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目的:探讨非洛地平和贝那普利联合应用对2型糖尿病并发高血压患者早期肾功能损害的疗效。方法:2型糖尿病并发高血压;尿素氮及肌酐正常;有微量白蛋白尿患者60例,单纯随机分为3组,非洛地平和贝那普利组各20例,联合治疗组20例,疗程均为6个月。观察治疗前后血压和肾功能的变化。结果:两药单独治疗及联合用药后血压均有明显下降,尿微量白蛋白降低,联合治疗组降低血压和降低尿微量白蛋白幅度优于单独治疗组。结论:非洛地平、贝那普利对糖尿病高血压患者有较好的降血压、降尿微量白蛋白的作用,两药合用可起到协同作用。
Objective: To investigate the efficacy of combination of felodipine and benazepril on early renal dysfunction in type 2 diabetic patients with hypertension. Methods: Sixty patients with microalbuminuria were randomly divided into three groups: 20 patients in the felodipine and benazepril group, 20 patients in the combination therapy group, Course of treatment are 6 months. Changes of blood pressure and renal function before and after treatment were observed. Results: The blood pressure and the microalbuminuria of the two drugs decreased significantly after treatment and combination therapy. The combined treatment group had lower blood pressure and lower urine microalbumin amplitude than the single treatment group. Conclusion: Felodipine and benazepril have better antihypertensive effects and lower urine microalbuminuria in patients with diabetes mellitus, and synergistic effects of both drugs can be found.