您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (8): 58-61.

• 临床医学 • 上一篇    下一篇

盐酸马尼地平治疗轻中度高血压的有效性和安全性

马骁1,王跃明2,李洪诗3,阚晓红4,赵静4,岳欣4,张运4,钟明4,黎莉4   

  1. 1.济南军区第456医院心内科, 济南 250031; 2.日照市东港区人民医院心内科, 山东 日照 276800;
    3.青海大学医学院附属医院心内科, 西宁 810001; 4.山东大学齐鲁医院心内科,
    教育部和卫生部心血管重构与功能研究重点实验室, 济南 250012
  • 收稿日期:2012-08-30 出版日期:2013-08-10 发布日期:2013-08-10
  • 通讯作者: 黎莉, E-mail: lili_8599@163.com
  • 基金资助:

    山东省自然科学基金(Y2008C47);山东大学自主创新基金(2012JC034)

Evaluation of efficacy and safety of manidipine hydrochloride among patients with mild or moderate essential hypertension: a multicenter, randomized, doubleblind study

MA Xiao1, WANG Yue-ming2, LI Hong-shi3, KAN Xiao-hong4,ZHAO Jing4, YUE Xin4, ZHANG Yun4, ZHONG Ming4, LI Li4   

  1. 1. Department of Cardiology, the 456th Hospital of PLA, Jinan 250031, China;
    2. Department of Cardiology, Rizhao Donggang Hospital, Rizhao 276800, Shandong, China;
    3. Department of Cardiology,Affiliated Hospital of Medical College of Qinghai University, Xining 810001, China;
    4. Department of Cardiology, Qilu Hospital of Shandong University, Key Laboratory of Cardiovascular Remodeling and
    Function Research, Chinese Ministry of Education and Ministry of Public Health, Jinan 250012, China
  • Received:2012-08-30 Online:2013-08-10 Published:2013-08-10

摘要:

目的   评价盐酸马尼地平治疗原发性轻、中度高血压的有效性和安全性。方法   采用随机、双盲、多中心、阳性药物平行对照研究的临床方法,将240例原发性轻、中度高血压患者分为观察组(120例)和对照组(120例),经过1~2周安慰剂清洗期后进入双盲治疗期,分别给予观察组 ( 盐酸马尼地平片10~20mg/d)和对照组(苯磺酸氨氯地平片5~10mg/d)药物治疗8周后,比较两组用药前后血压值、耐受性和不良事件发生率。结果   入组轻、中度高血压患者观察组完成103例,对照组完成103例。两组患者用药的依从性良好。对照组和观察组患者之间的年龄、性别比例、体质量指数、基础血压和心率等基线指标,差异无统计学意义(P>0.05)。双盲治疗期末,两组间收缩压、舒张压下降值,心率及坐位舒张压正常化率比较,差异无统计学意义(P>0.05)。两组间不良反应发生率差异无统计学意义(P>0.05)。结论   盐酸马尼地平治疗原发性轻、中度高血压降压疗效与苯磺酸氨氯地平相当,安全性及耐受性良好。

关键词: 盐酸马尼地平;苯磺酸氨氯地平;原发性高血压

Abstract:

Objective   To evaluate the efficacy and safety of manidipine hydrochloride among patients with essential mild or moderate hypertension. Methods   Two hundred and forty subjects with mild or moderate hypertension were enrolled in the study and assigned to two groups (the study group and the control group) equally by a randomized, double-blind,multicenter and positive controlled study.After a one to two-week placebo run-in period, patients with essential mild or moderate hypertension were distributed randomly into two groups to receive study drug (manidipine hydrochloride 10~20mg per day) or positive controlled drug ( amlodipine besylate 5~10mg per day) respectively for 8 weeks. BP change, tolerance and adverse events between the two groups were evaluated. Results   One hundred and three patients completed trial in the study group and 103 patients in the control group.Subjects who completed the study were with good compliance,except those dropped off or were excluded.There was no significant difference for baseline characteristics between the two groups (P>0.05) including age,sex,body mass index,baseline systolic and diastolic BP,and heart rate.The reduction of diastolic and systolic BP, heart rate and seat diastolic blood pressure normalized rate between the two groups had no significant difference at the end of treatment (P>0.05). The incidence of adverse events also had no significant difference between the two groups(P>0.05). Conclusion   The antihypertensive efficacy of manidipine hydrochloride is equal to amlodipine besylate among patients with mild or moderate hypertension. Manidipine hydrochloride is safe and can be well tolerated.

