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Benazepril和Losartan对培养SHR心肌成纤维细胞增殖及合成胶原影响 被引量:2
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作者 谢良地 陈水龙 +2 位作者 许昌声 王华军 吴可贵 《高血压杂志》 CAS CSCD 2001年第1期62-64,共3页
目的 观察血管紧张素Ⅱ (AngⅡ )、苯那普利 (Benazepril,Be na)、洛沙坦 (Losartan)对培养的SHR和WKY大鼠心肌成纤维细胞 (CFb)增殖及合成胶原的影响。方法 采用组织块贴壁法培养CFb ,分别测定AngⅡ、Bena干预下CFb的增殖情况 ,AngⅡ... 目的 观察血管紧张素Ⅱ (AngⅡ )、苯那普利 (Benazepril,Be na)、洛沙坦 (Losartan)对培养的SHR和WKY大鼠心肌成纤维细胞 (CFb)增殖及合成胶原的影响。方法 采用组织块贴壁法培养CFb ,分别测定AngⅡ、Bena干预下CFb的增殖情况 ,AngⅡ、Bena和Losartan干预下CFb的3H 脯氨酸 (3H Proline)掺入量。结果 各种浓度的AngⅡ (10 -10 mol~ 10 -6mol)和Bena(10 -9mol~ 10 -5mol)对CFb的细胞数显著增殖无影响 ,AngⅡ呈浓度依赖性促进CFb的3H Proline掺入量 ,Bena抑制CFb的3H Proline掺入量 ,Losartan呈浓度依赖性抑制 10 -7molAngⅡ诱导的CFb的胶原合成。结论 AngⅡ和Bena不影响CFb的增殖 ,AngⅡ对CFb的胶原合成有促进作用 ,Bena抑制CFb胶原合成 。 展开更多
关键词 心肌成纤维细胞 高血压 血管紧张素Ⅱ 苯那普利 洛沙坦
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New Stability Indicating Method for Quantification of Impurities in Amlodipine and Benazepril Capsules by Validated HPLC 被引量:1
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作者 Rama Joga Venkata Eranki Gopichand Inti +3 位作者 Venkatasubramanian Jayaraman Raghuram Pannala Sudhakar Rao Vidiyala Jadi Sree Ramulu 《American Journal of Analytical Chemistry》 2013年第12期715-724,共10页
A stability indicating LC method was developed for the simultaneous determination of Amlodipine and Benazepril capsules in pharmaceutical dosage form. Efficient chromatographic separation was achieved on Symmetry C18 ... A stability indicating LC method was developed for the simultaneous determination of Amlodipine and Benazepril capsules in pharmaceutical dosage form. Efficient chromatographic separation was achieved on Symmetry C18 stationary phase with simple combination of amobile phase containing 750 mL of DI Water, 250 mL of Acetonitrile and 2 mL of Octylamine into suitable container with adjusted pH to 2.50 ± 0.05 with the aid of Ortho phosphoric acid delivered in an isocratic mode and quantification was carried out using UV detection at 240 nm at a flow rate of 1.0 mL·min-1 with an injection volume of 20 μl and ambient column temperature. This method is capable to detect both the drug components of Amlodipine and Benazepril in presence of their degradation products (Amlodipine Imp-A and Benazepril Impurity-C) with a detection level of 0.05%. Amlodipine/Benazepril in their combination drug product were exposed to thermal, photolytic, hydrolytic and oxidative stress conditions, and the samples were analysed. Peak homogeneity data of Amlodipine and Benazeprilis were obtained using PDA detector, in the stressed sample chromatograms, demonstrating the specificity. The method shows excellent linearity over a range of 0.05%-2.0% for Amlodipine, Amlodipine Impurity-A and 0.05%-5.0% for Benazepril and Benazepril Impurity-C. The correlation coefficient for Amlodipine and Benazepril is 1. The relative standard deviation was always less than 2%. The proposed method was found to be suitable and accurate for quantitative determination and the stability study of Amlodipine and Benazepril in pharmaceutical preparations. The developed HPLC method was validated with respect to linearity & range, accuracy, precision and robustness. 展开更多
关键词 COLUMN Liquid CHROMATOGRAPHY Method Validation Stability Indicating Study AMLODIPINE and benazepril
