摘要
目的:观察国产替米沙坦治疗轻中度高血压的临床降压效果及安全性。方法:70例确诊为轻中度高血压病患者,随机分为治疗组(替米沙坦组)和对照组(厄贝沙坦组),前者34人,后者36人。每日早晨分别顿服替米沙坦40mg或厄贝沙坦75mg,根据血压调整剂量,连用8周。入选时与服药后第8周末测定血钾、肝功能、肾功能。结果:服药后第4周、第8周两观察组血压均较观察前显著降低(P<0.05,P<0.01),且替米沙坦组的降压作用较厄贝沙坦组明显(P<0.01)。到第8周末,治疗组与对照组降压总有效率分别达88.2%与86.1%,与观察开始前比较,第8周末两观察组的血钾、肝功能、肾功能均无明显改变。结论:国产替米沙坦对轻、中度高血压病患者有良好的降压效果,服用安全。
Objective: To observe the therapeutic effect of home-made telmisartan on patients with mild to moderate essential hypertension and the safety in clinic. Methods:Seventy patients with essential hypertension were randomly allocated to telmisartan group ( n = 34 ) and irbesartan group(controls,n = 36). The patients received telmisartan or irbesartan in a dose of 40 mg or 75 mg,respectively,each morning for 8 weeks,with adjusted dose to the variation of blood pressure. The serum levels were examined on potassium,liver and renal function before and after the trial. Results :The blood pressure in the both groups were decreased significantly after 4 and 8 weeks of therapy compared with that before the trial(P 〈 0. 05 ; P 〈0.01 ). Telmisartan seemed more effective than irbersartan( P 〈 0. 01 ). By the end of the 8th week,88.2% and 86.1% of the patients responded to the medication, respectively, but the serum level of potassium,liver and renal function in both groups had no significant difference before and after the trial. Conclusion : The national telmisartan is safe and effective in patients with mild to moderate essential hypertension .
出处
《皖南医学院学报》
CAS
2009年第3期200-202,共3页
Journal of Wannan Medical College