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中枢性抗高血压药物在肾病患者中的应用。

The use of centrally acting antihypertensive drugs in patients with renal disease.

作者信息

Morgan T

出版信息

Chest. 1983 Feb;83(2 Suppl):383-6. doi: 10.1378/chest.83.2_supplement.383.

DOI:10.1378/chest.83.2_supplement.383
PMID:6337030
Abstract

Clonidine was given to patients with essential hypertension, renovascular hypertension, and hypertension with parenchymal renal disease. The drug was effective in all groups but was more effective in patients with high plasma renin concentration. Renal function did not deteriorate when the drug was used, and there was an increase in renal blood flow and a small increase in glomerular filtration rate in those with renovascular or essential hypertension. These changes may have been due to falls in plasma renin. Clonidine can be used in patients with renal disease and does not cause worsening of renal function.

摘要

可乐定被给予原发性高血压、肾血管性高血压和伴有实质性肾病的高血压患者。该药物在所有组中均有效,但在血浆肾素浓度高的患者中更有效。使用该药物时肾功能并未恶化,在肾血管性或原发性高血压患者中肾血流量增加,肾小球滤过率略有增加。这些变化可能是由于血浆肾素水平下降所致。可乐定可用于肾病患者,且不会导致肾功能恶化。

相似文献

1
The use of centrally acting antihypertensive drugs in patients with renal disease.中枢性抗高血压药物在肾病患者中的应用。
Chest. 1983 Feb;83(2 Suppl):383-6. doi: 10.1378/chest.83.2_supplement.383.
2
Clonidine in unilateral renal artery stenosis and unilateral renal parenchymal disease--similar antihypertensive but different renin suppressive effects.可乐定在单侧肾动脉狭窄和单侧肾实质疾病中的应用——降压效果相似但肾素抑制作用不同
J Hypertens Suppl. 1983 Dec;1(2):123-5.
3
Cardiovascular and hormonal effects of clonidine in patients with essential hypertension and renal hypertension.可乐定对原发性高血压和肾性高血压患者的心血管及激素影响。
J Hypertens Suppl. 1985 Dec;3(4):S73-5.
4
Effects of captopril on renal function in hypertensive patients.卡托普利对高血压患者肾功能的影响。
Am J Cardiol. 1982 Apr 21;49(6):1572-3. doi: 10.1016/0002-9149(82)90394-0.
5
Clonidine, a centrally acting sympathetic inhibitor, as monotherapy for mild to moderate hypertension.可乐定,一种中枢性交感神经抑制剂,用于轻度至中度高血压的单一疗法。
Am J Cardiol. 1982 Jan;49(1):153-8. doi: 10.1016/0002-9149(82)90289-2.
6
Enalapril versus triple-drug therapy in the treatment of renovascular hypertension.依那普利与三联药物疗法治疗肾血管性高血压的对比研究
Drugs. 1985;30 Suppl 1:59-69. doi: 10.2165/00003495-198500301-00009.
7
Renal effects of antihypertensive agents in parenchymal renal disease and renovascular hypertension.抗高血压药物对实质性肾病和肾血管性高血压的肾脏影响。
J Cardiovasc Pharmacol. 1992;19 Suppl 6:S45-50. doi: 10.1097/00005344-199219006-00009.
8
Clonidine lowers blood pressure independently of renin suppression in patients with unilateral renal artery stenosis.可乐定可降低单侧肾动脉狭窄患者的血压,且与肾素抑制无关。
Chest. 1983 Feb;83(2 Suppl):357-9. doi: 10.1378/chest.83.2.357.
9
[Renal sequelae of sympathetic hyperactivity].[交感神经过度活跃的肾脏后遗症]
Wien Med Wochenschr. 2004;154 Spec No 1(1):7-9.
10
[Hypertension therapy in patients with renal artery stenosis].[肾动脉狭窄患者的高血压治疗]
Ther Umsch. 2012 May;69(5):279-81. doi: 10.1024/0040-5930/a000286.

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1
The influence of renal function on clinical pharmacokinetics of moxonidine.肾功能对莫索尼定临床药代动力学的影响。
Clin Pharmacokinet. 1988 Oct;15(4):245-53. doi: 10.2165/00003088-198815040-00004.