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Protective effect of calcium dobesilate combined with benazepril therapy on renal injury in patients with early diabetic nephropathy and the possible molecular mechanisms
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作者 Ling Zhang Yi-Ming Li +4 位作者 Zhi-Fang Wang Xiao-Zhen Xing Liang Zhu Jin-Xiao Jiang Qing-Hong Lyu 《Journal of Hainan Medical University》 2017年第6期48-52,共5页
Objective:To explore the protective effect of calcium dobesilate combined with benazepril therapy on renal injury in patients with early diabetic nephropathy and the possible molecular mechanisms.Methods:A total of 50... Objective:To explore the protective effect of calcium dobesilate combined with benazepril therapy on renal injury in patients with early diabetic nephropathy and the possible molecular mechanisms.Methods:A total of 50 patients with early diabetic nephropathy treated in our hospital between May 2012 and January 2016 were collected, and according to the random number table, the patients were divided into observation group (n=25) and control group (n=25). On the basis of conventional treatment, control group of patients received benazepril therapy, observation group of patients received calcium dobesilate combined with benazepril therapy, and the treatment lasted for 3 months. Before and after treatment, automatic biochemical analyzer was used to detect the levels of renal injury indexes in peripheral blood, RIA method was used to detect the levels of renal injury indexes in urine, ELISA method was used to detect the levels of renal fibrosis indexes and Western-blot method was used to detect the protein expression of TGF-β1/BMP-7 and Smad signaling pathway molecules in renal tissue. Results: Before treatment, differences in renal injury index levels, renal fibrosis index levels and signaling pathway molecule protein expression were not statistically significant between two groups of patients. After treatment, BUN, SCr andβ-TP levels in the peripheral blood as well as KIM-1 level in urine of observation group were lower than those of control group;renal fibrosis indexes TGF-β1, CTGF, TIMP-1, LN and HA levels in serum of observation group were lower than those of control group;TGF-β1 and Smad2/3 protein expression in renal tissue of observation group were lower than those of control group while Smad7 and BMP-7 protein expression were higher than those of control group.Conclusion: Calcium dobesilate combined with benazepril therapy can reduce the renal injury and inhibit the fibrosis process in patients with early diabetic nephropathy, and it achieves the above effect by regulating the TGF-β1/BMP-7 and Smad signaling pathway function. 展开更多
关键词 Early DIABETIC NEPHROPATHY CALCIUM dobesilate benazepril RENAL injury
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Changes of Expressions of VEGF, bFGF, and Angiogenesis, and Effect of Benazepril, bFGF on Angiogenesis in Acute Myocardial Infarction Model of the Rabbits 被引量:12
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作者 DAN-YANGLI KUIZHAO +2 位作者 JUN-FUZHOU PENGCHEN WEILI 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2004年第4期442-451,共10页
