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首页> 外文期刊>International Journal of Pharmacological Research >Proton-Pump Inhibitors Therapy and Blood Pressure Control
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Proton-Pump Inhibitors Therapy and Blood Pressure Control

机译:质子泵抑制剂的治疗和血压控制

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Objective: To evaluate the potential impact of inhibitors of proton-pump in blood-pressure. . Methods : In a 24-hour-ambulatory-blood-pressure-monitoring (AMBP)-database we analyzed records of 462-hypertensive-patients according Proton-Pump Inhibitors (PPI). 150(33%)-patients were regularly users of PPI, and 312(67%) nonusers of PPI. Ambulatory-blood-pressure was measured non-invasively for 24--hours by the Spacelab-devices programmed-to-measure every 20-minutes during-daytime and every 60-minutes during-nighttime. Results : Systolic-blood-pressure(SBP) was lower in the Proton-Pump-Inhibitors (PPI)-group (135±20.vs.139±16mmHg, p=0,02) as well as diastolic-blood-pressure (DBP) (76±10.vs.83±10mmHg, p<0.001). Multivariate-analysis showed that use of beta-blocker(OR, 2.60) and PPI(OR, 2.70), were independently associated with blood-pressure-control. Conclusions : This study shows that concomitant PPI therapy in hypertensive-patients was associated with a small but statistically significant-reduction in 24-hours-BP, even after multivariate-adjustment. However, This statistical difference seems to lack clinical relevance.
机译:目的:评估质子泵抑制剂对血压的潜在影响。 。方法:在24小时动态血压监测(AMBP)数据库中,我们根据质子泵抑制剂(PPI)分析了462位高血压患者的记录。定期使用PPI的患者为150(33%),非使用PPI的患者为312(67%)。动态血压是通过Spacelab设备在24小时内无创测量的,该设备被编程为在白天每20分钟测量一次,在夜间每60分钟测量一次。结果:质子泵抑制剂(PPI)组的收缩压(SBP)较低(135±20.vs.139±16mmHg,p = 0,02)以及舒张压( DBP)(76±10.vs.83±10mmHg,p <0.001)。多元分析表明,使用β受体阻滞剂(OR,2.60)和PPI(OR,2.70)与血压控制独立相关。结论:这项研究表明,即使经过多变量调整,高血压患者的伴随PPI治疗也可以使24小时BP降低但有统计学意义的降低。但是,这种统计差异似乎缺乏临床意义。

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