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对三项使用喹那普利治疗墨西哥人群轻度至中度高血压试验的荟萃分析。

Meta-analysis of three trials with quinapril in the treatment of mild-to-moderate hypertension in the Mexican population.

作者信息

Alcocer L, Novoa G, Sotres D

机构信息

Clinical Cardiology Service, Hospital General Secretoria de Salubridad y Asistencia, Mexico.

出版信息

Clin Ther. 1995 May-Jun;17(3):552-60; discussion 516. doi: 10.1016/0149-2918(95)80121-9.

Abstract

A meta-analysis was performed to examine the therapeutic effect of quinapril in the treatment of patients with mild-to-moderate hypertension. Data from three clinical trials conducted in Mexico and including a total of 426 patients were examined using a retrospective approach and statistical methods. The meta-analysis proved that quinapril induces positive diastolic and systolic responses at all the doses studied, particularly at the 10-mg dose. At this dose, 94.1% of patients reduced their diastolic blood pressure (DBP) by 10 mm Hg or attained a DBP of < or = 90 mm Hg. Overall, quinapril reduced DBP by between 14.8 and 24.8 mm Hg proportionally to the baseline DBP. Systolic blood pressure decreased 16 to 35.7 mm Hg from baseline levels. We conclude that the meta-analysis allowed a clearer and more dependable handling of the results regarding effectiveness and optimum dose of quinapril.

摘要

进行了一项荟萃分析,以研究喹那普利治疗轻至中度高血压患者的疗效。采用回顾性方法和统计方法,对在墨西哥进行的三项临床试验数据进行了研究,这些试验共纳入426例患者。荟萃分析证明,喹那普利在所研究的所有剂量下均能引起舒张期和收缩期的积极反应,尤其是在10毫克剂量时。在此剂量下,94.1%的患者舒张压降低了10毫米汞柱或舒张压达到或低于90毫米汞柱。总体而言,喹那普利使舒张压降低了14.8至24.8毫米汞柱,与基线舒张压成比例。收缩压较基线水平下降了16至35.7毫米汞柱。我们得出结论,荟萃分析能够更清晰、更可靠地处理有关喹那普利有效性和最佳剂量的结果。

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