Objective To explore the changes of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and angiogenesis, and the effects of bFGF, angiotensin converting enzyme inhibiter(ACEI) benazepril ... Objective To explore the changes of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and angiogenesis, and the effects of bFGF, angiotensin converting enzyme inhibiter(ACEI) benazepril on the angiogenesis in acute myocardial infarction (AMI) model of rabbits, and to provide a probable evidence for the treatment of AMI. Methods AMI model was established by ligating anterior descending branch of coronary artery of Japan-Sino hybridization white rabbits. The postoperative rabbits were randomly divided into 6 groups and each group was treated with different drugs. Groups 1 and 2 were treated with normal saline (NS) for 28 and 14 days (d), group 3 and 4 with bFGF for 28 and 14 d, groups 5 with benazepril for 14 d, and group 6 with benazepril and bFGF for 14 d respectively. The rabbits were killed on the 14th or 28th d and their hearts were excised, sectioned and stained with HE, Masson trichrome to observe VEGF, bFGF and CD34 under a microscope, which were quantified with a computer-assisted morphometry. Results Compared with group 1, the granulation tissue of infarction zone (IZ) in group 2 freshened up, and the capillary density (CD) in IZ was increased (P=0.002). The CD in the IZ as well as VEGF and bFGF in groups 3 and 4 were increased respectively (P=0.011-0.037). In group 5 the changes of VEGF and bFGF were not found in the IZ and the border zone (BZ) while CD was significantly increased (35.4% and 25.6%, P=0.036 and 0.037). Compared with group 2, the CD in the IZ and BZ of group 6 was significantly increased (63.4% and 44.3% P=0.007 and 0.007), meanwhile VEGF and bFGF were increased. Compared with group 5, only VEGF was increased. Conclusion Intravenous bFGF may increase VEGF and bFGF significantly, thus promoting the angiogenesis in the IZ and BZ in cardiac infarction as VEGF and bFGF are the potent angiogenic growth factors. Benazepril may promote angiogenesis in the IZ and BZ in cardiac infarction, but its mechanism is irrelative to the expression of VEGF and bFGF. The combination of benazepril and bFGF may promote, to some extent, the expression of VEGF and bFGF, but their effect on angiogenesis has not been found. 展开更多
关键词 基因表达 VEGF BFGF 血管生成 急性心肌梗塞 兔模型 AMI 内皮生长因子
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Effects of the Combined Use of Benazepril and Valsartan on Apoptosis in the Kidney of Rats with Adriamycin-induced Nephritic Glomerulosclerosis 被引量:1
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作者 韩子明 邢燕 +2 位作者 王宏伟 梁秀玲 周建华 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第3期254-258,共5页
Summary: The effects of the combined use of angiotensin converting enzyme inhibitor (ACEI) benazepril and angiotensin Ⅱ type 1 receptor antagonist (AT1RA) valsartan on apoptosis and the expression of apoptosis-relate... Summary: The effects of the combined use of angiotensin converting enzyme inhibitor (ACEI) benazepril and angiotensin Ⅱ type 1 receptor antagonist (AT1RA) valsartan on apoptosis and the expression of apoptosis-related proteins Fas and FasL in the kidney of rats with adriamycin-induced nephritic glomerulosclerosis