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硝苯地平与普萘洛尔在原发性高血压患者中的交叉对照研究。

Crossover comparison of nitrendipine with propranolol in patients with essential hypertension.

作者信息

Fritschka E, Distler A, Gotzen R, Thiede H M, Philipp T

出版信息

J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1100-4.

PMID:6085375
Abstract

The antihypertensive effect of nitrendipine (2 X 10 to 2 X 20 mg/day) was compared with that of propranolol (2 X 80 to 2 X 160 mg/day) in a randomized crossover study. Twenty-five patients were treated over two 4-week periods following a placebo period of 2 weeks. Three patients dropped out of the study because of side-effects (two on nitrendipine and one on propranolol). Arterial pressures decreased in a comparable manner from 171/107 mm Hg (measured in a sitting position) to 147/91 mm Hg after 4 weeks on nitrendipine and to 145/93 mm Hg after 4 weeks on propranolol. The frequency of side-effects possibly related to treatment was comparable for both drugs, but decreased with the duration of therapy with nitrendipine only. The antihypertensive effect of nitrendipine, but not of propranolol, correlated positively with age and plasma noradrenaline.

摘要

在一项随机交叉研究中,比较了尼群地平(每日2×10至2×20毫克)与普萘洛尔(每日2×80至2×160毫克)的降压效果。在经过2周的安慰剂期后,25名患者在两个4周疗程中接受治疗。3名患者因副作用退出研究(2名服用尼群地平,1名服用普萘洛尔)。服用尼群地平4周后,动脉血压以类似方式从(坐姿测量)171/107毫米汞柱降至147/91毫米汞柱,服用普萘洛尔4周后降至145/93毫米汞柱。两种药物可能与治疗相关的副作用发生率相当,但仅尼群地平的副作用随治疗持续时间而减少。尼群地平的降压效果与年龄和血浆去甲肾上腺素呈正相关,而普萘洛尔则不然。

相似文献

1
Crossover comparison of nitrendipine with propranolol in patients with essential hypertension.硝苯地平与普萘洛尔在原发性高血压患者中的交叉对照研究。
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1100-4.
2
The calcium channel blocker nitrendipine in single- and multiple-agent antihypertensive regimens: preliminary report of a multicenter study.钙通道阻滞剂尼群地平在单药及联合用药抗高血压治疗方案中的应用:一项多中心研究的初步报告
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1077-84.
3
Efficacy and safety of nitrendipine in patients with severe hypertension: a multiclinic study.尼群地平治疗重度高血压患者的疗效与安全性:一项多中心研究。
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1053-9.
4
Clinical experience with long-term nitrendipine treatment in essential hypertension.硝苯地平长期治疗原发性高血压的临床经验。
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1090-5.
5
Antihypertensive therapy with the long-acting calcium antagonist nitrendipine.使用长效钙拮抗剂尼群地平进行抗高血压治疗。
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1073-6.
6
Renal effects of nitrendipine monotherapy in essential hypertension.尼群地平单药治疗原发性高血压的肾脏效应
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1032-6.
7
Nitrendipine and atenolol: comparison and combination in the treatment of arterial hypertension.尼群地平和阿替洛尔:治疗动脉高血压的比较与联合应用
Arzneimittelforschung. 1985;35(4):727-9.
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Antihypertensive therapy with nitrendipine: comparison with hydrochlorothiazide and propranolol.尼群地平的抗高血压治疗:与氢氯噻嗪和普萘洛尔的比较。
J Cardiovasc Pharmacol. 1988;12 Suppl 4:S55-8.
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Antihypertensive effect of a new calcium channel blocker, FK 235, in essential hypertension.新型钙通道阻滞剂FK 235对原发性高血压的降压作用
Res Commun Chem Pathol Pharmacol. 1986 Apr;52(1):3-15.
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Long-term effectiveness of BAY e 5009-nitrendipine in the treatment of mild and moderate arterial hypertension.
J Cardiovasc Pharmacol. 1984;6 Suppl 7:S1096-9.

引用本文的文献

1
Nitrendipine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy in the treatment of hypertension.尼群地平。对其药效学和药代动力学特性以及治疗高血压的疗效的综述。
Drugs. 1987 Feb;33(2):123-55. doi: 10.2165/00003495-198733020-00003.
2
Felodipine versus Moduretic. A double-blind parallel-group multicentre study.
Drugs. 1987;34 Suppl 3:162-9. doi: 10.2165/00003495-198700343-00035.
3
'Second generation' dihydropyridine calcium antagonists. Greater vascular selectivity and some unique applications.“第二代”二氢吡啶类钙拮抗剂。更高的血管选择性及一些独特的应用。
Drugs. 1987 Nov;34(5):578-98. doi: 10.2165/00003495-198734050-00005.
4
Antihypertensive treatment according to age, plasma renin and race.根据年龄、血浆肾素水平和种族进行的降压治疗。
Drugs. 1988 May;35(5):495-503. doi: 10.2165/00003495-198835050-00001.