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中国初级卫生保健:2019,33(3):89-91
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ACEI辅助钙通道阻滞剂治疗高血压合并冠心病患者的临床疗效与安全性分析
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中文摘要: 目的对高血压合并冠心病患者进行血管紧张素转化酶抑制剂(Angiotensin converting enzyme inhibitors,ACEI)辅助钙通道阻滞剂治疗,分析其临床疗效及安全性。方法将上海市杨浦区控江医院收治的108例原发性高血压合并冠心病患者分为研究组(n=54)和对照组(n=54)。给予对照组单纯钙通道阻滞剂治疗,给予研究组ACEI辅助钙通道阻滞剂治疗,观察对比两组患者临床疗效及安全性。结果研究组(92.6%)临床治疗总有效率方面显著高于对照组(81.5%),研究组治疗后各项指标好转程度显著高于对照组,研究组(11.1%)心肌缺血事件发生率显著低于对照组(29.6%),差异有统计学意义(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论ACEI辅助钙通道阻滞剂治疗高血压合并冠心病患者安全有效,在控制血压的同时保护肾脏功能并降低心肌缺血事件发生率。
Abstract:OBJECTIVETo investigate the clinical efficacy and safety of angiotensin converting enzyme inhibitor (Angiotensin converting enzyme inhibitors,ACEI) -assisted calcium channel blocker in patients with hypertension and coronary heart disease. METHODS 108 patients with essential hypertension and coronary heart disease admitted to Yangjiang Hospital of Yangpu District, Shanghai,whom were divided into study group (n=54) and control group (n=54). Patients in the control group were treated with calcium channel blockers only. Patients in the study group were given ACEI-assisted calcium channel blockers. The clinical efficacy and safety of the two groups were observed and compared. RESULTS The total effective rate of clinical treatment in the study group (92.6%) was significantly higher than that in the control group (81.5%). The improvement of the indicators in the study group was significantly higher than that in the control group. The incidence of myocardial ischemic events was significant in the study group (11.1%). Compared with the control group (29.6%), the difference was statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). CONCLUSION ACEI-assisted calcium channel blockers are safe and effective in the treatment of patients with hypertension and coronary heart disease, at the same time of controlling blood pressure while protecting kidney function and reducing the incidence of myocardial ischemic events.
文章编号:3201903035     中图分类号:R541.3    文献标志码:
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张莉平①  
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