首页|苯磺酸氨氯地平和缬沙坦结合治疗老年高血压患者的临床价值与药学分析

苯磺酸氨氯地平和缬沙坦结合治疗老年高血压患者的临床价值与药学分析

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目的 探讨苯磺酸氨氯地平和缬沙坦用于老年高血压疾病治疗的效果.方法 方便选取2022年7月—2023年7月于枣庄市山亭区人民医院收治的92例老年高血压病人为研究对象,并按奇偶分组原则分为参照组和研究组,各46例.参照组患者仅应用缬沙坦治疗,研究组患者在缬沙坦治疗基础上联合苯磺酸氨氯地平治疗.对各组的用药效果进行评估,统计与分析两组治疗前后的血压波动情况、肾功能指标、同型半胱氨酸值、不良反应等.结果 治疗后2周~2个月,研究组收缩压和舒张压结果均优于参照组,差异有统计学意义(P均<0.05).研究组尿酸、肌酐、血清尿素氮等肾功能指标降低均比参照组明显,差异有统计学意义(P均<0.05).研究组治疗后的同型半胱氨酸水平低于参照组,差异有统计学意义(t=26.676,P<0.05).两组治疗后不良反应总发生率比较,差异无统计学意义(P>0.05).结论 苯磺酸氨氯地平与缬沙坦的联合应用,对控制老年高血压人群血压水平具有重要意义.
Clinical Value and Pharmaceutical Analysis of Amlodipine Besylate Com-bined with Valsartan in the Treatment of Elderly Patients with Hyperten-sion
Objective To investigate the effect of amlodipine besylate and valsartan in the treatment of elderly hyper-tensive diseases.Methods 92 elderly hypertensive patients admitted to Zaozhuang Shanting District People's Hospital from July 2022 to July 2023 were conveniently selected as the research subjects,and were divided into a control group and a study group based on odd even grouping principle,with 46 cases in each group.The control group patients were only treated with valsartan,while the study group patients were treated with a combination of amlodipine besylate on the basis of valsartan.The effect of medication in each group was evaluated,and the fluctuation of blood pressure,re-nal function index,homocysteine value and adverse reactions before and after treatment in two groups were counted and analyzed.Results After 2 weeks to 2 months of treatment,the systolic and diastolic blood pressure results of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).The decrease in renal function indexes such as uric acid,creatinine,and serum urea nitrogen in the study group were significantly higher than those in the control group,and the differences were statistically significant(all P<0.05).The homocysteine level in the study group after treatment was lower than that in the control group,and the difference was statistically significant(t=26.676,P<0.05).There was no statistically significant difference in the total incidence of ad-verse reactions between the two groups after treatment(P>0.05).Conclusion The combined application of amlodipine besylate and valsartan is of great significance for controlling blood pressure level in elderly hypertensive population.

Hypertension in the elderlyAmlodipine besylateValsartanHomocysteineRenal function

闫宗峰、赵国、李玉婷

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枣庄市山亭区人民医院,山东枣庄 277299

老年高血压 苯磺酸氨氯地平 缬沙坦 同型半胱氨酸 肾功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(6)
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