首页|马来酸左氨氯地平与苯磺酸氨氯地平对老年高血压患者降压效果的比较

马来酸左氨氯地平与苯磺酸氨氯地平对老年高血压患者降压效果的比较

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目的 探究马来酸左氨氯地平和苯磺酸氨氯地平对老年高血压患者的降压效果.方法 选择收治的老年高血压患者1361例作为研究对象,根据服用的降压药物将其分为左氨氯地平组(n=604)和氨氯地平组(n=757).观察2组患者的血压控制情况及终点事件和不良反应的发生情况.结果 对2组患者进行2年随访发现,降压治疗1个月后,左氨氯地平组患者的血压达标率显著低于氨氯地平组(P<0.05);随着2组患者用药时间延长,2组血压达标率逐渐上升,且左氨氯地平组的增长速度快于氨氯地平组,但二者比较差异无统计学意义(P>0.05);第 1~3次随访期间,左氨氯地平组的终点事件发生率显著低于氨氯地平组(P<0.05);2组第4~7次随访终点事件的累积发生率比较差异无统计学意义(P>0.05);左氨氯地平组不良反应事件发生率(4.30%)低于氨氯地平组(5.42%),但2组比较差异无统计学意义(P>0.05).结论 对老年高血压患者应用左氨氯地平,短时间用药可以降低患者不良事件和终点事件的发生率,长时间用药可以改善患者的血压达标率,临床疗效和安全性较高.
Comparison of the antihypertensive effect of levamlodipine maleate and amlodi-pine besylate in elder patients with hypertension
Objective To explore the antihypertensive effect of levamlodipine maleate and amlodipine besylate in elderly patients with hypertension.Methods A total of 1361 elderly hypertensive patients were enrolled and divided into levamlodipine group(n=604)and amlodipine group(n=757)according to the antihypertensive drugs they took.The blood pressure control,endpoint events and ad-verse reactions were observed in the 2 groups.Results The 2-year follow-up of the 2 groups showed that after 1 month of antihyper-tensive treatment,the blood pressure compliance rate of levamlodipine group was significantly lower than that of amlodipine group(P<0.05).With the extension of treatment time,the compliance rate of the 2 groups gradually increased,and the increase rate of le-vamlodipine group was faster than that of amlodipine group,but there was no statistical significance between the 2 groups(P>0.05).During the first to third follow-up,no end event occurred in levamlodipine group,which was significantly lower than that in amlodip-ine group(P<0.05).There was no significant difference in the cumulative incidence of end point events between the 2 groups at the 4th to 7th follow-up(P>0.05).The incidence of adverse events in levamlodipine group(4.30%)was lower than that in amlodipine group(5.42%),but the difference was not statistically significant(P>0.05).Conclusion Levamlodipine was applied to elderly pa-tients with hypertension.Short-term administration can reduce the incidence of adverse events and endpoint events,and long-term ad-ministration can improve the blood pressure compliance rate of patients,with high clinical efficacy and safety.

levoamlodipine maleateamlodipine besylatehypertension in the elderly

吴朝晖、谢振宏、韩志远、李海苗、夏煜华、吴文辉

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武警广东省总队医院,广州医科大学附属武警医院心内科,广州 510507

马来酸左氨氯地平 苯磺酸氨氯地平 老年高血压

国家科技重大专项

2012ZX09101101

2024

西北药学杂志
西安交通大学,陕西省药学会

西北药学杂志

CSTPCD
影响因子:0.912
ISSN:1004-2407
年,卷(期):2024.39(1)
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