The First Hospital of Hunan University of Chinese Medicine, Department of Geriatrics, No. 95 Shaoshan Middle Road, Yuhua District, Changsha City, Hunan Province, China.
Hunan University of Chinese Medicine, Graduate School, Xiangzui Road, Yuelu District, Changsha City, Hunan Province, China.
Comput Math Methods Med. 2022 Jul 27;2022:7889024. doi: 10.1155/2022/7889024. eCollection 2022.
Refractory hypertension seriously affects the life safety of patients. To investigate the effect of carvedilol combined with conventional antihypertensive therapy on blood pressure, blood sugar, blood lipids, and cardiovascular and cerebrovascular complications in elderly patients with refractory hypertension, a total of 80 elderly patients with refractory hypertension who were admitted from June 2019 to September 2021 were selected as the retrospective research objects and divided into the observation group and the control group according to the random number table method, 40 cases in each group, and the control group received conventional antihypertensive therapy. On this basis, the observation group was treated with carvedilol, and the effects of blood pressure, blood sugar, blood lipids, and cardiovascular and cerebrovascular complications were analyzed in the two groups. After treatment, the systolic blood pressure, diastolic blood pressure, adrenal medulla (AM), and endothelin (ET) of the observation group were significantly lower than those of the control group, but the heart rate and NO of the observation group were significantly higher than those of the control group. After treatment, the fasting blood glucose, insulin, triacylglycerol (TG), cholesterol (CHO), and low-density lipoprotein (LDL-C) of the observation group were significantly higher than those of the control group, but the ISI and HDL-C of the observation group were significantly lower than those of the control group. After treatment, the levels of IL-1, IL-6, TNF-, UAER, BUN, and SCr in the observation group were significantly lower than those in the control group. The TC of the observation group was lower than that of the control group. Combination therapy has a remarkably stable, sustained, and safe antihypertensive effect on patients with refractory hypertension.
难治性高血压严重影响患者的生命安全。为探讨卡维地洛联合常规降压疗法对老年难治性高血压患者血压、血糖、血脂及心脑血管并发症的影响,选取 2019 年 6 月至 2021 年 9 月收治的 80 例老年难治性高血压患者作为回顾性研究对象,按照随机数字表法分为观察组和对照组,各 40 例。对照组给予常规降压治疗,观察组在对照组基础上加用卡维地洛治疗,分析两组血压、血糖、血脂及心脑血管并发症的疗效。治疗后,观察组收缩压、舒张压、肾上腺髓质(AM)和内皮素(ET)明显低于对照组,而观察组心率和一氧化氮(NO)明显高于对照组。治疗后,观察组空腹血糖、胰岛素、三酰甘油(TG)、胆固醇(CHO)、低密度脂蛋白(LDL-C)明显高于对照组,而观察组胰岛素抵抗指数(ISI)和高密度脂蛋白(HDL-C)明显低于对照组。治疗后,观察组白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、尿白蛋白排泄率(UAER)、血尿素氮(BUN)和血肌酐(SCr)水平明显低于对照组,观察组总胆固醇(TC)水平低于对照组。卡维地洛联合常规降压疗法治疗难治性高血压患者降压效果稳定、持久、安全。