中国药房2017，Vol.28Issue(15)：2039-2042,4.DOI:10.6039/j.issn.1001-0408.2017.15.07
三联降压药分时服用治疗反杓型高血压的临床观察
Clinical Observation of 3 Anti-hypertensive Drugs Combination Time-share Medication in the Treatment of Anti-dipper Hypertension
摘要
Abstract
OBJECTIVE:To investigate therapeutic efficacy and safety of levamlodipine and telmisartan combined with hydro-chlorothiazide in the treatment of anti-dipper hypertension. METHODS:Totally 150 patients with anti-dipper hypertension were ran-domly divided into group A,B,C,with 50 cases in each group. Group A was given Telmisartan tablet 40 mg+Hydrochlorothiazide tablet 10 mg,once a day,in the morning. Group B was given Levamlodipine tablet 5 mg,once a day,in the night. Group C was given Telmisartan tablet(usage and dosage same as group A)+Hydrochlorothiazide tablet(usage and dosage same as group A)+Le-vamlodipine tablet(usage and dosage same as group B). Treatment courses of 3 groups lasted for 8 weeks. The changes of electro-lyte and 24 h ambulatory blood pressure were observed and compared among 3 groups before and after treatment. The incidence of adverse reactions was recorded. RESULTS:There was no statistical significance in the electrolyte indexes in 3 groups before and af-ter treatment(P>0.05). Before treatment,there was no statistical significance in 24 h blood pressure among 3 groups(P>0.05). Af-ter treatment,the 24 h blood pressure of the patients in the 3 groups after treatment was lower than before treatment,and group C was lower than that of the group A and group B(P<0.05). After treatment,the rate of anti-dipper rhythm reversal in group C was significantly higher than group A and B,with statistical significance(P<0.05). There was no statistical significance in the inci-dence of ADR among 3 groups(P>0.05). CONCLUSIONS:Levamlodipine and telmisartan combined with hydrochlorothiazide show good therapeutic efficacy for anti-dipper hypertension,and can reduce 24 h blood pressure and effectively reverse anti-dipper rhythm with good safety.关键词
左旋氨氯地平/替米沙坦/氢氯噻嗪/反杓型高血压/疗效/安全性Key words
Levamlodipine/Telmisartan/Hydrochlorothiazide/Anti-dipper hypertension/Efficacy/Safety分类
医药卫生引用本文复制引用
娄满,高春燕,苏宁,胡晓英,英俊岐..三联降压药分时服用治疗反杓型高血压的临床观察[J].中国药房,2017,28(15):2039-2042,4.基金项目
衡水市科技计划自筹经费项目(No.2016014091Z) （No.2016014091Z）
