硝苯地平联合酚妥拉明及硫酸镁在高血压病人中的应用

    Application of nifedipine combined with phentolamine and magnesium sulfate in hypertension patients

    • 摘要: 目的:探讨硝苯地平联合酚妥拉明及硫酸镁在高血压病人中的应用效果及对病人生活质量的影响。方法:选取高血压病人102例,随机分成对照组和观察组,各51例。对照组病人给予硝苯地平,观察组给予硝苯地平联合酚妥拉明及硫酸镁。比较2组病人血压控制情况、服药依从性、疾病知晓率、并发症发生情况和生活质量。结果:干预后2组病人收缩压和舒张压均较干预前明显降低(P<0.01),且干预前2组病人收缩压和舒张压差异均无统计学意义(P>0.05),干预后观察组病人收缩压和舒张压均明显低于对照组(P<0.01)。观察组病人治疗后的高血压比例明显低于对照组(P<0.01),服药依从性、疾病知晓率均优于对照组(P<0.05和P<0.01),并发症发生率明显低于对照组(P<0.01)。治疗前2组病人健康感觉、躯体功能、睡眠状态、生活满足感、认知功能评分间差异均无统计学意义(P>0.05);治疗后2组病人各项评分均明显高于治疗前(P<0.01),且观察组各评分均明显高于对照组(P<0.01)。结论:硝苯地平联合酚妥拉明、硫酸镁应用于高血压病人,不仅可有效降低病人血压,还可改善病人生活质量,值得临床应用。

       

      Abstract: Objective:To investigate the application of nifedipine combined with phentolamine and magnesium sulfate in patients with hypertension,and their quality of life.Methods:One hundred and two hypertension patients were divided into the control group and observation group(51 cases each group).The control group was treated with nifedipine,and the observation group was treated with nifedipine combined with phentolamine and magnesium sulfate.The blood pressure level,medication compliance,disease awareness rate,complication and quality of life between two groups were compared.Results:The differences of the systolic pressure and diastolic pressure between two groups before intervention were not statistically significant(P>0.05),the systolic pressure and diastolic pressure in two groups after intervention significantly decreased compared with before intervention(P<0.01),and the systolic pressure and diastolic pressure in observation group after intervention were significantly lower than those in control group(P<0.01).After treatment,the ratio of hypertension patients in observation group was significantly lower than that in control group(P<0.01),the medication compliance and disease awareness rate in observation group were better than those in control group(P<0.05 and P<0.01),and the incidence rate of complications in observation group was significantly lower than that in control group(P<0.01).The differences of the scores of health sensation,physical function,sleep state,life satisfaction and cognitive function between two groups before treatment were not statistically significant(P>0.05),the indictor scores in two groups after treatment were significantly higher than those of before treatment(P<0.01),and which in observation group was significantly higher than that in control group(P<0.01).Conclusions:The nifedipine combined with phentolamine and magnesium sulfate in the treatment of hypertensive patients can effectively reduce the blood pressure,and improve their quality of life,which is worthy of use in clinic.

       

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