was investigated. Uninephrectomy and the injection of adriamycin induced the rat model of glomerulosclerosis. Benazepril (6 mg/kg), valsantan (20 mg/kg), or benazepril (3 mg/kg) plus valsantan (20 mg/kg) was respectively delivered daily by gavage to the rats in three treatment groups for 12 weeks. Apoptosis was examined by means of terminal-deoxynucleotidyl transferase mediated d-UTP nick end labeling (TUNEL). Immunohistochemistry was adopted to detect the expression of Fas and FasL. Software of pathological analysis quantitated the levels of Fas and FasL. The results showed that as compared with those in the control group, the kidneys in the model group had more severe glomerulosclerosis, much more apoptotic cells and higher levels of expression of Fas and FasL. The degree of glomerulosclerosis, the number of apoptotic cells and the levels of expression of Fas and FasL were reduced by benazepril and valsartan. The combined use of benazepril and valsartan had the best therapeutic effect. It was concluded that benazepril and valsartan could suppress the excessive apoptosis of kidney cells by lowering the expression of the apoptosis-related proteins Fas and FasL, so as to postpone the process of glomerulosclerosis. The combined use of benazepril and valsartan has better therapeutic effect. 展开更多
关键词 肾功能衰竭 老鼠 阿霉素 药物作用 肾血管球硬化症 病理作用 贝那普利 缬沙坦
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Effects of Chronotherapy of Benazepril on the Diurnal Profile of RAAS and Clock Genes in the Kidney of 5/6 Nephrectomy Rats 被引量:1
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作者 黄小妹 袁静萍 +3 位作者 曾星若 彭彩霞 梅啓慧 陈文莉 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2013年第3期368-374,共7页
This study investigated the effects of benazepril administered in the morning or evening on the diurnal variation of renin-angiotensin-aldosterone system (RAAS) and clock genes in the kidney. The male Wistar rat model... This study investigated the effects of benazepril administered in the morning or evening on the diurnal variation of renin-angiotensin-aldosterone system (RAAS) and clock genes in the kidney. The male Wistar rat models of 5/6 subtotal nephrectomy (STNx) were established. Animals were randomly divided into 4 groups: sham STNx group (control), STNx group, morning benazepril group (MB) and evening benazepril group (EB). Benazepril was intragastrically administered at a dose of 10 mg/kg/day at 07:00 and 19:00 in the MB group and EB group respectively for 12 weeks. All the animals were synchronized to the light:dark cycle of 12:12 for 12 weeks. Systolic blood pressure (SBP), 24-h urinary protein excretion and renal function were measured at 11 weeks. Blood samples and kidneys were collected every 4 h throughout a day to detect the expression pattern of renin activity (RA), angiotensin Ⅱ (AngⅡ) and aldosterone (Ald) by radioimmunoassay (RIA) and the mRNA expression profile of clock genes (bmal1, dbp and per2) by real-time PCR at 12 weeks. Our results showed that no significant differences were noted in the SBP, 24-h urine protein excretion and renal function between the MB and EB groups. There were no significant differences in average Ald and RA content of a day between the MB group and EB group. The expression peak of bmal1 mRNA was phase-delayed by 4 to 8 h, and the diurnal variation of per2 and dbp mRNA diminished in the MB and EB groups compared with the control and STNx groups. It was concluded when the similar SBP reduction, RAAS inhibition and clock gene profile were achieved with optimal dose of benazepril, morning versus evening dosing of benazepril has the same renoprotection effects. 展开更多
