[诺芬对青年高血压患者自主神经功能障碍的矫正]。

Likars'ka sprava Pub Date : 2015-10-01
I I Knyazkova, N V Kuzminova, N Yu Osovskaya
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引用次数: 0

摘要

本研究旨在探讨加用盐酸-氨基-苯丁酸降压治疗对青年高血压患者心血管系统自主调节及心理情绪状态的影响。该研究包括58名男性高血压患者,年龄18-39岁(平均年龄31.7岁- 2.3岁),其中28名患者(I组)给予-受体阻滞剂,另一组患者接受复合治疗,包括-受体阻滞剂和-氨基--苯丁酸氢chiotide- Noofen(“OlainFarm”,拉脱维亚)250 mg,每天3次,持续4周。对照组为20例18-39岁的健康个体(平均年龄31.5岁±2.5岁)。检查包括标准临床检查;生化和仪器研究。我们进行了血压计、动态血压监测(ABPM)、多普勒超声心动图、心率变异性、自主症状问卷和Spielberger- Hanina焦虑量表的临床测量。对年轻男性高血压患者的昼夜血压特征和自主神经系统状态的分析表明,尽管高血压病史较短,但血压昼夜节律的违反与心血管系统自主调节的违反相关,如交感神经活动增加和副交感神经活动减少。在有自主神经功能障碍的高血压患者中,我们注意到精神健康水平下降,有研究表明,在年轻高血压男性患者和自主神经功能障碍患者中,加用诺芬联合治疗可显著改善心率变异性时间参数,恢复自主神经平衡,降低反应性焦虑水平,改善心理情绪状态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[THE CORRECTION WITH NOOPHEN OF AUTONOMIC DYSFUNCTION IN YOUNG MEN WITH HYPERTENSION].

The aim of this study was to investigate the influence of antihypertensive therapy with adding of gamma-amino-beta-phenylbutyric acid hydrochloride on the autonornic regulation of tcardiovascular system and the psychoemotional status in young men with hypertension. The study included 58 male with hypertension, aged 18-39 years (mean age 31.7 yearst 2.3 years), of them 28 patients (group I) administered beta-blocker and the other received a complex therapy which included beta-blocker and gamma-amino-beta-phenylbutyric acid hydrochiotide--Noofen ("OlainFarm", Latvia) 250 mg 3 times a day for 4 weeks. The control group consisted of 20 healthy indi&iduals aged 18-39 years (mean age 31.5 years +/- 2.5 years). The examination included of standard clinical; biochemical and instrumental investigatIons. We conducted a clinical measurement of blorid pressure, ambulatory blood pressure monitoring (ABPM), Doppler echocardiography, heart rate variability, autononlic symptoms questionnaire and Spielberger--Hanina Anxiety Scale. Analysis of circadian blbod pressure profile arid autonomic nervous system state in young men with hypertension, in spite of the short disenle history demonstratnl violations of the blood pressure circadian rhythm associated with the violation of the autonomic regulation of cardiovascular system as indreased sympathetic activity and decreased parasympathetic activity heart tate. In hypertensive patients with autonomic dysfunction we noted a reduction of level of mental health, which was reflected in an increase in'the number of people with high and moderate levels of reactive and personal anxiety It has been demonstratedthat the use of combination therapy with adding Noofen in young hypertensive men and autonomic dysfunction helped significantly improve the HRV parameters and restore autonomic balance on time parameters of heart rate variability reduced the level of reactive anxiety and imprdved the psychoemotional state.

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