首页|缬沙坦联合氨氯地平治疗原发性高血压患者的临床效果

缬沙坦联合氨氯地平治疗原发性高血压患者的临床效果

Clinical Effect of Valsartan Combined with Amlodipine in the Treatment of Patients with Essential Hypertension

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目的:分析缬沙坦联合氨氯地平治疗原发性高血压的临床效果.方法:选择 2022 年 2 月—2023 年 1 月连云港市赣榆区中医院收治的 120 例原发性高血压患者作为研究对象,采用随机数表法将患者分为对照组及观察组,各 60 例.对照组应用缬沙坦联合氢氯噻嗪,观察组利用缬沙坦联合氨氯地平,比较两组治疗效果、一氧化氮(nitric oxide,NO)及内皮素-1(endothelin-1,ET-1)、收缩压(systolic blood pressure,SBP)及舒张压(diastolic blood pressure,DBP)、不良反应差异.结果:观察组治疗后总有效率高于对照组,差异有统计学意义(P<0.05).治疗前,两组NO、ET-1、SBP、DBP比较,差异无统计学意义(P>0.05);治疗后,两组NO高于治疗前,ET-1、SBP、DBP低于治疗前,且观察组NO高于对照组,ET-1、SBP、DBP低于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:缬沙坦联合氨氯地平可有效降低血压,调节血管内皮功能,发挥对血管内皮的保护作用,且治疗安全性也较好.
Objective:To analyze the clinical effect of Valsartan combined with Amlodipine in the treatment of essential hypertension.Method:One hundred and twenty patients with essential hypertension who admitted to Lianyungang City Ganyu District Traditional Chinese Medicine Hospital from February 2022 to January 2023 were selected as the study objects,and the patients were divided into the control group and the observation group according to the random number table method,60 patients in each group.The control group was treated with Valsartan combined with Hydrochlorothiazide,and the observation group was treated with Valsartan combined with Amlodipine.The therapeutic effect,nitric oxide(NO)and endothelin-1(ET-1),systolic blood pressure(SBP)and diastolic blood pressure(DBP),and adverse reactions were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in NO,ET-1,SBP and DBP between two groups(P>0.05);after treatment,NO in two groups were higher than those before treatment,ET-1,SBP and DBP were lower than those before treatment,and NO in the observation group was higher than that in the control group,ET-1,SBP and DBP were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:Valsartan combined with Amlodipine can effectively reduce blood pressure,regulate vascular endothelial function,exert a protective effect on vascular endothelium,and the treatment is also safe.

ValsartanAmlodipineEssential hypertension

苏国庆

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连云港市赣榆区中医院 江苏 连云港 222100

缬沙坦 氨氯地平 原发性高血压

2023

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2023.21(36)
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