关键词 大鼠肾脏 钟基因 个人资料 mRNA表达 血管紧张素 基因表达谱 上海 WISTAR
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New process for preparing benazepril precursor
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作者 Kafssi Hassan 王涛 +1 位作者 王芳 万平玉 《化工学报》 EI CAS CSCD 北大核心 2007年第10期2558-2560,共3页
The present work relates to a new synthesis process for the preparation of 3-[(1-ethoxycarbonyl-3-phenylpropyl)-amino]-2,3,4,5-tetrahydro-2-oxo-1H-1-benzazepine-1-acetate tert butyl ester(EPTAB),the precursor of benaz... The present work relates to a new synthesis process for the preparation of 3-[(1-ethoxycarbonyl-3-phenylpropyl)-amino]-2,3,4,5-tetrahydro-2-oxo-1H-1-benzazepine-1-acetate tert butyl ester(EPTAB),the precursor of benazepril HCl.The reaction conditions were optimized.The diastereomeric products were separated by flash column chromatography.The structures of the products were characterized with IR and NMR. 展开更多
关键词 制备 前体 血管紧缩素转换酶 盐酸贝那普利
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益气养阴通络汤联合贝那普利治疗糖尿病肾病疗效及对血清TGF-β1、VEGF指标影响 被引量:1
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作者 陈仕银 胡朋 《中华中医药学刊》 CAS 2024年第3期238-242,共5页
目的探讨益气养阴通络汤联合贝那普利治疗糖尿病肾病(diabetic nephropathy,DN)的疗效及对转化生长因子-β_(1)(transforming growth factor-β_(1),TGF-β_(1)),血管内皮生长因子(vascular endothelial growth factor,VEGF)影响。方法... 目的探讨益气养阴通络汤联合贝那普利治疗糖尿病肾病(diabetic nephropathy,DN)的疗效及对转化生长因子-β_(1)(transforming growth factor-β_(1),TGF-β_(1)),血管内皮生长因子(vascular endothelial growth factor,VEGF)影响。方法选取2019年10月—2021年10月医院收治的DN病人94例,随机分为对照组(n=48)和观察组(n=46)。入院后两组病人均实施生活方式相关的指导,包括体质量控制、运动、戒烟酒等,给予脂质的代谢紊乱相关纠正、血糖控制、血压等基础的治疗,对照组实施盐酸贝那普利片的口服治疗,观察组则在此基础上实施益气养阴通络汤治疗,两组持续治疗4周。对比两组临床疗效、尿微量白蛋白(microalbumin,mALB)、尿白蛋白肌酐比(urine albumin creatine ratio,UACR)、β_(2)微球蛋白(β_(2)-microglobulin,β_(2)-MG)水平、中医证候评分、血清同型半胱氨酸(homocysteine,Hcy)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-6(Interleukin-6,IL-6)、血清TGF-β_(1)和VEGF及空腹血糖(fasting plasma glucose/fasting blood glucose,FPG)、餐后2 h血糖(2 hour postprandial blood glucose,2 h PG)和糖化血红蛋白(glyeosylated hemoglobin,HbAlc)指标变化。结果治疗前两组mALB、UACR、β_(2)-MG指标间无统计学意义(P>0.05);治疗后两组mALB、UACR、β_(2)-MG指标较治疗前显著降低(P<0.05);并且观察组降低较明显(P<0.05);观察组治疗总有效率较对照组明显较高(P<0.05);治疗后两组主症评分、次症评分和中医证候总评分明显降低(P<0.05);且观察组降低较明显(P<0.05);治疗后两组血清Hcy、TNF-α、IL-6指标明显降低(P<0.05);且观察组降低较明显(P<0.05);治疗后两组血清TGF-β_(1)和VEGF指标较治疗前明显降低(P<0.05);且观察组降低较明显(P<0.05);治疗后两组FPG、2 h PG和HbAlc指标较治疗前明显降低(P<0.05);且观察组降低较明显(P<0.05)。结论采用益气养阴通络汤联合贝那普利治疗DN具有较好的临床疗效,可降低血清TGF-β_(1),VEGF指标,降低蛋白尿水平。 展开更多
关键词 益气养阴通络汤 贝那普利 糖尿病肾病 临床疗效 血清TGF-Β1 VEGF
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盐酸贝那普利片及活性代谢物在中国健康受试者中的生物等效性研究
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作者 段舟萍 彭洪薇 +3 位作者 李蒲 魏筱华 崔建鑫 韩盈 《南昌大学学报(医学版)》 2024年第1期50-53,59,共5页
