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高血压患者的依从性——药片数量的重要性。

Patients compliance in hypertension--the importance of number of tablets.

作者信息

Asplund J, Danielson M, Ohman P

出版信息

Br J Clin Pharmacol. 1984 May;17(5):547-52. doi: 10.1111/j.1365-2125.1984.tb02388.x.

DOI:10.1111/j.1365-2125.1984.tb02388.x
PMID:6375710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1463452/
Abstract

The importance of number of tablets for patient compliance was investigated in 160 patients with mild-moderate essential hypertension treated with a beta-adrenoceptor blocker and a thiazide diuretic. Mean BP at entry 146 +/- 16/92 +/- 8 mm Hg. All patients were given pindolol 10 mg and clopamide 5 mg in one combination tablet or in separate tablets for 4 months respectively. Approximately 90% of the patients took greater than 90% of the prescribed dose throughout the study. Mean BP decreased progressively and heart rate increased slightly. Side effects were more frequently reported during the first month of the study than previously, and 30 patients discontinued the treatment. No differences in this respect were seen between 1 and 2 tablets daily. Approximately 75% of the patients preferred 1 tablet daily, but combining two drugs in one tablet had no effect upon compliance.

摘要

在160例接受β-肾上腺素能受体阻滞剂和噻嗪类利尿剂治疗的轻中度原发性高血压患者中,研究了片剂数量对患者依从性的重要性。入组时平均血压为146±16/92±8 mmHg。所有患者分别服用含10 mg吲哚洛尔和5 mg氯噻酮的复方片剂或单独片剂,为期4个月。在整个研究过程中,约90%的患者服用了超过90%的规定剂量。平均血压逐渐下降,心率略有增加。与之前相比,研究第一个月报告的副作用更频繁,30例患者停止治疗。每日服用1片和2片在这方面没有差异。约75%的患者更喜欢每日服用1片,但将两种药物合为1片对依从性没有影响。

相似文献

1
Patients compliance in hypertension--the importance of number of tablets.高血压患者的依从性——药片数量的重要性。
Br J Clin Pharmacol. 1984 May;17(5):547-52. doi: 10.1111/j.1365-2125.1984.tb02388.x.
2
New design for clinical trial of antihypertensive drugs applied to pindolol, clopamide, and combinations thereof.应用于吲哚洛尔、氯噻嗪及其组合的抗高血压药物临床试验的新设计。
Lancet. 1982 Feb 13;1(8268):355-8. doi: 10.1016/s0140-6736(82)91390-3.
3
Two-years' study with a combination of pindolol and clopamide ('Viskaldix') in patients with moderate hypertension.对中度高血压患者联合使用吲哚洛尔和氯噻酰胺(“Viskaldix”)进行的两年研究。
Curr Med Res Opin. 1979;6(3):193-200. doi: 10.1185/03007997909109420.
4
[Use of viskaldix in the treatment of patients with hypertension].[Viskaldix在高血压患者治疗中的应用]
Klin Med (Mosk). 1988 Oct;66(10):62-4.
5
Treatment of essential hypertension with pindolol and clopamide: problems arising from a combined beta blocker and diuretic therapy.用吲哚洛尔和氯噻酮治疗原发性高血压:β受体阻滞剂与利尿剂联合治疗引发的问题
Curr Ther Res Clin Exp. 1974 Aug;16(8):786-97.
6
The antihypertensive effect of pindolol (Visken) alone and combined with clopamide (Brinaldix).吲哚洛尔(心得静)单独及与氯噻酮(氯噻嗪)联合使用的降压效果。
Eur J Clin Pharmacol. 1977 Jul 19;11(6):419-21. doi: 10.1007/BF00562931.
7
[Should elderly hypertensive patients be treated with a beta-blocker-diuretic combination?].老年高血压患者是否应采用β受体阻滞剂-利尿剂联合治疗?
Z Gerontol. 1984 Mar-Apr;17(2):89-92.
8
Treatment of hypertension in the elderly with pindolol and clopamide.用吲哚洛尔和氯噻酮治疗老年人高血压
J Am Geriatr Soc. 1978 Aug;26(8):337-40. doi: 10.1111/j.1532-5415.1978.tb03680.x.
9
[Field study results of a fixed beta blockader-diuretic combination: effect of dosage reduction ("stepping down")].[一种固定的β受体阻滞剂 - 利尿剂组合的现场研究结果:剂量降低(“逐步减量”)的效果]
Schweiz Rundsch Med Prax. 1983 Oct 4;72(40):1279-81.
10
[Effect of the combination of Pindolol and clopamide in systemic arterial hypertension. A multicenter study].[吲哚洛尔与氯噻酮联合用药治疗系统性动脉高血压的疗效。一项多中心研究]
Arq Bras Cardiol. 1981 Sep;37(3):219-24.

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AIDS Res Treat. 2014;2014:967073. doi: 10.1155/2014/967073. Epub 2014 Sep 4.
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Single-pill vs free-equivalent combination therapies for hypertension: a meta-analysis of health care costs and adherence.单片与自由等效联合治疗高血压:医疗成本和依从性的荟萃分析。
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5
Interventions for improving adherence to treatment in patients with high blood pressure in ambulatory settings.改善门诊环境中高血压患者治疗依从性的干预措施。
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Eur J Clin Pharmacol. 1995;47(6):477-81. doi: 10.1007/BF00193697.
7
Effects of self medication programme on knowledge of drugs and compliance with treatment in elderly patients.自我药疗方案对老年患者药物知识及治疗依从性的影响。
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Dosage frequency and drug-compliance behaviour--a comparative study on compliance with a medication to be taken twice or four times daily.
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本文引用的文献

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Determination of pindolol in biological fluids by electron-capture GLC.用电子捕获气相色谱法测定生物流体中的吲哚洛尔。
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Compliance with drug treatment.药物治疗依从性。
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The syndrome associated with the withdrawal of beta-adrenergic receptor blocking drugs.与β-肾上腺素能受体阻断药物撤药相关的综合征。
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New design for clinical trial of antihypertensive drugs applied to pindolol, clopamide, and combinations thereof.应用于吲哚洛尔、氯噻嗪及其组合的抗高血压药物临床试验的新设计。
Lancet. 1982 Feb 13;1(8268):355-8. doi: 10.1016/s0140-6736(82)91390-3.
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To be taken as directed.按指示服用。
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The effect of clinical pharmacy services on patients with essential hypertension.临床药学服务对原发性高血压患者的影响。
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Acta Med Scand. 1976;199(4):273-80. doi: 10.1111/j.0954-6820.1976.tb06732.x.
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Prevalence of primary and secondary hypertension: studies in a random population sample.原发性和继发性高血压的患病率:随机人群样本研究
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Long-term blood pressure control with pindolol given once daily.每日一次服用吲哚洛尔进行长期血压控制。
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