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米诺地尔治疗儿童重度高血压:一项对照临床研究。

Management of severe childhood hypertension with minoxidil: a controlled clinical study.

作者信息

Sinaiko A R, Mirkin B L

出版信息

J Pediatr. 1977 Jul;91(1):138-42. doi: 10.1016/s0022-3476(77)80466-6.

DOI:10.1016/s0022-3476(77)80466-6
PMID:874651
Abstract

The therapeutic efficacy of four antihypertensive regimens (minoxidil, propranolol, and hydrochlorothiazide; propranolol and hydrochlorothiazide; methyldopa and hydroch-orothiazide; and hydrochlorothiazide alone) was evaluated in one child with systolic hypertension and in eight children with systolic and diastolic hypertension. The mean blood pressure of 148/98+/-8/4 mm Hg observed during the hydrochlorothiazide control period fell to 142/88+/-8/4 mm Hg following methyldopa and hydrochlorothiazide, 141/85+/-6/2 mm Hg following propranolol and hydrochlorothiazide, and 128/74+/-4/2 mm Hg following minoxidil, propranolol, and hydrochlorothiazide. The only side effect directly associated with administration of minoxidil was hypertrichosis. The effectiveness of minoxidil in the present study suggests that this drug offers an important adjunct to current antihypertensive therapy in children.

摘要

对一名收缩期高血压患儿和八名收缩期及舒张期高血压患儿评估了四种抗高血压方案(米诺地尔、普萘洛尔和氢氯噻嗪;普萘洛尔和氢氯噻嗪;甲基多巴和氢氯噻嗪;以及单独使用氢氯噻嗪)的治疗效果。在氢氯噻嗪对照期观察到的平均血压为148/98±8/4 mmHg,在甲基多巴和氢氯噻嗪治疗后降至142/88±8/4 mmHg,在普萘洛尔和氢氯噻嗪治疗后降至141/85±6/2 mmHg,在米诺地尔、普萘洛尔和氢氯噻嗪治疗后降至128/74±4/2 mmHg。与米诺地尔给药直接相关的唯一副作用是多毛症。米诺地尔在本研究中的有效性表明,该药为目前儿童抗高血压治疗提供了一种重要的辅助药物。

相似文献

1
Management of severe childhood hypertension with minoxidil: a controlled clinical study.米诺地尔治疗儿童重度高血压:一项对照临床研究。
J Pediatr. 1977 Jul;91(1):138-42. doi: 10.1016/s0022-3476(77)80466-6.
2
[Minoxidil in treatment resistant hypertension].[米诺地尔治疗难治性高血压]
Schweiz Med Wochenschr. 1979 Dec 8;109(47):1869-73.
3
Minoxidil in refractory hypertension.米诺地尔治疗难治性高血压。
J Pediatr. 1975 Apr;86(4):621-3. doi: 10.1016/s0022-3476(75)80167-3.
4
Minoxidil in the management of moderate hypertension.米诺地尔治疗中度高血压
J Cardiovasc Pharmacol. 1980;2 Suppl 2:S242-6. doi: 10.1097/00005344-198000022-00019.
5
Minoxidil in severe hypertension: value when conventional drugs have failed.米诺地尔治疗重度高血压:常规药物治疗失败时的价值。
Am Heart J. 1975 Sep;90(3):360-8. doi: 10.1016/0002-8703(75)90326-9.
6
Clinical response of hypertensive children to long-term minoxidil therapy.高血压患儿对长期米诺地尔治疗的临床反应。
J Cardiovasc Pharmacol. 1980;2 Suppl 2:S181-8. doi: 10.1097/00005344-198000022-00012.
7
Minoxidil in severe and moderately severe hypertension, in association with methyldopa and chlortalidone.
Angiology. 1982 Nov;33(11):710-9. doi: 10.1177/000331978203301103.
8
Minoxidil in severe hypertension with renal failure. Effect of its addition to conventional antihypertensive drugs.米诺地尔用于伴肾衰竭的重度高血压。加用米诺地尔至传统抗高血压药物的效果。
Am J Cardiol. 1973 Mar;31(3):355-61. doi: 10.1016/0002-9149(73)90268-3.
9
Effect of minoxidil on blood pressure and hemodynamics in severe hypertension.米诺地尔对重度高血压患者血压及血流动力学的影响。
Am J Cardiol. 1977 May 26;39(6):796-801. doi: 10.1016/s0002-9149(77)80029-5.
10
[Treatment of moderate and severe hypertension with minoxidil (author's transl)].用米诺地尔治疗中重度高血压(作者译)
Rev Med Chil. 1981 Feb;109(2):120-4.

引用本文的文献

1
Evaluation of the Safety and Effectiveness of Oral Minoxidil in Children: A Systematic Review.儿童口服米诺地尔的安全性和有效性评估:一项系统评价
Dermatol Ther (Heidelb). 2024 Jul;14(7):1709-1727. doi: 10.1007/s13555-024-01197-x. Epub 2024 Jun 11.
2
Evaluation and treatment of hypertensive crises in children.儿童高血压危象的评估与治疗。
Integr Blood Press Control. 2016 Mar 16;9:49-58. doi: 10.2147/IBPC.S50640. eCollection 2016.
3
Pharmacological interventions for hypertension in children.儿童高血压的药物治疗干预措施。
Cochrane Database Syst Rev. 2014 Feb 1;2014(2):CD008117. doi: 10.1002/14651858.CD008117.pub2.
4
Minoxidil: a review of its pharmacological properties and therapeutic use.米诺地尔:其药理特性与治疗用途综述
Drugs. 1981 Oct;22(4):257-78. doi: 10.2165/00003495-198122040-00001.
5
Successful acute and long-term treatment of renin-induced hypertension in two infants with captopril.卡托普利成功治疗两名婴儿肾素性高血压的急性和长期疗效
Eur J Pediatr. 1980 Dec;135(2):161-4. doi: 10.1007/BF00441635.
6
Drug therapy in childhood hypertension.
Indian J Pediatr. 1988 May-Jun;55(3):359-71. doi: 10.1007/BF02810357.