J Hypertens:阜外王增武等研究提示,农村高血压患者用这两种药划算

2016-12-29 朱朱 中国循环杂志

对于广大的农村高血压患者群来说,服用降压药物力求经济有效。阜外医院王增武教授等人的研究发现,尼群地平+氢氯噻嗪可能是农村高血压患者的良好降压组合,比尼群地平+美托洛尔这种组合更有经济效益。 研究显示,服药随访24周后,应用尼群地平+氢氯噻嗪的患者平均血压为131.2/82.2 mmHg,应用尼群地平+美托洛尔的患者平均血压为131.4/82.9 mmHg,效果相似。但由于尼群地平+氢氯噻嗪的价格明

对于广大的农村高血压患者群来说,服用降压药物力求经济有效。阜外医院王增武教授等人的研究发现,尼群地平+氢氯噻嗪可能是农村高血压患者的良好降压组合,比尼群地平+美托洛尔这种组合更有经济效益。

研究显示,服药随访24周后,应用尼群地平+氢氯噻嗪的患者平均血压为131.2/82.2 mmHg,应用尼群地平+美托洛尔的患者平均血压为131.4/82.9 mmHg,效果相似。但由于尼群地平+氢氯噻嗪的价格明显低于尼群地平+美托洛尔,所以前者更经济合适。

分析表明,对于用尼群地平+氢氯噻嗪的患者来说,收缩压和舒张压每降低1 mmHg,大约需要花费9.8元(1.4美元)和19.6元(2.8美元);而用尼群地平和美托洛尔达到同样的降压效果时,大约需要花费13.3元(1.9美元)和26.6元(3.8美元)。要想血压达标,用后一种降压组合的患者每人的增量成本约为35.7元(5.1美元)。

研究者指出,两种降压组合的不良反应都相对较轻,没有太大差异。

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    2017-07-11 feather89
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    2016-12-31 daviiliu
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