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[高血压患者中地尔硫䓬(恬尔心)缓释剂型对中枢血流动力学的降压作用及作用特点]

[Hypotensive effect and characteristics of the effect on the central hemodynamics of the delayed-action form of diltiazem (Dilren) in patients with hypertension].

作者信息

Pshenitsin A I, Glotov M N, Mazur N A

出版信息

Ter Arkh. 1993;65(9):47-50.

PMID:8303596
Abstract

Calcium antagonist dilren in a short course was given to 11 hypertensive subjects (AH stage II). A clinical response in the majority of the patients was associated with a decline in systolic, mean arterial and resting diastolic pressure (by 8.1, 7.8 and 11.5%, respectively). In orthostasis and under isometric loading dynamic values of arterial pressure tended to lowering, especially diastolic (by 6.7 and 8.3%, respectively). Reduced pressure resulted from a significant reduction in the total peripheral resistance (by 19.8% at rest, in orthostasis by 10%, in isometric load by 26.1%). Minute blood volume increased because of a rise in stroke output. Dilren is recommended in a standard dose 300 mg/day in mild hypertension and in an individual dose 600 mg/day in moderate disease.

摘要

对11名高血压患者(二期高血压)短期给予钙拮抗剂地尔硫䓬。大多数患者的临床反应与收缩压、平均动脉压和静息舒张压下降有关(分别下降8.1%、7.8%和11.5%)。在直立位和等长负荷下,动脉压动态值趋于降低,尤其是舒张压(分别降低6.7%和8.3%)。血压降低是由于总外周阻力显著降低(静息时降低19.8%,直立位时降低10%,等长负荷时降低26.1%)。由于心输出量增加,每分血容量增加。对于轻度高血压,建议使用标准剂量300毫克/天的地尔硫䓬;对于中度高血压,建议使用个体剂量600毫克/天。

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