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中国临床药理学与治疗学 ›› 1996, Vol. 1 ›› Issue (2): 107-108.

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老年高血压病患者卡托普利与阿替洛尔干预前后脑血流量的变化特征及其意义

彭应心, 杨康女, 李舂燕, 张树军   

  1. 河北省人民医院,石家庄050071
  • 收稿日期:1996-06-08 修回日期:1996-08-26 发布日期:2020-12-03
  • 作者简介:彭应心,女,38岁,心血管病专业硕士研究生,副主任医师。

Changes in volume of cerebral blood flow in elderly patients with essential hypertension after treatment to captopril and atenolol

Peng Yingxin, Yang Kangnu, Li Chunyan, et al   

  1. Provincial Hospital of Hebei Province, Shijia Zhuang 050071
  • Received:1996-06-08 Revised:1996-08-26 Published:2020-12-03

摘要: 目的 对比研究卡托普利(CPT)与阿替洛尔(ATL)对老年高血压病患者脑血流量的影响。方法 选择年龄均在60岁以上的轻中度高血压病患者62例,随机给予CPT 75~150 mg/ d或ATL50~ 100 mg/d,分别于服药前后4周应用三维经颅超声多普勒测定患者颅内血管射血速度。结果 服药前患者颅内血管平均流速均异常增高,服药4周后均明显降低,其中CPT组患者降至正常水平,ATL组患者却降至显著低于正常水平。结论 CPT 可明显改善高血压病老年患者的脑血流量,而ATL则可使其异常减少。

关键词: 高血压, 老年, 卡托普利, 阿替洛尔, 脑血流量

Abstract: Aim To study the effects of captopril and atenolol on volume of cerebral blood flow in el-derly patients with essential hypertension. Methods The velocity of cerebral blood flow: (CBF) was measured with transcranil doppler before and after 4-week treatment of captopril (CPT) 75~ 150mg/ day, or atenolol(ATL) (50 ~ 100 mg/ day) in elderly patients with EH. Results The mean velocity of CBF was signficantly increased before treatment of CPT or ATL, and it was reduced after treatment to normal level (in the CPT group) the and to an excessive lower level ATL group. Conclusion CPT leads to an improvement of CBF, while ATL to decrese in elderly patients with EH.

Key words: Hypertension, cerebral blood flow, Captopril, Atenolol

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