• 中国核心期刊(遴选)数据库收录期刊
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• 药品评价-循证医学研究 • 上一篇    下一篇

氨氯地平联合肾素-血管紧张素系统抑制剂治疗原发性高血压有效性的Meta分析

孟凡超,周迎波,丁洋,刘永军   

  1. 中国药科大学国际医药商学院,中国药科大学国际医药商学院,中国药科大学国际医药商学院,中国药科大学国际医药商学院
  • 收稿日期:2015-01-07 修回日期:2015-01-07 出版日期:2015-04-25 发布日期:2015-04-25

Meta-analysis of Effectiveness of Amlodipine Combined with Adrenergic Inhibitors for Essential Hypertension

孟凡超,周迎波,丁洋 and 刘永军   

  1. School of International Pharmaceutical Business, China Pharmaceutical University,School of International Pharmaceutical Business, China Pharmaceutical University,School of International Pharmaceutical Business, China Pharmaceutical University,
  • Received:2015-01-07 Revised:2015-01-07 Online:2015-04-25 Published:2015-04-25

摘要: 目的:评价氨氯地平联合肾上腺素抑制剂与单用药治疗高血压的有效性。方法:在中国知网、万方数据库及Web of Science上检索氨氯地平联合沙坦类与普利类治疗原发性高血压的相关文献,并同时辅以文献追踪法进行检索,对符合纳入标准的文献采用RevMan5.0专用软件进行Meta分析。结果:共纳入7篇文献,有977例研究对象,其中试验组472例,对照组459例。纳入3篇氨氯地平联合普利类用药的有效性进行Meta分析,合并 OR 值为 6.64(P<0.00001),95%的CI为[3.48,12.65];4篇氨氯地平联合沙坦类用药的有效性进行Meta分析,合并OR值为3.81(P<0.0001),95%的CI为[2.04,7.13]。结论:与单一使用氨氯地平相比,氨氯地平联合血管紧张素转化酶抑制剂用药能够明显改善高血压的治疗效果;联合血管紧张素II受体阻滞剂的治疗效果尚待进一步探究。

Abstract: Objective: To evaluate the effectiveness of amlodipine combined with adrenergic inhibitors and single drug treatment of essential hypertension(EH). Methods: amlodipine, sartan, perindopril, essential hypertension as the theme words, at China How Net, Wan Fang Database and Web of science, searching the related literature collection of amlodipine combined with losartan and perindopril in treatment of EH, using tracing literatures method, using RevMan5.0 special software to analyze the included papers. Results: 7 articles and 977 cases are included, including 472 cases of test group, 459 cases in the control group. In the Meta Analysis of combination effectiveness of amlodipine and sartan drug treatment, OR = 3.81(P<0.0001), 95%CI[2.04,7.13]; Meta analysis ofcombination effectiveness of amlodipine and perindopril treatment, with the value of OR was 6.64 (P<0.0001),95%CI[3.48,12.65]. Conclusion: compared with the single use of amlodipine, amlodipine combined with renin angiotensin system inhibitor medication can obviously improve EH treatment effect; The effectiveness of combination of angiotensin II receptor blockers remains to be further explored.