[email protected]

国际临床研究杂志

International Journal of Clinical Research

您当前位置:首页 > 精选文章

International Journal of Clinical Research. 2024; 8: (12) ; 10.12208/j.ijcr.20240523 .

The effect of combination therapy of irbesartan and nitroprusside on heart rate and endothelial function in patients with hypertension and heart failure
厄贝沙坦与硝普钠联合治疗高血压合并心衰对患者心率和血管内皮功能的影响

作者: 王诚高 *

赣州市人民医院 江西赣州

*通讯作者: 王诚高,单位:赣州市人民医院 江西赣州;

引用本文: 王诚高 厄贝沙坦与硝普钠联合治疗高血压合并心衰对患者心率和血管内皮功能的影响[J]. 国际临床研究杂志, 2024; 8: (12) : 96-98.
Published: 2024/12/26 16:13:27

摘要

目的 分析高血压合并心衰患者采取厄贝沙坦联合硝普钠的治疗效果。方法 本次研究对象为56例高血压合并心衰患者,抽取时间为2022年1月-2023年1月期间。以随机数字表法分为参考组及实验组,每组28例,其中参考组采取硝普钠治疗,实验组在上述基础上采取厄贝沙坦治疗。对比两组治疗效果。结果 治疗前两组血压及心率指标对比差异小(P>0.05),治疗后实验组均低于参考组(P<0.05)。实验组内皮功能优于参考组(P<0.05)。结论 高血压合并心衰患者采取厄贝沙坦联合硝普钠的治疗可获得显著的治疗效果,能够显著改善患者的血压、心率指标及内皮功能,此种方法值得推广于临床。

关键词: 高血压;心衰;厄贝沙坦;硝普钠;血压;心率;内皮功能

Abstract

Objective To analyze the therapeutic effect of irbesartan combined with nitroprusside in patients with hypertension and heart failure.
Methods The subjects of this study were 56 patients with hypertension and heart failure, and the sampling period was from January 2022 to January 2023. Divided into a reference group and an experimental group using a random number table method, with 28 cases in each group. The reference group received treatment with nitroprusside, while the experimental group received treatment with irbesartan based on the above. Compare the therapeutic effects of two groups.
Results The difference in blood pressure and heart rate indicators between the two groups before treatment was small (P>0.05), and after treatment, the experimental group was lower than the reference group (P<0.05). The endothelial function of the experimental group was better than that of the reference group (P<0.05).
Conclusion   The combination of irbesartan and nitroprusside can achieve significant therapeutic effects in patients with hypertension and heart failure, and can significantly improve their blood pressure, heart rate indicators, and endothelial function. This method is worth promoting in clinical practice.

Key words: Hypertension; Heart failure; Irbesartan; Sodium nitroprusside; Blood pressure; Heart rate; Endothelial function

参考文献 References

[1] 杨震,张光伟. 厄贝沙坦片与硝苯地平缓释片治疗轻中度高血压的临床效果比较 [J]. 中国社区医师, 2024, 40 (27): 61-63.

[2] 杨斯媛. 厄贝沙坦联合苯磺酸氨氯地平治疗老年原发性高血压的临床效果 [J]. 反射疗法与康复医学, 2024, 5 (18): 154-157.

[3] 保晓芸,孙瑞强. 厄贝沙坦与氯沙坦钾分别联合硝苯地平治疗高血压的效果比较 [J]. 中国药物滥用防治杂志, 2024, 30 (09): 1692-1695. 

[4] 金霖,代美. 厄贝沙坦联合苯磺酸氨氯地平治疗老年高血压的效果分析 [J]. 中国社区医师, 2024, 40 (25): 61-63.

[5] 侯绪英,杨红,房修燕,等. 厄贝沙坦与硝普钠联合治疗高血压合并心衰对患者心率、血管内皮功能、TNF-α及hs-CRP水平的影响 [J]. 中国循证心血管医学杂志, 2023, 15 (03): 329-332.

[6] 麻新国,王卫清,吴森林,等. 厄贝沙坦氢氯噻嗪联合注射用硝普钠治疗急性心衰的临床观察 [J]. 承德医学院学报, 2021, 38 (04): 298-301. 

[7] 王岳宸. 厄贝沙坦联合硝普钠治疗高血压合并心力衰竭患者的效果 [J]. 中国民康医学, 2021, 33 (02): 23-25.

[8] 刘菲. 厄贝沙坦治疗高血压伴心力衰竭的有效性分析 [J]. 中国误诊学杂志, 2020, 15 (08): 340-342.

[9] 顾烽,符霞,孙立勤,等. 厄贝沙坦联合硝普钠治疗高血压合并心力衰竭的效果及对血清cTnI和BNP水平的影响 [J]. 广东医学, 2020, 41 (09): 929-932. 

[10] 刘峰. 高血压并发心力衰竭患者的临床治疗及效果分析 [J]. 中国医药指南, 2018, 16 (10): 149-150.