厄贝沙坦片对原发性高血压左心室肥厚的临床疗效研究

    Clinical effect of Irbesartan in the treatment of essential hypertension complicated with left ventricular hypertrophy

    • 摘要: 目的:探讨厄贝沙坦片对原发性高血压左心室肥厚的临床疗效。方法:选取原发性高血压合并有左心室肥厚病人105例,随机分为对照组及治疗组。对照组予以口服盐酸苯那普利片10 mg/d,治疗组予以口服厄贝沙坦片150 mg/d。连续服用治疗6个月,比较2组病人治疗前后的血压、左心室舒张末期室间隔厚度、左心室舒张末期后壁厚度、左心室舒张末期腔内径,左心室射血分数等心脏功能以及临床疗效指标。结果:治疗6个月后,治疗组及对照组的血压、左心室舒张末期室间隔厚度、左心室舒张末期后壁厚度及左心室舒张末期腔内径均较治疗前降低(P<0.05),且治疗组较对照组降低更为显著(P<0.05)。治疗组治疗后左心室射血分数均较治疗前及对照组治疗后提高(P<0.05)。2组病人临床治疗有效率差异无统计学意义(P>0.05)。结论:厄贝沙坦及苯那普利均能有效降低病人血压,逆转左心室肥厚及改善左心室舒张功能,但厄贝沙坦的效果更为显著。

       

      Abstract: Objective:To explore the clinical effects of Irbesartan in the treatment of essential hypertension complicated with left ventricular hypertrophy.Methods:One hundred and five patients with essential hypertension complicated with left ventricular hypertrophy were randomly divided into the control group and treatment group.The control group were treated with Benazepril hydrochloride by oral,10 mg/d for 6 months,and the treatment group were treated with Irbesartan by oral,150 mg/d for 6 months.The blood pressure,left ventricular end-diastolic interventricular septum thickness(LVST),left ventricular end-diastolic wall thickness(LVPWT),left ventricular end-diastolic cavity diameter(LVED),left ventricular ejection fraction(LVEF)and other cardiac function and clinical efficacy before and after treatment between two groups were compared.Results:Compared with before treatment,the blood pressure,LVST,LVPWT and LVED in two groups significantly decreased after 6 months of treatment(P<0.05),and the decreasing degrees of whose in treatment group were significantly more than those in control group after treatment(P<0.05).The LVEF in treatment group after treatment was significantly higher than that in treatment group before treatment and control group after treatment(P<0.05).The difference of clinical efficacy between two groups was no statistically significant(P<0.05).Conclusions:Both Irbesartan and Benazepril can effectively reduce the blood pressure,reverse left ventricular hypertrophy and improve left ventricular diastolic function,and the treatment efffect of Irbesartan is more significant.

       

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