苯磺酸左旋氨氯地平对老年脑卒中患者血压调控的效果分析.docVIP

精品论文 参考文献 苯磺酸左旋氨氯地平对老年脑卒中患者血压调控的效果分析 桃源县中医院西药房 湖南桃源 415700 【摘 要】 目的 探讨苯磺酸左旋氨氯地平对老年脑卒中患者血压调控的效果。方法 收集2014 年7 月至2015 年7 月我院收治的老年脑卒中100 例，采用随机数字法分为两组，对照组（n=50）使用依那普利进行治疗，观察组（n=50）使用苯磺酸左旋氨氯地平进行治疗，比较两组患者治疗前后血压值、颈动脉IMT和颈动脉狭窄程度。结果 两组患者治疗后SBP、DBP血压值均明显优于治疗前，Plt;0.05，组间差异无统计学意义，Pgt;0.05；观察组患者IMT增厚发生率26.00 %，对照组为40.00 %，Plt;0.05；观察组患者斑块形成率为8.00 %，对照组为20.00 %，Plt;0.05；观察组患者颈动脉狭窄发生率为2.00 %，对照组为10.00 %，Plt;0.05。结论 苯磺酸左旋氨氯地平可有效调控老年脑卒中患者的血压值，临床应用颈动脉相关不良反应较少，对于降低患者的血压值、提高脑卒中患者的预后效果均具有积极作用，值得推广应用。 【关键词】苯磺酸左旋氨氯地平；脑卒中；血压；调控 【Abstract 】 objective to study the l benzene sulfonic acid amlodipine for elderly patients with cerebral apoplexy effect of blood pressure regulation.Method collected in July 2014 to July 2015，our hospital 100 cases of senile cerebral stroke，can be divided into two groups by random number method，the control group（n = 50）using enalaprilat treatment，observation group（n = 50）using l benzene sulfonic acid amlodipine treatment，compared two groups of patients before and after treatment the blood pressure value，the degree of carotid IMT and carotid artery stenosis.Results the two groups after treatment in patients with SBP，DBP blood pressure values were significantly better than the before treatment，P lt; 0.05，there was no statistically significant difference between the groups，P gt; 0.05；Observation group of patients with IMT thickening rate 26.00%，control group was 40.00%，P lt; 0.05；Observation group of patients with plaque formation rate was 8.00%，20.00%，the control group（P lt; 0.05；The incidence of observation group of patients with carotid artery stenosis was 2.00%，control group was 10.00%，P lt; 0.05）.Conclusion l benzene sulfonic acid amlodipine can effectively regulate the blood pressure values of elderly patients with cerebral apoplexy，the clinical application of carotid artery associated with less adverse reaction，to reduce the patients blood pressure value，improve the effect of the prognosis of patients with cerebral apoplexy has positive effect，is worthy of