Key words: Manidipine hydrochloride; Amlodipine besylate; Essential hypertension

中图分类号: 

  • R541.4
[1] 王文文1,陈玉国2. GRACE与TIMI危险评分对急性冠脉综合征患者危险分层的对比研究[J]. 山东大学学报(医学版), 2013, 51(10): 54-57.
[2] 刘艳君,巩会平,杜贻萌,王欣,董兆强,鹿庆华. 人端粒保护蛋白1与冠状动脉病变的关系[J]. 山东大学学报(医学版), 2013, 51(10): 58-61.
[3] 尹海鹏,刘向群,于昕,王敏. 黄芩苷对ApoE-/-小鼠动脉粥样硬化及VE-钙黏蛋白表达水平的影响[J]. 山东大学学报(医学版), 2013, 51(9): 26-30.
[4] 曹洪丽1,刘书盈2. 血清脑钠肽浓度与肺癌的相关性[J]. 山东大学学报(医学版), 2013, 51(8): 62-64.
[5] 张洁1,2,周聊生1,史浩3,梁英1,高海青4. 血脂及其相关性剩留风险对老年人颈动脉斑块组份及稳定性的影响[J]. 山东大学学报(医学版), 2013, 51(4): 1-5.
[6] 徐振兴1,刘蕊2,赵乾1,张俊圣3,朱世明1. 高血压MMP-9基因多态性与心脏及血管重构的关系[J]. 山东大学学报(医学版), 2013, 51(2): 61-64.
[7] 方海洋,项建,吴延庆. 药物洗脱支架与血管内放射治疗在支架内再狭窄中运用的Meta分析[J]. 山东大学学报(医学版), 2013, 51(1): 56-63.
[8] 朱烨,孙永乐,苑海涛,张兴华,张玉英,唐元升. 饮酒对心肌梗死患者冠状动脉侧支循环及血清VEGF水平的影响[J]. 山东大学学报(医学版), 2012, 50(11): 71-74.
[9] 李秀芹1,2,3,卜培莉1,2. 血浆网膜素-1和白介素-18水平与冠心病的关系[J]. 山东大学学报(医学版), 2012, 50(10): 86-89.
[10] 陈伟,谈红,李晓燕,杨燕,韦修莹,陈英剑,张红明. 冠心病患者外周血内皮祖细胞数量差异及其对内皮功能的影响[J]. 山东大学学报(医学版), 2012, 50(8): 73-76.
[11] 袁昕,郑哲,胡盛寿. EuroSCORE风险评估系统在预测冠脉旁路移植术后患者再入院风险中的应用价值[J]. 山东大学学报(医学版), 2012, 50(8): 77-80.
[12] 林晖莉,余江水,李美美,黄子扬. 红细胞诱导的粥样斑块炎症中NF-κB涉及的机制研究[J]. 山东大学学报(医学版), 2011, 49(9): 13-.
[13] 祝庆1,3,康维强1,2,葛志明4,宋达琳2,王海滨2, 任国瑞2. 糖化血清蛋白水平与冠心病动脉粥样硬化斑块性质的相关性[J]. 山东大学学报(医学版), 2011, 49(7): 100-104.
[14] 姬文卿1,2,陈玉国1,徐峰1,李勇1,魏述建1,郝盼盼1,刘汝刚1,张运2. 硫辛酸对急性冠脉综合征患者血清乙醛脱氢酶2活性、8-异前列腺素F2a含量的影响[J]. 山东大学学报(医学版), 2011, 49(7): 120-124.
[15] 李婷婷1,郭媛1,赵玉霞2,张建宁3,彭洁1,张运1. 血红素加氧酶-1抑制兔动脉粥样硬化进展与稳定斑块的作用[J]. 山东大学学报(医学版), 2011, 49(6): 64-70.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!