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《依那普利叶酸片对"H型"高血压患者颈动脉内膜中层厚度和凝血-纤溶功能指标的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、实用心脑肺血管病杂志2014年2月第22卷第2期·15··论著·依那普利叶酸片对“H型"高血压患者颈动脉内膜中层厚度和凝血一纤溶功能指标的影响方胜先,马如华,彭文君,张旭,陈金华,陈灿峰,许安丽【摘要】目的探讨依那普利叶酸片对“H型”高血压患者颈动脉内膜中层厚度(IMT)和凝血一纤溶功能指标的影响。方法选取2009年6月_2O13年8月我院就诊的“H型”高血压患者786例,将其随机分为两组,依那普利叶酸治疗组(依那普利叶酸10mg:0.8mg/次,l&/d)391例和依那普利治疗组(依那普利10ms/次,l&/d)395例,疗程均为24个月。观察两组治疗前、
2、治疗后l2个月和24个月同型半胱氨酸(Hey)、IMT以及相关凝血一纤溶指标[包括血浆纤维蛋白原(Fg)、血管性假血友病因子(vWV)、抗凝血酶Ⅲ抗原(AT一ⅢAg)、D一二聚体(D—D)、组织型纤溶酶原激活物抗原(t—PAAg)和纤溶酶原激活物抑制物一1(PAl—1)]的变化。结果治疗l2个月和24个月,依邓普和j叶酸治疗组Hey、IMT、D—D、PAl—l及IMT低于依那普利治疗组(P(O.05),t—PAAg高于依那普和】治疗纽(P3、谲,高血压;依那普删叶酸片;颈动脉;内膜中层厚度;血液凝固;纤维蛋白溶解【中图分类号lR544.1【文懿标识码lAdoi:10.3969/j.issn.1008-5971,2014.02.006]E~elfltofE艄F-d苗cA瑚Tj岫蛐CarotidImima—media曲andC伽_且a畸嘶一伺_嘣电sisltMlia~rsi.IP细ti嘲咀sw斑h州噩l一圈p归a髓衲槐FANGSheng—xian,MARu—lma,PENGWen一n,at.正翻CentralHospi~ofShenzbem岛_嘲518006~cl!【.~tractl0cl孵鲕t曲出4、etSeetofEnalapfilfolie耐恤bls伽theeartmdarteryiraima—media曲d艘睡(IMP)and'coagulation—fibrinolysisirrd~p械tswith”tt—type”’礓蚓删on.Metim~786面船虹幽B理一typehypertensionwerecho8e扭iin011~hospiitMfrom蚰2909toAugust2013,theywrandomlydie,ideal!into2黟磷l罾睡:en蜘fo-licacidtreatmentgroup(enalaprilfolieacid105、mg:m&mg/times,1ti皿髓enalapriit嬲盐舢呲group(ermlapri~l@mtimes,,1times/d)一aft,treatmentfo~24months.TheIkey,IMT,re'redcnam咖一6bnolysi$[i眦唱ls珊氆衄血lgen(Fg),vonWillebrandfactor(vwFandthrombi.nmantigen(AT一1瑾Ag_,D—dimer(D0重_I睡d墨畦i0na~tigen—typeplasminogenactivator(t—PAAg)and!plasmirrogenactivato6、rinhibitor—l(pAI—1)]weredete~ted;beforeandafter12monthsand24monthstreatment.ResultsA_fl~rt~matmentfor12m~nthsand.24months,the.Hey,IMT,D—D,PA卫一1anIMTofenalapritf01ieacidtreatmentgroupwere,lowerthanthoseofenalapriltreatmentgroup(P7、P(005).ConclusionEnalapri[folleacid~tabletsinthetreatmentof”H—type”hyperten-sion,butalsodecreasecarotidintima—mediathicknessseverity,AtthesametimeloweringHcy,callinhibittheproliferationofIMT,improvepartialthmmboplasfin—fibrinolysis.【Keywords】Hypertension;Enalaprilfolieacidtablets;c8、arotidart~wy;Intima—mediat
3、谲,高血压;依那普删叶酸片;颈动脉;内膜中层厚度;血液凝固;纤维蛋白溶解【中图分类号lR544.1【文懿标识码lAdoi:10.3969/j.issn.1008-5971,2014.02.006]E~elfltofE艄F-d苗cA瑚Tj岫蛐CarotidImima—media曲andC伽_且a畸嘶一伺_嘣电sisltMlia~rsi.IP细ti嘲咀sw斑h州噩l一圈p归a髓衲槐FANGSheng—xian,MARu—lma,PENGWen一n,at.正翻CentralHospi~ofShenzbem岛_嘲518006~cl!【.~tractl0cl孵鲕t曲出
4、etSeetofEnalapfilfolie耐恤bls伽theeartmdarteryiraima—media曲d艘睡(IMP)and'coagulation—fibrinolysisirrd~p械tswith”tt—type”’礓蚓删on.Metim~786面船虹幽B理一typehypertensionwerecho8e扭iin011~hospiitMfrom蚰2909toAugust2013,theywrandomlydie,ideal!into2黟磷l罾睡:en蜘fo-licacidtreatmentgroup(enalaprilfolieacid10
5、mg:m&mg/times,1ti皿髓enalapriit嬲盐舢呲group(ermlapri~l@mtimes,,1times/d)一aft,treatmentfo~24months.TheIkey,IMT,re'redcnam咖一6bnolysi$[i眦唱ls珊氆衄血lgen(Fg),vonWillebrandfactor(vwFandthrombi.nmantigen(AT一1瑾Ag_,D—dimer(D0重_I睡d墨畦i0na~tigen—typeplasminogenactivator(t—PAAg)and!plasmirrogenactivato
6、rinhibitor—l(pAI—1)]weredete~ted;beforeandafter12monthsand24monthstreatment.ResultsA_fl~rt~matmentfor12m~nthsand.24months,the.Hey,IMT,D—D,PA卫一1anIMTofenalapritf01ieacidtreatmentgroupwere,lowerthanthoseofenalapriltreatmentgroup(P7、P(005).ConclusionEnalapri[folleacid~tabletsinthetreatmentof”H—type”hyperten-sion,butalsodecreasecarotidintima—mediathicknessseverity,AtthesametimeloweringHcy,callinhibittheproliferationofIMT,improvepartialthmmboplasfin—fibrinolysis.【Keywords】Hypertension;Enalaprilfolieacidtablets;c8、arotidart~wy;Intima—mediat
7、P(005).ConclusionEnalapri[folleacid~tabletsinthetreatmentof”H—type”hyperten-sion,butalsodecreasecarotidintima—mediathicknessseverity,AtthesametimeloweringHcy,callinhibittheproliferationofIMT,improvepartialthmmboplasfin—fibrinolysis.【Keywords】Hypertension;Enalaprilfolieacidtablets;c
8、arotidart~wy;Intima—mediat
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