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肼屈嗪或酚妥拉明作为β-肾上腺素能受体阻滞剂/噻嗪类药物治疗高血压的辅助用药。

Hydrallazine or phentolamine as adjuncts to beta-adrenoceptor blockade/thiazide therapy in hypertension.

作者信息

Winchester J F, Ward D M, McKillop J H, Kennedy A C

出版信息

Br J Clin Pharmacol. 1976 Oct;3(5):863-7. doi: 10.1111/j.1365-2125.1976.tb00639.x.

DOI:10.1111/j.1365-2125.1976.tb00639.x
PMID:788759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1428937/
Abstract

Ten patients not maximally controlled on an oxprenolo/cyclopenthiazide regimen for moderately severe hypertension were treated in a double blind crossover trial with either hydrallazine (75-150 mg/day) or phentolamine (60-120 mg/day) or placebo in addition to their other therapy. Additional phentolamine therapy did not lower blood pressure significantly when compared with placebo. Additional hydrallazine (75-150 mg/day) produced an approximate 10 mm, Hg fall in diastolic blood pressure, but no significant fall in systolic blood pressure. Pulse rates did not alter with the addition of hydrallazine or phentolamine. In patients who fail to attain optimal blood pressure response to beta-adrenoceptor blocking drugs it is suggested that the addition of hydrallazine is a useful measure.

摘要

在一项双盲交叉试验中,对10名使用氧烯洛尔/环戊噻嗪方案治疗中度严重高血压但血压未得到最大程度控制的患者,除其他治疗外,分别加用肼屈嗪(75 - 150毫克/天)、酚妥拉明(60 - 120毫克/天)或安慰剂进行治疗。与安慰剂相比,额外使用酚妥拉明治疗并未显著降低血压。额外使用肼屈嗪(75 - 150毫克/天)可使舒张压大约下降10毫米汞柱,但收缩压无显著下降。加用肼屈嗪或酚妥拉明后心率未改变。对于未能对β - 肾上腺素能受体阻断药获得最佳血压反应的患者,建议加用肼屈嗪是一种有用的措施。

相似文献

1
Hydrallazine or phentolamine as adjuncts to beta-adrenoceptor blockade/thiazide therapy in hypertension.肼屈嗪或酚妥拉明作为β-肾上腺素能受体阻滞剂/噻嗪类药物治疗高血压的辅助用药。
Br J Clin Pharmacol. 1976 Oct;3(5):863-7. doi: 10.1111/j.1365-2125.1976.tb00639.x.
2
Hydrallazine with beta-blocker and diuretic in the treatment of hypertension. A double-blind crossover study.肼屈嗪联合β受体阻滞剂及利尿剂治疗高血压。一项双盲交叉研究。
Med J Aust. 1979 Oct 20;2(8):439-40.
3
Diuretics, beta blockers and vasodilators. Dosage in mild and moderate hypertension.利尿剂、β受体阻滞剂和血管扩张剂。轻、中度高血压的用药剂量。
Med J Aust. 1975 Jan 4;1(SP2):14-7.
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Studies with prazosin--a new effective hypotensive agent. III. An acute double-blind cross-over study comparing the effects of single doses of prazosin and hydrallazine in combination with propranolol and a diuretic.关于新型有效降压药哌唑嗪的研究。III. 一项急性双盲交叉研究,比较单剂量哌唑嗪和肼屈嗪分别与普萘洛尔及一种利尿剂联合使用的效果。
Med J Aust. 1978 Jan 14;1(1):45-8.
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[2 antihypertensive therapeutic regimes compared in a controlled clinical trial in general practice. Cyclopenthiazide + KC1/methyldopa versus oxprenolol/hydralazine].[在一项普通实践中的对照临床试验中比较了两种抗高血压治疗方案。环戊噻嗪+氯化钾/甲基多巴与氧烯洛尔/肼屈嗪]
Ugeskr Laeger. 1977 Mar;139(11):641-6.
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Controlled clinical study on antihypertensive treatment with a diuretic and methyldopa compared with a beta-blocking agent and hydralazine.
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[Initial treatment of essential hypertension. Combination of a thiazide with methyldopa, and a beta-blocking agent with hydralazine].[原发性高血压的初始治疗。噻嗪类与甲基多巴联合用药,以及β受体阻滞剂与肼屈嗪联合用药]
Ugeskr Laeger. 1978 May 8;140(19):1088-91.
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Oxprenolol and hydrallazine in the treatment of hypertension.
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Efficacy of a combination of diuretic, beta-blocker and vasodilator in the treatment of hypertension in general practice.利尿剂、β受体阻滞剂和血管扩张剂联合使用在全科医疗中治疗高血压的疗效。
Br J Clin Pract. 1978 Nov;32(11):326-32.
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Vasodilators in the treatment of hypertension.
Med J Aust. 1975 Jan 4;1(SP2):7-9. doi: 10.5694/j.1326-5377.1975.tb140363.x.

