目的:研究厄贝沙坦联合氨氯地平治疗轻中度高血压的临床疗效及对高血压患者的肾脏保护作用,以指导临床合理用药。方法:将96名轻中度高血压患者随机分为3组,厄贝沙坦组32例,给予厄贝沙坦每日100 mg/次治疗,氨氯地平组32例,氨氯地平每日10 mg/次治疗,双联组32例,每日50 mg/次厄贝沙坦加服5 mg/次氨氯地平治疗。观察各组的降压效果,各组之间肾小球滤过率、血、尿微球蛋白的量以及不良反应比较。结果:厄贝沙坦单药组、氨氯地平单药组、厄贝沙坦联合氨氯地平的双联组,均能明显降低患者的收缩压和舒张压,但双联组的降压幅度明显高于单药组,差异均具有统计学意义。厄贝沙坦单药组、氨氯地平单药组、厄贝沙坦联合氨氯地平的双联组均能改善高血压患者的肾小球滤过率、血微球蛋白量、尿微球蛋白量,厄贝沙坦组和双联组的改善效果优于氨氯地平组。双联组治疗高血压的总有效率明显高于单药组,且不良反应发生率明显低于单药组,差异均具有统计学意义。结论:厄贝沙坦联合氨氯地平临床用于治疗高血压疗效好,对患者的肾脏具有较好的保护作用,并且不良反应发生率低。
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作者简介 吕永铭(1967-),男,主管药师,硕士在读,研究方向:临床药学;通信作者:
房志仲,E-mail:fangzhizhong@tmu.edu.cn。