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卡托普利和硝苯吡啶对高血压病人左室肥厚和舒张功能影响的对比研究(附60例疗效观察)

Comparing the Effects of Captopril and Nifedipine on Left Ventricular Hypertrophy and Diastolic Function in Patients with Essential Hypertension (A report of 60 cases)

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【作者】 黄琦磊陈坦陈小丽

【Author】 Huang Qilei,Chen Tan,Chen Xiaoli

【机构】 南平市第一医院

【摘要】 应用彩色多普勒超声心动图技术,以随机双盲的方法对比卡托普利(Cp)和硝苯吡啶(Nd)治疗60例高血压病Ⅱ期病人6个月前后的LA、LVDd、LVST、PWT、LVMI、E、A,结果两组病人血压均显著下降。CP组LVWI下降的百分数28.12±7.2%,显著高于Nd组的13.43±8.2%(P<0.01)。提示逆转LVH,Cp优于Nd。Cp、Nd两组治疗前后E升高和A下降的百分数无显著差异,提示Cp和Nd均能改善LVDF,但两者之间无差异。

【Abstract】 Sixty patients with mild to moderate essential hypertension were randomly assigned to either captorpril(Cp group n=30)or Nifedipine(Nd group n=30)treatment in a double blind control six months(M6).M mode 2 D and pulsed Doppler echocardiograms were performed at baseline and the end of trail.The change of the LV mass index(LVMI)and E、A were calculated. At M6 the Bp levels had a significant reduction both two groups(p<0 01).In Cp group LVMI from 152±32 to 125±34 g/m 2(p<0 01) In Nd group LVMI from 148±29 to 131±26 g/m 2(p<0 05) The percent of E increased and A reduced.That showed no significant change in both groups.

  • 【文献出处】 福建医药杂志 ,FUJIAN MEIDICAL JOURNAL , 编辑部邮箱 ,1997年03期
  • 【分类号】R972.4
  • 【下载频次】12
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