动脉性高血压患者联合细胞保护剂抗高血压药物治疗的免疫矫正效果

А.И. Конопля, В. П. Михин, E. V. Gavriliuk, A. Konoplya
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引用次数: 0

摘要

慢性亚临床免疫性炎症是高血压靶器官损伤的机制之一。本研究的目的是评价单用抗高血压药物治疗和联用墨西哥抗高血压药物治疗对动脉性高血压患者的免疫矫正效果。这项开放、随机对照试验纳入了68例诊断为II期高血压、2级动脉高血压、左室心肌肥厚、风险3级的患者。在降压治疗(培哚普利联合氨氯地平和培哚普利联合次氯噻嗪)单独和联合使用的背景下,动脉高血压患者细胞因子(肿瘤坏死因子、IL-1a、IL-6、IL-2、IL-8、IL-10、受体拮抗剂IL-1)、补体系统组分(C3、C4、C3a、C5、C5a、H因子和C1抑制剂)浓度和外周血中性粒细胞功能代谢活性的变化。在动脉高血压患者中,与使用培哚普利和次氯噻嗪相比,培哚普利与氨氯地平联合用药具有更大的免疫矫正效果,而在两组中,加用墨西可增强这种效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IMMUNOCORRECTIVE EFFICIENCY OF ANTIHYPERTENSIVE PHARMACOTHERAPY IN COMBINATION WITH CYTOPROTECTOR IN PATIENTS WITH ARTERIAL HYPERTENSION
Chronic subclinical immune inflammation is one of the discussed mechanisms of target organ damage in arterial hypertension. The purpose of the study is to evaluate the immunocorrective efficacy of antihypertensive pharmacotherapy in patients with arterial hypertension alone and in combination with Mexican. The open, randomized controlled trial included 68 patients with a diagnosis of stage II hypertension, grade 2 arterial hypertension, left ventricular myocardial hypertrophy, risk 3. The concentration of cytokines (tumor necrosis factor, IL-1a, IL-6, IL-2, IL-8, IL-10, receptor antagonist IL-1), components of the complement system (C3, C4, C3a, C5, C5a, factor H and C1 inhibitor) and functional metabolic activity of peripheral blood neutrophils in patients with arterial hypertension against the background of the use of antihypertensive therapy (perindopril with amlodipine and perindopril with hypochlorothiazide) separately and in combination with mexicor. In patients with arterial hypertension, greater immunocorrective efficacy has been established in prescribing the combination of perindopril with amlodipino compared with the use of perindopril and hypochlorothiazide, while in both groups the additional administration of mexicor enhances this effect.
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