引用本文的文献

1
Double-blind cross-over comparison of hydralazine and prazosin in hypertensive subjects on a beta-adrenoceptor blocking agent (atenolol).在服用β-肾上腺素能受体阻滞剂(阿替洛尔)的高血压患者中进行肼屈嗪和哌唑嗪的双盲交叉对照比较。
Br J Clin Pharmacol. 1980 Nov;10(5):531-3. doi: 10.1111/j.1365-2125.1980.tb01802.x.
2
Should the acetylator phenotype be determined when prescribing hydralazine for hypertension?在为高血压患者开肼屈嗪处方时,是否应该确定乙酰化代谢表型?
Eur J Clin Pharmacol. 1984;26(1):39-42. doi: 10.1007/BF00546706.
3
Contribution of atenolol, bendrofluazide, and hydrallazine to management of severe hypertension.阿替洛尔、苄氟噻嗪和肼苯哒嗪在重度高血压治疗中的作用。
Br Med J. 1977 Aug 27;2(6086):547-50. doi: 10.1136/bmj.2.6086.547.
4
Circulatory and alpha-adrenoceptor blocking effects of phentolamine.酚妥拉明的循环及α-肾上腺素能受体阻断作用
Br J Clin Pharmacol. 1978 Jun;5(6):507-13. doi: 10.1111/j.1365-2125.1978.tb01665.x.

本文引用的文献

1
Relation of hydralazine plasma concentration to dosage and hypotensive action.肼屈嗪血浆浓度与剂量及降压作用的关系。
Clin Pharmacol Ther. 1972 May-Jun;13(3):420-5. doi: 10.1002/cpt1972133420.
2
Alpha- and beta-adrenergic receptor blockade in the treatment of hypertension.α和β肾上腺素能受体阻滞剂治疗高血压
Br Heart J. 1974 Jun;36(6):588-96. doi: 10.1136/hrt.36.6.588.
3
Side effects of hypotensive agents evaluated by a self-administered questionnaire.通过自行填写问卷评估降压药的副作用。
Br Med J. 1973 Sep 1;3(5878):485-90. doi: 10.1136/bmj.3.5878.485.
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Partial reduction of blood pressure and prevention of complications in hypertension.
N Engl J Med. 1974 Aug 15;291(7):329-31. doi: 10.1056/NEJM197408152910703.
5
Oxprenolol and a thiazide diuretic together in the treatment of essential hypertension--a large general practice study.氧烯洛尔与噻嗪类利尿剂联合治疗原发性高血压——一项大型全科医疗研究
Br J Clin Pract. 1973 Sep;27(9):331-5.
6
Oxprenolol: long-term effects in arterial hypertension.氧烯洛尔:对动脉高血压的长期影响
Clin Pharmacol Ther. 1973 Nov-Dec;14(6):995-1000. doi: 10.1002/cpt1973146995.
7
Treatment of essential hypertension with combined vasodilation and beta-adrenergic blockade.联合血管舒张和β-肾上腺素能阻滞剂治疗原发性高血压
N Engl J Med. 1972 Mar 23;286(12):617-22. doi: 10.1056/NEJM197203232861201.
8
Letter: Hypertension and myocardial infarction.信件:高血压与心肌梗死
Br Med J. 1974 Sep 14;3(5932):685-6. doi: 10.1136/bmj.3.5932.685-d.
9
Effects of alpha- and beta-receptor blockade on systolic time intervals.α和β受体阻断对收缩期时间间期的影响。
Eur J Clin Pharmacol. 1974;7(1):1-10. doi: 10.1007/BF00614383.
10
Proceedings: Combined alpha and beta-receptor blockade in the treatment of severe hypertension.论文集:联合α和β受体阻滞剂治疗重度高血压
Scott Med J. 1974 Jan;19(1):49. doi: 10.1177/003693307401900115.