目的评价空腹及餐后状态下单次口服盐酸贝那普利片受试和参比制剂的生物等效性。方法将志愿者按照1:1的比例分配至T-R(受试制剂-参比制剂)和R-T(参比制剂-受试制剂)序列组;采用单中心、随机、开放、两周期、双序列、自身交叉、单次给药... 目的评价空腹及餐后状态下单次口服盐酸贝那普利片受试和参比制剂的生物等效性。方法将志愿者按照1:1的比例分配至T-R(受试制剂-参比制剂)和R-T(参比制剂-受试制剂)序列组;采用单中心、随机、开放、两周期、双序列、自身交叉、单次给药(空腹、餐后)的试验方法设计;采用高效液相-色谱串联质谱法测定血药浓度;使用WinNonlin软件的非房室模型对贝那普利主要药代动力学参数C max、AUC 0-t、AUC 0-∞进行分析;T max采用非参数秩和检验。结果空腹组受试制剂和参比制剂贝那普利的主要药代动力学参数如下:C max分别为(207.86±70.77)ng·mL^(-1)和(205.20±70.37)ng·mL^(-1);AUC 0-t分别为(168.91±36.03)h×ng·mL^(-1)和(170.23±38.37)h×ng·mL^(-1);AUC 0-∞分别为(171.01±36.15)h×ng·mL^(-1)和(172.27±38.49)h×ng·mL^(-1);T max分别为(0.48±0.11)h和(0.49±0.17)h。空腹组受试制剂和参比制剂活性代谢物贝那普利拉的主要药代动力学参数如下:C max分别为(270.45±69.07)ng·mL^(-1)和(271.86±65.90)ng·mL^(-1);AUC 0-t分别为(1490.10±295.32)h×ng·mL^(-1)和(1487.96±285.39)h×ng·mL^(-1);AUC 0-∞分别为(1535.19±289.52)h×ng·mL^(-1)和(1532.63±285.26)h×ng·mL^(-1);T max分别为(1.45±0.47)h和(1.41±0.33)h。餐后组受试制剂和参比制剂贝那普利的C max分别为(102.05±41.17)ng·mL^(-1)和(112.04±49.39)ng·mL^(-1);AUC 0-t分别为(149.19±32.76)h×ng·mL^(-1)和(151.70±33.78)h×ng·mL^(-1);AUC 0-∞分别为(151.02±33.08)h×ng·mL^(-1)和(154.03±33.99)h×ng·mL^(-1);T max分别为(1.14±0.65)h和(1.09±0.60)h。餐后组受试制剂和参比制剂的活性代谢物贝那普利拉的C max分别为(207.71±50.76)ng·mL^(-1)和(211.68±66.50)ng·mL^(-1);AUC 0-t分别为(1366.01±292.24)h×ng·mL^(-1)和(1343.78±315.41)h×ng·mL^(-1);AUC 0-∞分别为(1414.95±297.71)h×ng·mL^(-1)和(1387.03±314.17)h×ng·mL^(-1);T max分别为(2.46±0.87)h和(2.46±0.85)h。受试制剂与参比制剂贝那普利和贝那普利拉的C max、AUC 0-t、AUC 0-∞的几何均值比值的90%置信区间均在80%~125%;T max在两种制剂间差异无统计学意义(P>0.05)。结论盐酸贝那普利片的受试制剂和参比制剂具有生物等效性。 展开更多
关键词 贝那普利 贝那普利拉 生物等效性 药代动力学 血管紧张素转化酶抑制剂
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应用动态血压监测仪及人体成分分析仪观察氨氯地平贝那普利片(Ⅱ)对原发性高血压患者的疗效
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作者 唐聪敏 闫荣 +2 位作者 李雪辉 丁文静 邢艳秋 《中国实用医药》 2024年第5期100-103,共4页
目的 评价动态血压监测仪及人体成分分析仪在氨氯地平贝那普利片(Ⅱ)治疗原发性高血压患者疗效中的作用。方法 110例原发性高血压患者,入组前停用既往所有降压药,洗脱期间,饮食方式不变。2周之后接受氨氯地平贝那普利片(Ⅱ)治疗,监测并... 目的 评价动态血压监测仪及人体成分分析仪在氨氯地平贝那普利片(Ⅱ)治疗原发性高血压患者疗效中的作用。方法 110例原发性高血压患者,入组前停用既往所有降压药,洗脱期间,饮食方式不变。2周之后接受氨氯地平贝那普利片(Ⅱ)治疗,监测并比较患者治疗前后动态血压参数(白天、夜间、24 h的收缩压和舒张压)、平滑指数、人体成分[骨骼肌质量、脂肪含量、骨骼肌质量指数(SMI)]。结果 治疗后,白天、夜间、24 h的收缩压分别为(132.58±11.22)、(120.23±12.83)、(126.10±8.11)mm Hg(1 mm Hg=0.133 kPa),均低于治疗前的(148.36±10.42)、(133.11±12.91)、(142.26±10.15)mm Hg,舒张压分别为(75.65±11.96)、(68.31±9.10)、(71.40±8.70)mm Hg,均低于治疗前的(85.03±10.98)、(77.85±10.84)、(83.92±9.89)mm Hg,治疗后的平滑指数(2.00±0.23)高于治疗前的(1.21±0.26),差异具有统计学意义(P<0.01)。患者治疗后的骨骼肌质量(35.75±6.84)kg、SMI(8.38±0.51)kg/m2均高于治疗前的(25.15±6.58)kg、(7.95±0.44)kg/m2,脂肪含量(18.83±4.15)kg低于治疗前的(23.12±4.51)kg,差异具有统计学意义(P<0.01)。结论 氨氯地平贝那普利片(Ⅱ)能有效平稳地降低原发性高血压患者的动态血压,且增加骨骼肌质量、降低脂肪含量,优化人体成分,值得临床推广。 展开更多
关键词 氨氯地平贝那普利片(Ⅱ) 原发性高血压 动态血压 人体成分
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氨氯地平联合贝那普利治疗高血压的效果观察
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作者 马珍妮 《中国现代药物应用》 2024年第7期81-83,共3页
目的研究氨氯地平联合贝那普利治疗高血压的疗效。方法135例高血压患者,根据用药方式不同分为观察组(68例)和对照组(67例)。对照组给予氨氯地平口服治疗,观察组给予氨氯地平联合贝那普利口服治疗。比较两组血压控制优良率,血压、心率水... 目的研究氨氯地平联合贝那普利治疗高血压的疗效。方法135例高血压患者,根据用药方式不同分为观察组(68例)和对照组(67例)。对照组给予氨氯地平口服治疗,观察组给予氨氯地平联合贝那普利口服治疗。比较两组血压控制优良率,血压、心率水平,用药不良反应发生率。结果观察组的血压控制优良率97.06%(66/68)高于对照组的83.58%(56/67),差异有统计学意义(P<0.05)。治疗前,两组收缩压、舒张压和心率对比差异无统计学意义(P>0.05);治疗后,两组收缩压、舒张压、心率均低于治疗前,且观察组收缩压(121.18±23.61)mm Hg(1 mm Hg=0.133 kPa)、舒张压(82.32±16.04)mm Hg、心率(69.53±13.55)次/min低于对照组的(130.27±25.19)mm Hg、(88.85±17.18)mm Hg、(76.46±14.79)次/min,差异有统计学意义(P<0.05)。两组用药不良反应发生率对比差异无统计学意义(P>0.05)。结论高血压患者采用氨氯地平联合贝那普利治疗能够控制患者的血压和心率水平,提升血压控制优良率,且保证用药安全,值得推荐。 展开更多
关键词 氨氯地平 贝那普利 高血压 心率 血压控制
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盐酸贝那普利片联合苯磺酸氨氯地平片治疗老年高血压的临床效果
