with a new beta blocker-diuretic combination under long-term control].

作者信息

Hoffmann H, Hoffmann W

出版信息

Wien Med Wochenschr. 1985 Mar 15;135(5):127-34.

PMID:2859703
Abstract

161 hospitalized hypertensive patients of all degrees of severity were treated with a dose of once daily 200 mg celiprolol for 3 weeks. The data of 143 patients were evaluated. After 3 weeks of therapy with 200 mg celiprolol 67,8% of the patients showed to be responders. 42 non responders were treated under double blind conditions for the following 3 weeks with 2 different dosages of chlorthalidone (12,5 mg or 25 mg CT) in combination with 200 mg celiprolol once daily. After 3 weeks of therapy 80,9% of the patients showed a satisfying reduction of blood pressure. There was no difference in terms of the extent of blood pressure reduction between the 2 combination treatment groups. A total of 73 patients who responded to celiprolol monotherapy or one of the combination therapies were treated up to 12 months. The data of 43 patients, who came to all monthly controls, could be evaluated. During the whole period of treatment a constant reduction of elevated blood pressure levels was obtained under treatment with 200 mg celiprolol or in combination with 12,5 mg or 25 mg CT. There was no negative influence on laboratory parameters under celiprolol or combination (12,5 mg CT) therapy. There was a slight increase of uric acid and in 3 cases a decrease of serum potassium under combination therapy with 25 mg CT.

摘要

161名不同严重程度的住院高血压患者接受了每日一次200毫克塞利洛尔的治疗,为期3周。对143名患者的数据进行了评估。使用200毫克塞利洛尔治疗3周后,67.8%的患者显示为反应者。42名无反应者在双盲条件下接受了为期3周的治疗,分别使用两种不同剂量的氯噻酮(12.5毫克或25毫克CT)与每日一次200毫克塞利洛尔联合治疗。治疗3周后,80.9%的患者血压得到了满意的降低。两个联合治疗组在血压降低程度方面没有差异。共有73名对塞利洛尔单药治疗或其中一种联合治疗有反应的患者接受了长达12个月的治疗。对43名每月都来进行检查的患者的数据进行了评估。在整个治疗期间,使用200毫克塞利洛尔或与12.5毫克或25毫克CT联合治疗时,升高的血压水平持续降低。塞利洛尔单药治疗或联合(12.5毫克CT)治疗对实验室参数没有负面影响。联合使用25毫克CT治疗时,尿酸略有升高,3例患者血清钾降低。

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