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每日一次服用阿替洛尔与美托洛尔缓释片治疗轻至中度高血压的比较。

A comparison of once daily atenolol and metoprolol SA in mild to moderate hypertension.

作者信息

Morley C A, Cavalcanti C, Perrins E J, Sutton R

出版信息

Br J Clin Pharmacol. 1983 Jun;15(6):715-7. doi: 10.1111/j.1365-2125.1983.tb01555.x.

DOI:10.1111/j.1365-2125.1983.tb01555.x
PMID:6347229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1427914/
Abstract

Atenolol 100 mg once daily and metoprolol SA 200 mg once daily were compared in 20 patients with mild to moderate hypertension, in a randomised, double-blind cross-over trial. Blood pressure and heart rate were compared at rest and during maximal exercise on a bicycle ergometer at 2 and 24 h post-dose. Blood pressure control was similar with both drugs, except at 2 h when systolic blood pressure was significantly lower with atenolol. Blood pressure and heart rate were less well controlled at 24 h than at 2 h with both drugs, but the majority of patients were still considered adequately controlled at 24 h. Atenolol and metoprolol SA can be considered equally effective in the treatment of mild to moderate hypertension and can be recommended as a once daily regime.

摘要

在一项随机、双盲交叉试验中,对20例轻至中度高血压患者比较了每日一次服用100毫克阿替洛尔和每日一次服用200毫克美托洛尔缓释片的效果。在给药后2小时和24小时,比较了静息时以及在自行车测力计上进行最大运动时的血压和心率。两种药物的血压控制情况相似,但在2小时时,阿替洛尔组的收缩压显著更低。两种药物在24小时时的血压和心率控制均不如2小时时,但大多数患者在24小时时仍被认为得到了充分控制。阿替洛尔和美托洛尔缓释片在治疗轻至中度高血压方面可被视为同样有效,并可推荐作为每日一次的用药方案。

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本文引用的文献

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Comparison of two long-acting preparations of metoprolol with conventional metoprolol and atenolol in healthy men during chronic dosing.慢性给药期间,健康男性中两种长效美托洛尔制剂与常规美托洛尔及阿替洛尔的比较。
Br J Clin Pharmacol. 1982 Nov;14(5):713-8. doi: 10.1111/j.1365-2125.1982.tb04962.x.
2
Plasma levels and pharmacological effects of metoprolol administered as controlled release (Durules) and ordinary tablets in healthy volunteers.美托洛尔控释片(倍他乐克缓释片)和普通片剂在健康志愿者体内的血浆浓度及药理作用
Int J Clin Pharmacol Ther Toxicol. 1980 Jul;18(7):292-7.
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Atenolol and metoprolol once daily in hypertension.阿替洛尔和美托洛尔用于高血压的每日一次给药。
Br Med J (Clin Res Ed). 1982 May 22;284(6328):1514-6. doi: 10.1136/bmj.284.6328.1514.
4
Comparative study of atenolol, metoprolol, metoprolol durules, and slow-release oxprenolol in essential hypertension.阿替洛尔、美托洛尔、美托洛尔缓释片和氧烯洛尔缓释片治疗原发性高血压的比较研究
Br Heart J. 1981 Nov;46(5):498-502. doi: 10.1136/hrt.46.5.498.
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Dosing intervals in beta-blocker therapy.β受体阻滞剂治疗中的给药间隔。
Lancet. 1980 Nov 29;2(8205):1196. doi: 10.1016/s0140-6736(80)92629-x.
6
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Postgrad Med J. 1977;53 Suppl 3:74-8.