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降高血压药物联合万拉法新治疗老年性原发高血压伴焦虑抑郁障碍的临床研究 被引量:5
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作者 杨青云 段新 《华西医学》 CAS 2010年第4期676-678,共3页
目的探讨降高血压药物联合抗焦虑抑郁药物万拉法新治疗老年性原发高血压伴焦虑抑郁障碍的疗效及安全性。方法纳入2006年10月2008年10月我院门诊和住院诊治的老年性原发高血压伴焦虑抑郁障碍患者100例,随机分为干预组和对照组。所有患者... 目的探讨降高血压药物联合抗焦虑抑郁药物万拉法新治疗老年性原发高血压伴焦虑抑郁障碍的疗效及安全性。方法纳入2006年10月2008年10月我院门诊和住院诊治的老年性原发高血压伴焦虑抑郁障碍患者100例,随机分为干预组和对照组。所有患者给予常规降压药物治疗,干预组另外给予万拉法新治疗,治疗12周后评价临床疗效。结果干预组临床降压疗效总有效率94.0%,显著高于对照组总有效率80.0%(P<0.05)。两组患者的收缩压、舒张压与治疗前比较均显著改善(P<0.05),干预组患者与对照组比较血压明显改善(P<0.05)。干预组临床抗焦虑抑郁疗效总有效率96.0%,显著高于对照组总有效率58.0%(P<0.05)。两组均无明显的不良反应。结论降高血压药物联合抗焦虑抑郁药物万拉法新治疗老年性原发高血压伴焦虑抑郁障碍疗效肯定,且安全可靠,值得临床推广应用。 展开更多
关键词 老年性原发高血压 焦虑抑郁障碍 降高血压药物 万拉法新
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POTENT HYPOTENSIVE EFFECTS OF ORPHANIN FQ IN CONSCIOUS STROKE-PRONE SPONTANEOUSLY HYPERTENSIVE RATS 被引量:1
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作者 魏英杰 黄其擎 +4 位作者 朱燕青 米立国 张肇康 汤健 丁金凤 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第2期67-70,共4页
Orphanin FQ(OFQ) or nociceptin is a novel neuropeptide consisting of 17 amino acids. This peptide has a primary structure reminiscent of that of opioid peptide but exhibits an opposite effect to make animals hyperre... Orphanin FQ(OFQ) or nociceptin is a novel neuropeptide consisting of 17 amino acids. This peptide has a primary structure reminiscent of that of opioid peptide but exhibits an opposite effect to make animals hyperreactive. The effect of this new peptide on cardiovascular function are not completely known. The present study was conducted to investigate the effect of intravenous bolus injection of orphanin FQ on mean arterial blood presure (MABP) in conscious stroke-prone spontaneously hypertensive rats (SHRsp). Adult male SHRsp and Wistar normotensive rats (250~300 g body weight, 2. 5~3 months old) were used in this study. The MABP was measured in the conscious state by a tail-cuff method. In SHRsp model, intravenous bolus injection of orphanin FQ or Tyr1-orphanin FQ (0. 5 mg/kg) induced a prolonged and marked reduc- tion in MABP. The maximum changes in MABP were -30. 2±4. 2 mmHg by orphanin FQ and -28. 2± 4. 7 mmHg by Tyr1-orphanin FQ at 10 min after administration,and this effect lasted over 30 min. The Phe1→Tyr substitution in orphanin FQ was found to retain almost fully hypotensive activity. Pretreatment of SHRsp with naloxone-HCI(60 μg/kg), 5 min before the injection of orphanin FQ, did not block the hy- potensive effect of orphanin FQ. Therefore, opioid receptors could not account for the hypotensive effect of orphanin FQ in SHRsp. In Wistar rats, intravenous bolus injection of the same dose of orphanin FQ did not cause a change in MABP. These observations suggest that orphanin FQ is a novel hypotensive peptide and may have some role in the regulation of blood pressure in SHRsp, rather than in normotensive rats. The ex-act underlying mechanisms are waiting to be clarified. 展开更多
关键词 orphanin FQ naloxone 1 stroke-prone spontaneously hypertensive rats (SHR_(sp))
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