首页|沙库巴曲缬沙坦钠片联合叶酸治疗对H型高血压患者血压、sdLDL-C水平及血浆Hcy的影响

沙库巴曲缬沙坦钠片联合叶酸治疗对H型高血压患者血压、sdLDL-C水平及血浆Hcy的影响

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目的 探讨沙库巴曲缬沙坦钠片联合叶酸治疗对H型高血压患者血压、sdLDL-C水平及血浆Hcy的影响.方法 选取2021年10月至2022年9月于淄博市第一医院进行治疗的176例H型高血压患者为受试者,按照随机双盲法将其分为2组.对照组受试者采用沙库巴曲缬沙坦钠片进行治疗;研究组受试者在对照组基础上给予叶酸进行治疗.观察两组受试者临床疗效、血压、血脂代谢指标、血清炎症指标情况.结果 研究组受试者临床疗效总有效率为92.05%远高于对照组,差异有统计学意义(x2=3.965,P<0.05).研究组受试者治疗后收缩压,舒张压均低于对照组,差异有统计学意义(t=6.007、4.186,P<0.05);经治疗后,研究组受试者血脂代谢指标TC、TG、HDL-C、LDL-C和sdLDL-C水平均较对照组低,差异有统计学意义,(t=19.705、19.105、13.304、13.466、10.713,P<0.05);两组受试者经治疗后,研究组受试者血清炎症指标IL-6、TNF-α、hs-CRP、Hcy均优于对照组,差异有统计学意义(t=19.705、19.105、13.304、13.466、10.713,P<0.05).结论 沙库巴曲缬沙坦钠片联合叶酸治疗H型高血压具有较好的临床效果,能有效降低H型高血压患者的血压,改善患者血脂情况,同时降低患者体内的血清炎症指标,具有较高的临床应用价值,值得推广.
Effects of Shakubactril valsartan sodium tablets combined with folic acid on blood pressure,sdLDL-C levels,and plasma Hcy in patients with H-type hypertension
Objective To explore the effect of captopril,valsartan and folic acid treatment on blood pressure,SDLDL-C(Small dense low-density lipoprotein cholesterol)levels and plasma Hcy(Plasma homocysteine)in patients with H-type hypertension. Methods A total of 176 patients with H-type hypertension who were treated at the hospital from October 2021 to September 2022 were selected as subjects. They were divided into two groups using a randomized double-blind method. The control group received treatment with savo and valtracortin sodium tablets. While the the research group received treatment with folic acid in addition to the control group. Results The overall clinical efficacy rate of the subjects in the research group was 92.05%,which was significantly higher than that in the control group(x2=3.965,P<0.05). The systolic and diastolic blood pressure of the subjects in the study group were lower than those in the control group after treatment,and the difference was statistically significant(t=6.007,4.186,P<0.05). After treatment,the levels of TC,TG,HDL-C,LDL-C,and sdLDL-C in the study group were lower than those in the control group,and the difference was statistically significant(t=19.705,19.105,13.304,13.466,10.713,P<0.05). After treatment,the serum inflammatory markers IL-6 and TNF-α,as well as both hs-CRP and Hcy were superior to those in the control group,and the difference was statistically significant(t=19.705,19.105,13.304,13.466, 10.713,P<0.05). Conclusion Shakubatroxobin sodium tablets combined with folic acid have shown positive clinical effects in treating H-type hypertension. This treatment effectively reduces blood pressure ,improves the blood lipid levels,and reduces the serum inflammatory markers in patients,due to its high clinical value. It is worth promoting this treatment widely.

Shakubactriol valsartan sodium tabletsFolic acid therapyH-type hypertensionsdLDL-CPlasma Hcy

张田玲、孙晓琳、孙彩丽

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淄博市第一医院检验科,淄博市分子免疫检验医学重点实验室,山东,淄博255200

青岛市市立医院药剂科,山东,青岛266071

沙库巴曲缬沙坦钠片 叶酸治疗 H型高血压 血压 sdLDL-C水平 血浆Hcy

山东省医药卫生科技发展计划

2018WS008

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(2)
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