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作者 沈虹 《中国现代药物应用》 2024年第4期78-81,共4页
目的探究盐酸贝那普利片联合苯磺酸氨氯地平片治疗老年高血压的效果。方法800例老年高血压患者,根据数字法分为观察组(500例)和对照组(300例)。观察组采用盐酸贝那普利片联合苯磺酸氨氯地平片治疗,对照组采用苯磺酸氨氯地平片联合厄贝... 目的探究盐酸贝那普利片联合苯磺酸氨氯地平片治疗老年高血压的效果。方法800例老年高血压患者,根据数字法分为观察组(500例)和对照组(300例)。观察组采用盐酸贝那普利片联合苯磺酸氨氯地平片治疗,对照组采用苯磺酸氨氯地平片联合厄贝沙坦片治疗。比较两组患者临床疗效、不良反应发生情况以及治疗前后血压(收缩压、舒张压)、肾功能指标(血清肌酐、血尿素氮、尿微量白蛋白)、血压24 h波动值。结果观察组治疗总有效率97.20%与对照组的95.00%比较无明显差异(P>0.05)。治疗后两组收缩压、舒张压均低于治疗前(P<0.05)。治疗后,观察组患者血清肌酐(88.94±7.62)μmol/L、血尿素氮(4.72±0.36)mmol/L、尿微量白蛋白(58.41±5.51)mg/24 h均低于对照组的(93.62±6.72)μmol/L、(5.09±0.42)mmol/L、(84.33±3.77)mg/24 h(P<0.05)。观察组不良反应发生率2.80%低于对照组的10.00%(P<0.05)。治疗后,观察组收缩压24 h波动值(8.23±1.31)mm Hg(1 mm Hg=0.133 kPa)、舒张压24 h波动值(5.42±1.41)mm Hg均低于对照组的(10.42±1.56)、(8.72±1.68)mm Hg(P<0.05)。结论盐酸贝那普利片联合苯磺酸氨氯地平片治疗老年高血压的疗效较好,值得应用。 展开更多
关键词 盐酸贝那普利片 苯磺酸氨氯地平片 厄贝沙坦片 老年高血压 临床疗效
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贝那普利联合重组人脑利钠肽治疗充血性心力衰竭的效果
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作者 李方艳 郑苗 阮婧佳 《中外医学研究》 2024年第3期145-149,共5页
目的:探究贝那普利联合重组人脑利钠肽治疗充血性心力衰竭的效果。方法:选取2020年3月—2023年3月武汉市第一医院心血管内科接受治疗的106例充血性心力衰竭患者,按照随机数表法分为两组,各53例。单独组采用重组人脑利钠肽进行治疗,联合... 目的:探究贝那普利联合重组人脑利钠肽治疗充血性心力衰竭的效果。方法:选取2020年3月—2023年3月武汉市第一医院心血管内科接受治疗的106例充血性心力衰竭患者,按照随机数表法分为两组,各53例。单独组采用重组人脑利钠肽进行治疗,联合组采用贝那普利联合重组人脑利钠肽治疗。比较两组每搏输出量(SV)、心排血量(CO)、左心室射血分数(LVEF)、左室舒张末期内径(LVEDD)、去甲肾上腺素(NE)、内皮素-1(ET-1)、N末端B型利钠肽原(NT-proBNP)、白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、可溶性细胞间粘附分子-1(sICAM-1)、促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3),统计并比较两组治疗有效率和不良反应发生率。结果:治疗后,联合组SV、LVEF、T_(3)、CO、治疗总有效率高于单独组,LVEDD、NE、ET-1、NT-proBNP、IL-6、CRP、TNF-α、sICAM-1水平低于单独组,差异有统计学意义(P<0.05);两组TSH水平比较,差异无统计学意义(P>0.05)。联合组不良反应发生率高于单独组,差异无统计学意义(P>0.05)。结论:充血性心力衰竭患者采用贝那普利联合重组人脑利钠肽治疗,可改善心功能、血清神经激素因子水平,减轻炎症反应。 展开更多
关键词 贝那普利 重组人脑利钠肽 充血性心力衰竭
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高血压治疗仪联合贝那普利治疗老年原发性高血压的临床效果
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作者 张志鹏 刘蕾蕾 巩伟伟 《中国社区医师》 2024年第5期29-31,共3页
目的:探讨高血压治疗仪联合贝那普利治疗老年原发性高血压的临床效果。方法:选取2021年3月—2022年3月滕州市善南社区卫生服务中心收治的60例老年原发性高血压患者作为研究对象,随机分为观察组和对照组,各30例。对照组采用贝那普利治疗... 目的:探讨高血压治疗仪联合贝那普利治疗老年原发性高血压的临床效果。方法:选取2021年3月—2022年3月滕州市善南社区卫生服务中心收治的60例老年原发性高血压患者作为研究对象,随机分为观察组和对照组,各30例。对照组采用贝那普利治疗,观察组在对照组基础上应用高血压治疗仪。比较两组临床疗效、血压和心率水平、炎性因子水平。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.020)。治疗后,两组收缩压、舒张压、血压晨峰、心率水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组超敏C反应蛋白、肿瘤坏死因子-α水平低于治疗前,且观察组低于对照组,两组白细胞介素-10水平高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:高血压治疗仪联合贝那普利治疗老年原发性高血压的临床效果显著,可改善患者血压、心率及炎性因子水平。 展开更多
关键词 高血压治疗仪 贝那普利 老年 原发性高血压
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氨氯地平贝那普利片治疗高血压合并冠心病的临床效果分析
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作者 徐熙 邵明凤 《系统医学》 2024年第2期141-144,共4页
目的观察并讨论氨氯地平贝那普利片治疗高血压合并冠状动脉粥样硬化性心脏病(简称冠心病)的有效性。方法选取2022年9月—2023年9月沂水县人民医院心内科收治的94例高血压合并冠心病患者为研究对象,以随机数表法分为观察组、对照组,各47... 目的观察并讨论氨氯地平贝那普利片治疗高血压合并冠状动脉粥样硬化性心脏病(简称冠心病)的有效性。方法选取2022年9月—2023年9月沂水县人民医院心内科收治的94例高血压合并冠心病患者为研究对象,以随机数表法分为观察组、对照组,各47例。对照组氨氯地平片+硝酸异山梨酯治疗,观察组氨氯地平贝那普利片(Ⅱ)+硝酸异山梨酯治疗,并观察两组效果。结果治疗后,观察组治疗效果91.49%高于对照组的76.60%,差异有统计学意义(χ^(2)=3.887,P<0.05);观察组收缩压、舒张压远较对照组更低;心前区疼痛评分比对照组更低,差异有统计学意义(P均<0.05);两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论氨氯地平贝那普利片治疗效果肯定,对高血压合并冠心病患者的血压方面具有较好的控制效果,同时较好地改善心前区疼痛,且无不良反应。 展开更多
