肾素—血管紧张素系统与高血压心脏重塑的研究
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  • 英文题名:Study on the Relationship between Cardiac Remodelling and Renin-angiotensin System in Hypertension
  • 作者:张宇清
  • 论文级别:博士
  • 学科专业名称:内科心血管
  • 学位年度:2000
  • 导师:刘国仗
  • 学科代码:100201
  • 学位授予单位:中国协和医科大学
  • 论文提交日期:2000-05-01
摘要
高血压是最常见的心血管病,是全球范围内的重大公共卫生问题。长期高血压所造成的心肌左室肥厚(LVH)是心脏事件的独立危险因素。本研究的主要目的是通过观察抗高血压药物,特别是影响肾素-血管紧张素系统(RAS)的ACEI对高血压心肌肥厚的治疗作用,探讨RAS在高血压心脏重塑中的作用。
     本研究分为两部分。
     第一部分:临床汇总分析
     1.研究目的:利用汇总分析(Meta-analysis)的研究方法,观察不同降压药物对高血压伴有左室肥厚患者的逆转作用,尤其对ACEI改善高血压左室肥厚方面是否优于其它药物进行深入探讨。
     2.研究方法:
     按预先设定的标准,通过互联网和光盘检索,选择国内外所有符合条件的文献数据。
     3.统计分析:
     将随机对照研究的每一治疗组作为研究对象。计算治疗人数、平均年龄、治疗药物分类、治疗时间、治疗前与治疗后
Hypertension, which is a cardiovascular disease with a high prevelance, remains an greater challenge to the health of the people all over the world. As a consequence of long course of hypertension, cardiac remodeling developed, as well as left ventricular hypertrophy, which is a indedpendent risk factor of cardiac events.
    The aim of this study was to investigate the effects of renin angiotensin system (RAS) on the cardiac remodelling in hypertensives. This study consisted of two parts:
    1. Clinical meta-analysis on reversal of left ventricular hypertrophy in hypertension
    To determine the effects of various antihypertensives agents on the reversal of left ventricular hypertrophy in essential hypertension, particularly the effect of angiotension converting enzyme inhibitor (ACEI) on this field.
    1.1. Material and method:
    The study material were the literature on which the results of the study of effect of various antihypertensive agents on the reversal of left ventricular hypertrophy in the treatment of
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