首都医科大学学报 ›› 2005, Vol. 26 ›› Issue (6): 722-724.

• 临床研究 • 上一篇    下一篇

国产氨氯地平对原发性高血压患者降压疗效的观察

邢绣荣, 华琦, 刘荣坤, 杨峥, 马湘涛, 侯贵书   

  1. 首都医科大学宣武医院心血管内科
  • 收稿日期:2004-07-20 修回日期:1900-01-01 出版日期:2005-12-24 发布日期:2005-12-24
  • 通讯作者: 华琦

Therapeutic Efficacy of Amlodipine on Blood Pressure Lowering in Patients with Essential Hypertension

Xing Xiurong, Hua Qi, Liu Rongkun, Yang Zheng, Ma Xiangtao, Hou Guishu   

  1. Department of Cardiology, Xuanwu Hospital, Capital University of Medical Sciences
  • Received:2004-07-20 Revised:1900-01-01 Online:2005-12-24 Published:2005-12-24

摘要: 目的 观察国产氨氯地平对原发性高血压(以下简称高血压)患者诊室血压(CBP)和动态血压(ABP)的影响。方法 应用动态血压监测(ABPM)及CBP测定方法,比较48例高血压患者经国产氨氯地平治疗4周前后24h血压、白昼及夜间平均血压、脉压、心率、血压负荷、夜间下降率等的变化。结果 治疗4周末,CBP、24h、白昼及夜间平均血压、脉压、血压负荷均显著降低,夜间下降率显著增高,心率无显著改变。4周末总有效率CBP为75.0%,ABPM为60.4%。收缩压和舒张压的24h降压疗效谷/峰比分别为61%和64%。结论 国产氨氯地平能安全有效地降低血压,改善血压昼夜节律。

关键词: 高血压, 动态血压, 氨氯地平

Abstract: Objective To observe the effects of amlodipine produced in China on clinical blood pressure(CBP) and ambulatory blood pressure monitoring(ABPM) in patients with essential hypertension.Methods Twenty-nine patients with essential hypertension were treated with amlodipine produced in China for 4 weeks.CBPand ABPMwere performed before and after treatment to compare the mean blood pressure of 24 h, daytime and night, pulse pressure, heart rate, load of blood pressure and the circadian rhythm.Results CBP, pulse pressure, load of blood pressure and mean blood pressure of 24 h, daytime and night were significantly reduced.Circadian rhythm was improved markedly.No significant difference was found in heart rate.The effective rate of CBPwas 75.0% and that of ABPMwas 60.4%.The trough to peak ratios for SBPand DBPwere 61% and 64% respectively.Conclusion The blood pressure can be lowered by amlodipine produced in China can significantly and safely.And the circadian rhythm of blood pressure can be improved.

Key words: hypertension, ambulatory blood pressure, amlodipine

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