关键词 氨氯地平贝那普利片 高血压 冠心病 疗效
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金匮肾气丸辅治Ⅱ-Ⅲ期糖尿病肾病疗效观察
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作者 焦书沛 杨会杰 《实用中医药杂志》 2024年第2期244-246,共3页
目的:观察金匮肾气丸辅治Ⅱ-Ⅲ期糖尿病肾病的临床疗效。方法:74例按照随机数字表法分为对照组与研究组各37例,两组均用达格列净和贝那普利治疗,研究组加用金匮肾气丸。结果:研究组总有效率与估算肾小球滤过率(eGFR)水平高于对照组(P<... 目的:观察金匮肾气丸辅治Ⅱ-Ⅲ期糖尿病肾病的临床疗效。方法:74例按照随机数字表法分为对照组与研究组各37例,两组均用达格列净和贝那普利治疗,研究组加用金匮肾气丸。结果:研究组总有效率与估算肾小球滤过率(eGFR)水平高于对照组(P<0.05),中医证候积分、血肌酐(SCR)、血尿素氮(BUN)、24h尿总量蛋白(TUP)和尿微量白蛋白/尿肌酐(UMA/UCR)以及空腹血糖(FBG)水平均低于对照组(P<0.05)。结论:金匮肾气丸辅治Ⅱ-Ⅲ期糖尿病肾病可提高疗效。 展开更多
关键词 Ⅱ-Ⅲ期糖尿病肾病 金匮肾气丸 达格列净 贝那普利
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沙库巴曲缬沙坦与盐酸贝那普利治疗75岁以上冠心病心力衰竭患者的临床疗效及对颈动脉内膜中层厚度的影响
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作者 贾振 李超 刘永民 《四川生理科学杂志》 2024年第1期144-146,177,共4页
目的:对比盐酸贝那普利和沙库巴曲缬沙坦治疗75岁以上冠心病(Coronary heart disease,CHD)并发心力衰竭(Heart failure,HF)患者的临床疗效和对颈动脉内膜中层厚度(Carotid intima media thickness,CIMT)的影响。方法:选取2019年5月至202... 目的:对比盐酸贝那普利和沙库巴曲缬沙坦治疗75岁以上冠心病(Coronary heart disease,CHD)并发心力衰竭(Heart failure,HF)患者的临床疗效和对颈动脉内膜中层厚度(Carotid intima media thickness,CIMT)的影响。方法:选取2019年5月至2022年6月期间本院收治的76例75岁以上CHD并发HF患者作为研究对象,并按随机分组法分成对照组和观察组,各38例。对照组口服盐酸贝那普利治疗,观察组口服沙库巴曲缬沙坦治疗,时长为3 m。比较两组的临床疗效、CIMT、心功能指标、炎性因子水平和不良反应发生率的变化。结果:治疗后,观察组的总有效率明显高于对照组(P<0.05);两组CIMT、左心室收缩末期内径(Left ventricular end-systolic diameter,LVESD)、舒张末期内径(Left ventricular end-diastolic diameter,LVEDD)、内皮素(Endothelin-1,ET-1)、脑钠钛(Brain natriuretic peptide,BNP)、细胞黏附分子-1(Cell adhesion molecules-1,CAM-1)水平均明显降低,且观察组明显低于对照组(P<0.05);两组射血分数(Left ventricular ejection fraction,LVEF)明显升高(P<0.05),且观察组明显高于对照组(P<0.05);两组不良反应发生率无明显差异(P>0.05)。结论:相比于盐酸贝那普利,沙库巴曲缬沙坦对75岁以上CHD并发HF患者的临床疗效更加显著,能降低CIMT值,改善心功能指数,降低炎症因子水平。 展开更多
关键词 盐酸贝那普利 沙库巴曲缬沙坦 冠心病合并心力衰竭 临床疗效 颈动脉内膜中层厚度
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Efficacy and safety of the treatment: combination of benazepril/ lercanidipine vs. benazepril alone in patients with mild-to-moderate hypertension 被引量:2
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作者 CHEN Ting CHEN Guang-hui YANG Ting-shu ZHONG Zhen-yu AN Wei-shuai ZHANG Xiao-xia LI Jia-dan 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第12期2286-2290,共5页
关键词 高血压患者 结合治疗 安全性 地平 疗效 DBP 副作用 毫米汞柱
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E112D polymorphism in the prolylcarboxypeptidase gene is associated with blood pressure response to benazepril in Chinese hypertensive patients 被引量:1
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作者 ZHANG Yan HONG Xiu-mei +3 位作者 XING Hou-xun Li Jian-ping HUO Yong XU Xi-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第20期2461-2465,共5页
背景显著 interindividual 变化在对 benazepril 的血压反应存在,它被认为有基因基础。我们的目的是评估是否在基因有的 prolylcarboxypeptidase (PRCP ) 的 E112D 多型性对从安徽省的 Huoqiu 县和 Yuexi 县的高血压的病人每天收到了的... 背景显著 interindividual 变化在对 benazepril 的血压反应存在,它被认为有基因基础。我们的目的是评估是否在基因有的 prolylcarboxypeptidase (PRCP ) 的 E112D 多型性对从安徽省的 Huoqiu 县和 Yuexi 县的高血压的病人每天收到了的 benazeprit.Methods 的血压反应上的影响有为 15 天的 10 mg benazepril 的口头的剂量的治疗。在 PRCP 基因的 E112D 多型性的遗传型被 TaqMan SNP genotyping 试金决定。用估计方程模型概括的 Multivariate 线性、逻辑的回归总共 1092 个病人的被执行评估到带编辑的 benazepril.Results 病人的 PRCP 遗传型和血压反应的协会或 DD 遗传型有不太收缩的血压减小(调整 =-3. 展开更多
关键词 高血压患者 基因多态性 反应 中国 多元线性回归 毫米汞柱 遗传标记 基因型
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