硝苯地平和卡托普利单用或联用治疗原发性高血压的疗效分析
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Analysis About the Cost and Effect of Nifedipine,Captopril or Combination of both Treatment in Patients with Essential Hypertension
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    摘要:

    目的评估国产硝苯地平缓释片、卡托普利片治疗高血压病的效果和费用/效益比。方法18~70岁的原发性高血压门诊患者330例,按就诊顺序随机分为硝苯地平组、卡托普利组和联合用药组,硝苯地平组给予硝苯地平缓释片20mg口服,每天2次;卡托普利组给予卡托普利25mg口服,每天2次;联合用药组给予硝苯地平缓释片20mg和卡托普利25mg口服,每天2次;持续服药8周。结果服药8周时,硝苯地平缓释片总有效率为72.3%,卡托普利总有效率为79.6%,二药合用总有效率为90%。结论国产中效钙拮抗剂硝苯地平缓释片和血管紧张素转换酶抑制剂卡托普利有较好的费用/效益比,硝苯地平缓释片、卡托普利联合治疗高血压成本—效果分析最为合理。

    Abstract:

    Aim To analyse the cost and effect of nifedipine, captopril or combined treatment used as anti-essential hypertension therapy programs. Methods This study was a randomised single blind controlled clinical trial conducted in outpatient. The trial randomised 330 patients with mild to moderate hypertension aged 18~70 years were divided into three treatment groups: captopril (50 mg daily) group, nifedipine (40 mg daily) group, and captopril+nifedipine group for a mean follow up of 8 week. Results The effects of captopril group and nifedipine group after 8 week administration had similar result. But there was significant difference in blood pressure between captopril+nifedipine group and captopril or nifedipine group. Conclusion Nifedipine combined with captopril lowers blood pressure sufficiently to achieve therapeutic goal in most patients with hypertension.

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薛树仁,张邢伟,王利波,励伟芬,陈玉林.硝苯地平和卡托普利单用或联用治疗原发性高血压的疗效分析[J].中国动脉硬化杂志,2008,16(4):320~321.

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  • 收稿日期:2007-01-31
  • 最后修改日期:2008-04-10
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