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[拉贝洛尔对接受治疗以维持体内钠平衡的高血压患者降压作用的增强]

[Potentiation of the hypotensive effect of labetalol in hypertensive patients treated to maintain sodium balance in the body].

作者信息

Liusov V A, Kharchenko V I, Mart'ianova I I, Shcheplikova T M, Evsikov E M

出版信息

Kardiologiia. 1987 Feb;27(2):71-6.

PMID:3573527
Abstract

Hypotensive activity of labetalol therapy alone or in combination with the diuretic agent oxodolin or with low-sodium diet (about 110 mmol/day) and potassium cooking salt substitute "Sanasol" (60% sodium chloride, ammonium chloride, calcium gluconate, magnesium asparaginate, etc.) was studied in 67 patients with second- or third-stage essential hypertension and 14 patients with nephrogenic hypertension. Central hemodynamic changes were assessed by means of radiocardiography and tetrapolar rheography. Combined treatment had better hypotensive effect in moderate and severe hypertension (diastolic arterial BP above 110 mm Hg). The diuretic-labetalol combination made possible a 25-45% reduction in the adrenoblocker dose. The effect of combined hypotensive treatment was similar in patients with different central hemodynamic types. Low-sodium diet with potassium substitute was well tolerated by the patients.

摘要

对67例二期或三期原发性高血压患者和14例肾性高血压患者,研究了拉贝洛尔单独治疗、或与利尿剂奥索多林联合治疗、或与低钠饮食(约110 mmol/天)及钾烹饪盐替代品“Sanasol”(含60%氯化钠、氯化铵、葡萄糖酸钙、天冬氨酸镁等)联合治疗的降压活性。通过放射心动图和四极血流图评估中心血流动力学变化。联合治疗在中度和重度高血压(舒张压高于110 mmHg)中具有更好的降压效果。利尿剂-拉贝洛尔联合使用可使肾上腺阻滞剂剂量减少25%-45%。不同中心血流动力学类型的患者,联合降压治疗的效果相似。患者对含钾替代品的低钠饮食耐受性良好。

相似文献

1
[Potentiation of the hypotensive effect of labetalol in hypertensive patients treated to maintain sodium balance in the body].[拉贝洛尔对接受治疗以维持体内钠平衡的高血压患者降压作用的增强]
Kardiologiia. 1987 Feb;27(2):71-6.
2
Antihypertensive therapy with diuretics and beta-blockers at fixed dosage: comparison between the combinations labetalol plus chlorthalidone and atenolol plus chlorthalidone.固定剂量利尿剂和β受体阻滞剂的降压治疗:拉贝洛尔加氯噻酮与阿替洛尔加氯噻酮联合用药的比较。
Drugs Exp Clin Res. 1985;11(12):851-60.
3
Use of the the combination labetalol plus chlorthalidone in essential arterial hypertension therapy.
Clin Ther. 1981;3(6):441-9.
4
[Changes in water-sodium balance in patients with hypertension subjected to different types of hypotensive therapy].[接受不同类型降压治疗的高血压患者水钠平衡的变化]
Kardiologiia. 1983 Apr;23(4):59-65.
5
[Comparison of labetalol as a single treatment and labetalol combined with chlorthalidone in the treatment of severe arterial hypertension].拉贝洛尔单药治疗与拉贝洛尔联合氯噻酮治疗重度动脉高血压的比较
Boll Chim Farm. 1988 Nov-Dec;127(11-12):71S.
6
Moderate sodium restriction and various diuretics in the treatment of hypertension.适度限钠及多种利尿剂治疗高血压
Arch Intern Med. 1981 Jul;141(8):1015-9.
7
Clinical evaluation of labetalol alone and combined with chlorthalidone in essential hypertension: a double-blind multicentre controlled study.拉贝洛尔单药及联合氯噻酮治疗原发性高血压的临床评估:一项双盲多中心对照研究。
Eur J Clin Pharmacol. 1982;22(4):289-93. doi: 10.1007/BF00548395.
8
[Optimal method of the hypotensive treatment of hypertension with diuretics and sodium chloride substitutes].[利尿剂与氯化钠替代品用于高血压降压治疗的最佳方法]
Kardiologiia. 1985 Oct;25(10):76-82.
9
Haemodynamic effects of long-term oral labetalol.长期口服拉贝洛尔的血流动力学效应。
Br J Clin Pharmacol. 1976 Aug;3(4 Suppl 3):733-6.
10
Acute haemodynamic effects of labetalol and its subsequent use of an oral hypotensive agent.拉贝洛尔的急性血流动力学效应及其后续口服降压药的使用。
Br J Clin Pharmacol. 1976 Aug;3(4 Suppl 3):789-93.