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莫唑胺用于治疗使用其他抗高血压药物无法控制的原发性动脉高血压。

Muzolimine in the treatment of essential arterial hypertension not controlled with other antihypertensive drugs.

作者信息

Beneitez C

出版信息

Z Kardiol. 1985;74 Suppl 2:52-5.

PMID:4002805
Abstract

Fifty-three adult patients suffering from various degrees of essential arterial hypertension, which was not controlled with other antihypertensive drugs, participated in this study with the intention: To demonstrate the effectiveness of a 20 mg or 40 mg daily muzolimine dose as complementary treatment. To determine whether the effective dose obtained can be maintained for a long-term administration. To verify its tolerance. Therefore, muzolimine was administered in addition to the basic treatment, which went on unmodified during this study. A laboratory set of examinations, three controls of systolic and diastolic blood pressures and heart rate--each in supine and standing position--were performed before starting the treatment. At the end of the two initial weeks of treatment with administrations of 20 mg daily muzolimine doses, the diastolic blood pressure normalized at values below 90 mmHg in sixteen patients. These patients continued the muzolimine treatment taking the same dose for seven days, being submitted to two more controls during this time. As the normalization was confirmed, laboratory controls were repeated. Thirteen patients of this group continued the same treatment for three months. The remaining thirty-seven patients, who did not normalize their diastolic blood pressure, immediately started a second treatment period of two weeks, receiving a 40 mg daily muzolimine dose. At the end of this period, diastolic blood pressure normalized in twenty-four patients, decreased significantly in six, moderately in five, and remained unchanged in two. At the end of this second period, laboratory tests were repeated. Nineteen patients of this group continued the same treatment for three months.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

五十三名患有不同程度原发性动脉高血压且其他降压药物无法控制病情的成年患者参与了本研究,目的如下:证明每日20毫克或40毫克莫唑胺剂量作为辅助治疗的有效性。确定所获得的有效剂量能否长期维持给药。验证其耐受性。因此,在本研究期间,莫唑胺在基本治疗基础上额外给药,基本治疗保持不变。在开始治疗前,进行了一组实验室检查,以及三次收缩压、舒张压和心率测量(每次测量均包括仰卧位和站立位)。在最初两周每日服用20毫克莫唑胺剂量进行治疗结束时,16名患者的舒张压恢复正常,低于90毫米汞柱。这些患者继续服用相同剂量的莫唑胺治疗7天,在此期间又接受了两次检查。由于血压恢复正常得到确认,重复进行了实验室检查。该组中有13名患者继续相同治疗三个月。其余37名舒张压未恢复正常的患者立即开始了为期两周的第二个治疗期,每日服用40毫克莫唑胺剂量。在此治疗期结束时,24名患者的舒张压恢复正常,6名患者显著下降,5名患者中度下降,2名患者保持不变。在第二个治疗期结束时,重复进行了实验室检查。该组中有19名患者继续相同治疗三个月。(摘要截选至250字)

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