Objective To observe the curative effect of maintenance hemodialysis combined with hypotensive drugs administration before and after meal in hypertension patients, in order to provide appropriate method for treatment. Methods A total of 100 maintenance hemodialysis combined with hypertension patients were randomly divided into two groups. Pre-meal group received 5~10 mg/d of amlodipine tablets before breakfast once a day with 1 captopril tablet 3 times a day before each meal. Post-meal group received 5~10 mg/d of amlodipine tablets after breakfast once a day with 1 captopril tablet 3 times a day after each meal. Treatment lasted for 6 months in both groups. Results After treatment, the total effective rate was higher in the pre-meal group (88.00%) than the post-meal group (68.00%). Their difference had statistical significance (P<0.05). Compared with blood pressure changes in the post-meal group, the pre-meal group had more decrease in systolic pressure, and their difference had statistical significance (P<0.05). Conclusion Administration of hypotensive drugs before meal can effectively control blood pressure in maintenance hemodialysis combined with hypertension patients, and this method should be widely applied in clinic.%目的:观察维持性血液透析并高血压患者餐前餐后服用降压药的治疗效果,为此类病的治疗寻找更合适的方法。方法100例维持性血液透析并高血压患者,按随机原则分成两组。餐前组的患者早餐前服用5~10 mg/d 的氨氯地平片,1次/d,同时每顿餐前服用1片卡托普利,3次/d。餐后组的患者早餐后服用5~10 mg/d 的氨氯地平片,1次/d,同时每顿餐后服用1片卡托普利,3次/d。两组患者进行治疗的时间都为6个月。结果治疗后,两组的治疗总有效率对比,餐前组(88.00%)比餐后组(68.00%)高,差异有统计学意义(P<0.05)。同时,与餐后组患者的血压变化情况对比,餐前组的收缩压下降的较多(P<0.05)。结论维持性血液透析并高血压患者在餐前服用降压药后,血压能够得到较好的控制,应该在临床中多加运用。
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