Journal of Capital Medical University ›› 2018, Vol. 39 ›› Issue (1): 148-152.doi: 10.3969/j.issn.1006-7795.2018.01.026

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Clinical observation on the effects of the treatment of low-dose hydrochlorothiazide combining with irbesartan on essential hypertension

Lyu Man   

  1. General Practice Department, West Changan Street's Community Health Center, Xicheng District, Beijing 100031, China
  • Received:2017-09-13 Online:2018-01-21 Published:2018-01-27

Abstract: Objective To observe the efficacy of low-dose hydrochlorothiazide combining with irbesartan on essential hypertension(EH), and to investigate its effects on fasting plasma glucose(FPG), blood liquid, electrolyte and uric acid(UA).Methods A total of 94 EH patients were randomly divided into control group (n=47) and study group (n=47). Control group was treated with irbesartan, while study group was treated with low-dose hydrochlorothiazide combining irbesartan. Curative effects of blood pressure and parameters of FPG, total cholesterol (TC), triglyceride (TG), high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), Na+, Cl-, K+ and UA were analyzed and compared between the two groups before and after 2 months of treatment.Results Compared with before treatment, blood pressure of two group were significantly decreased after treatment (P<0.05), and after treatment the systolic blood pressure and diastolic blood pressure of study group were (132.15±12.30)mmHg (1 mmHg=0.133 kPa) and (82.89±7.26)mmHg, and the systolic and diastolic blood pressure of control group were (139.85±13.89)mmHg and (88.02±8.77)mmHg, but the decrease of blood pressure of study group was more significant (P<0.05). The total effective rate of study group was 95.74%, significantly higher than that of control group (78.72%), there was statistical significance (P<0.05). Before and after treatment, the levels of FPG, blood liquid, electrolyte and UA in two groups had no significant difference (P>0.05), and those in study group also had no significant difference before and after treatment (P>0.05).Conclusion Low-dose hydrochlorothiazide combining with irbesartan in the treatment of EH, can significantly improve the crutive effect, and has no significant influence on FPG, blood liquid, electrolyte and UA.

Key words: hydrochlorothiazide, irbesartan, essential hypertension

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