心血管康复医学杂志2024,Vol.33Issue(1) :50-55.DOI:10.3969/j.issn.1008-0074.2024.01.11

降压益肾颗粒联合氨氯地平治疗老年原发性高血压的疗效及对血清糖化血红蛋白及肾胺酶水平的影响

Therapeutic effect of Jiangya Yishen granules combined amlodipine on elderly essential hypertension and its impact on serum levels of HbA1c and renalase protein

刘灿 曹亚伟 张淑霞
心血管康复医学杂志2024,Vol.33Issue(1) :50-55.DOI:10.3969/j.issn.1008-0074.2024.01.11

降压益肾颗粒联合氨氯地平治疗老年原发性高血压的疗效及对血清糖化血红蛋白及肾胺酶水平的影响

Therapeutic effect of Jiangya Yishen granules combined amlodipine on elderly essential hypertension and its impact on serum levels of HbA1c and renalase protein

刘灿 1曹亚伟 1张淑霞1
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作者信息

  • 1. 衡水市第二人民医院老年病科,河北 衡水 053000
  • 折叠

摘要

目的:探讨降压益肾颗粒联合氨氯地平对老年原发性高血压患者的临床效果及对血清糖化血红蛋白(HbA1c)和肾胺酶(Renalase蛋白)水平的影响.方法:选择在我院接受治疗的125例原发性高血压老年患者为研究对象,依据随机数字表法分为氨氯地平组(40例)、降压益肾颗粒组(40例)及联合治疗组(45例,采用氨氯地平和降压益肾颗粒联合治疗).各组均给予相应的治疗,8周后,观察比较各组患者降压效果,检测各组治疗前后血清renalase蛋白和HbA1c水平变化.结果:联合治疗组总有效率显著高于氨氯地平组和降压益肾颗粒组(88.9%比65.0%比70.0%),P<0.05或<0.01;治疗后,联合治疗组血压变异性指标较治疗前及氨氯地平组和降压益肾颗粒组均有显著改善(P<0.05或<0.01);治疗后,与氨氯地平组和降压益肾颗粒组比较,联合治疗组renalase 蛋白显著升高[(1380.17±120.13)pg/ml 比(1480.17±110.93)pg/ml 比(1845.43±112.38)pg/ml],HbA1c[(5.92±0.35)%比(5.83±0.36)%比(5.31±0.35)%]水平显著降低(P 均=0.001).结论:降压益肾颗粒联合氨氯地平治疗老年原发性高血压患者,可加强降压疗效,降低HbA1c水平、升高renalase蛋白水平,使患者获益.

Abstract

Objective:To investigate the therapeutic effect of Jiangya Yishen granules(JYG)combined with amlodip-ine on elderly patients with essential hypertension(EH)and its impact on serum levels of glycosylated hemoglobin(HbA1c)and renalase protein.Methods:A total of 125 elderly EH patients treated in our hospital were selected.According to random number table,they were divided into amlodipine group(n=40),JYG group(n=40)and combined treatment group(n=45,received amlodipine combined with JYG).Each group received corresponding treatment for eight weeks.Therapeutic effect,antihypertensive effect,serum levels of renalase protein and HbA1c were compared among three groups before and after treatment.Results:Total effective rate of combined treatment group was significantly higher than those of amlodipine group and JYG group(88.9%vs.65.0%vs.70.0%),P<0.05 or<0.01;compared with amlodipine group and JYG group after treatment,there were significant improve-ments in blood pressure variability indexes(P<0.05 or<0.01),significant rise in renalase protein level[(1380.17 ±120.13)pg/ml vs.(1480.17±110.93)pg/ml vs.(1845.43±112.38)pg/ml],and significant reduction in HbA1c level[(5.92±0.35)%vs.(5.83±0.36)%vs.(5.31±0.35)%]in combined treatment group,P=0.001 all.Conclusion:Jiangya Yishen granules combined with amlodipine can strengthen antihypertensive effect,reduce HbA1c level and increase renalase protein level in elderly patients with essential hypertension,which can benefit the patients.

关键词

高血压/降压益肾颗粒/氨氯地平/血红蛋白A,糖基化

Key words

Hypertension/Jiangya Yishen granules/Amlodipine/Hemoglobin A,glycosylated

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出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
参考文献量8
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