首页|厄贝沙坦联合硝苯地平控释片用于社区高血压治疗的效果分析

厄贝沙坦联合硝苯地平控释片用于社区高血压治疗的效果分析

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目的 探究在社区高血压治疗中应用厄贝沙坦联合硝苯地平控释片的效果。方法 选取2021年1月-2022年10月在我中心接受治疗的社区高血压患者共计98名,以随机信封分组法完成分组。对照组与实验组各49人,其中对照组采取硝苯地平控释片单药治疗,实验组在对照组患者的基础上联合厄贝沙坦治疗。对比两组治疗前和治疗后的血压状况、心率、生活质量、血管内皮生长因子、血清同型半胱氨酸、治疗疗效和不良反应发生率。结果 治疗后,实验组患者收缩压[(118。94±5。38)mmHg]和舒张压[(85。16±2。41)mmHg]均低于对照组(P<0。05)。实验组患者心率[(70。50±7。43)次/min]低于对照组,生活质量评分[(45。72±4。95)分]高于对照组(P<0。05)。实验组患者血管内皮生长因子[(90。17±6。25)pg/mL]和血清同型半胱氨酸[(12。03±1。31)μmol/L]均低于对照组(P<0。05)。实验组临床总有效率(97。96%)高于对照组(81。63%)(P<0。05),两组患者发生不良反应的概率未见明显差别(P>0。05)。结论 把厄贝沙坦联合硝苯地平控释片应用于社区高血压患者治疗中,控制血压效果显著,能稳定患者心率,提高其生活质量,增强治疗疗效,且安全性高。
Effect Analysis of Irbesartan Combined with Nifedipine Controlled-Release Tablets in Treatment of Community Hypertension
Objective To explore the efficacy of irbesartan combined with nifedipine controlled release tablets in the treatment of community hypertension.Methods:The study time was controlled from January 2021 to October 2022.A total of 98 community patients with hypertension went to our center for treatment,and the group was completed by randomization envelope grouping method.The control group and the experimental group had 49 people in each group,among which the control group took nifedipine controlled release tablet monotherapy,and the control group was treated with irbesartan on the basis of the experimental group.Blood pressure status,heart rate,quality of life,vascular endothelial growth factor,serum homocysteine,treatment efficacy,and incidence of adverse effects were compared before and after treatment.Results After treatment,systolic blood pressure(118.94±5.38)mmHg and diastolic blood pressure(85.16±2.41)mmHg in experimental group was lower than control group(P<0.05).Heart rate in experimental group(70.50±7.43)beats/min was lower than control group,and life quality scores(45.72±4.95)were higher than control group,(P<0.05).Levels of vascular endothelial growth factor(90.17±6.25)pg/mL and serum homocysteine(12.03±1.31)p mol/L in experimental group were lower than control group,(P<0.05).Total clinical effective rate of 97.96%in experimental group was higher than 81.63%in control group(P<0.05),There was no significant difference in the odds of adverse reactions between the two groups(P>0.05).Conclusion Irbesartan combined with nifedipine controlled release tablets were applied in the treatment of community hypertension patients,with significant blood pressure control effect,stabilize the heart rate,improve the quality of life,enhance the therapeutic efficacy,and high safety.

IrbesartanNifedipine controlled-release tabletsCommunity hypertensionBlood pressureLife quality

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上海市浦东新区祝桥社区卫生服务中心综合病区,上海 201323

厄贝沙坦 硝苯地平控释片 社区高血压 血压 生活质量

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)