牛津醇和甲基多巴在高血压中的比较. 一个内部患者双盲试验
Lancet (London, England)
|March 6, 1976
概括
这项研究比较了oxprenolol和甲基多巴治疗高血压. 两种药物都显示出类似的血压降低,低剂量对许多患者有效.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 持续高血压需要有效和安全的治疗选择.
- 对比不同抗高血压药物的疗效和副作用概况对于临床实践至关重要.
研究的目的:
- 为了比较oxprenolol和methyldopa在治疗持久高血压方面的疗效.
- 评估oxprenolol和甲基多巴的剂量反应关系和副作用概况.
主要方法:
- 在29名持续高血压患者中进行了一项双盲交叉研究.
- 患者在剂量确定,评估和洗期后顺序接受了oxprenolol和甲基多巴.
- 血压测量是在卧卧,站立和运动后的状态. 副作用通过问卷进行评估.
主要成果:
- 牛诺醇和甲基多巴在不同州都表现出类似的血压降低.
- 低剂量的牛诺醇 (≤320 mg/天) 和甲基多巴 (≤1 g/天) 在一半的患者中有效.
- 增加两种药物的剂量并没有持续改善血压控制. 在副作用方面,对这两种药物都没有明确的偏好.
结论:
- 牛诺醇和甲基多巴在治疗持续高血压方面同样有效.
- 对于对适量药物的反应不足的患者,建议增加另一种药物,而不是增加最初药物的剂量.
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