首页|沙库巴曲缬沙坦联合非洛地平缓释片对高血压伴冠心病患者血压控制及心功能的影响观察

沙库巴曲缬沙坦联合非洛地平缓释片对高血压伴冠心病患者血压控制及心功能的影响观察

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目的 探讨沙库巴曲缬沙坦联合非洛地平缓释片对高血压伴冠心病患者血压控制及心功能的影响.方法 筛选接诊的 70 例高血压伴冠心病患者,采用随机数字表法分为对照组和观察组各 35 例.对照组采用非洛地平缓释片治疗,观察组采用沙库巴曲缬沙坦联合非洛地平缓释片治疗.对比两组临床疗效.结果 治疗后,观察组总有效率高于对照组(P<0.05);SBP、DBP水平低于对照组(P<0.05);LVEF水平高于对照组,LVESV、LVEDV水平低于对照组(P<0.05);两组均无肾功能损害、高钾血症发生,且两组血管性水肿、电解质紊乱、头晕恶心、低血压等不良反应发生率无明显差异(P>0.05).结论 沙库巴曲缬沙坦联合非洛地平缓释片治疗高血压伴冠心病疗效显著,可提升患者血压控制水平,改善心功能,且安全性较高.
Effect of Sacubitril Valsartan Combined with Felodipine Sustained-release Tabletson Blood Pressure Control and Cardiac Function in Patients with Hypertension and Coronary Heart Disease
Objectives To investigate the effect ofsacubitril valsartan combined withfelodipine sustained-release tablets on blood pressure control and cardiac function in patients with hypertension and coronary heart disease.Methods A total of 70 patients with hypertension and coronary heart diseaseadmitted to our hospital were selected and divid-ed into control group and observation group randomly,with 35 cases in each group.The control group was treated with felodipine sustained-release tablets,and the observation group was treated with sacubitril valsartan combined with felodipine sustained-release tablets.The clinical efficacy was compared between the two groups.Result After treatment,the total effective rate in observation group was significantly higher than in control group(P<0.05).The lev-els of SBP and DBPin observation group were significantly lower than those in control group(P<0.05).TheLVEF lev-el in observation group was significantly higher than that in control group,and the LVESV and LVEDV levels were significantly lower than those in control group(P<0.05).There was no renal dysfunctionor hyperkalemia in the two groups,and there was no significant difference in the incidence of adverse reactions such as angioedema,electrolyte disturbance,dizziness,nausea,and hypotensionbetween the two groups(P>0.05).Conclusions Sacubitril valsartan com-bined with felodipine sustained-release tablets has a significant therapeutic effect on hypertension with coronary heart disease,which can improve patients'blood pressure control level,improve cardiac function,and has high safety.

Sacubitril valsartanFelodipine sustained-release tabletsHypertensionCoronary heart diseaseBlood pressure levelCardiac function

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天津市红桥区邵公庄街社区卫生服务中心,天津 300122

沙库巴曲缬沙坦 非洛地平缓释片 高血压 冠心病 血压水平 心功能

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(15)