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氨氯地平单药与氨氯地平联合缬沙坦治疗冠心病合并高血压患者的疗效比较

Comparative Efficacy of Amlodipine Alone Versus Amlodipine Combined with Valsartan in Patients with Coronary Heart Disease and Hypertension.

作者信息

Wenjie Yang

出版信息

Altern Ther Health Med. 2025 Sep;31(5):247-251.

Abstract

BACKGROUND

Coronary heart disease (CHD) coupled with hypertension presents a significant health challenge worldwide. Optimal management strategies for controlling blood pressure and improving outcomes in this patient population remain a topic of interest and investigation within the medical community.

OBJECTIVE

This study aimed to compare the efficacy of amlodipine alone versus amlodipine combined with valsartan in patients diagnosed with coronary heart disease and hypertension.

METHODS

A prospective cohort study was conducted, and a total of 80 patients diagnosed with coronary heart disease and hypertension who visited the hospital between August 2022 and May 2024 were selected as study participants. Patients were allocated into two groups based on admission order: the control group (n=40) received amlodipine treatment, while the research group (n=40) received combined therapy with valsartan and amlodipine. The clinical efficacy between the two groups was compared.

RESULTS

Patients in the research group exhibited significantly better blood pressure control compared to the control group (P < .05). Moreover, the overall treatment effectiveness was notably higher in the research group than in the control group (P < .05). After treatment, a statistically significant difference was observed in blood lipid levels between the two patient groups (P <v .05). Similarly, post-treatment heart rate levels also displayed a significant difference between the two groups (P < .05).

CONCLUSION

Combining valsartan with amlodipine for patients presenting with coronary artery disease and hypertension significantly improves blood pressure management and enhances therapeutic outcomes. This finding emphasizes the clinical significance and potential widespread application of this combined treatment regimen.

摘要

背景

冠心病(CHD)合并高血压在全球范围内构成了重大的健康挑战。在这一患者群体中,控制血压和改善预后的最佳管理策略仍然是医学界关注和研究的课题。

目的

本研究旨在比较氨氯地平单药治疗与氨氯地平联合缬沙坦治疗对冠心病合并高血压患者的疗效。

方法

进行了一项前瞻性队列研究,选取了2022年8月至2024年5月期间到医院就诊的80例确诊为冠心病合并高血压的患者作为研究对象。根据入院顺序将患者分为两组:对照组(n = 40)接受氨氯地平治疗,研究组(n = 40)接受缬沙坦与氨氯地平联合治疗。比较两组的临床疗效。

结果

研究组患者的血压控制情况明显优于对照组(P <.05)。此外,研究组的总体治疗效果显著高于对照组(P <.05)。治疗后,两组患者的血脂水平存在统计学显著差异(P <.05)。同样,治疗后两组的心率水平也存在显著差异(P <.05)。

结论

对于冠心病合并高血压患者,将缬沙坦与氨氯地平联合使用可显著改善血压管理并提高治疗效果。这一发现强调了这种联合治疗方案的临床意义和潜在的广泛应用价值。

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