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肾素抑制剂阿利吉仑
引用本文:张雅娉,袁洪,黄志军.肾素抑制剂阿利吉仑[J].中国临床药理学杂志,2012,28(3):221-224.
作者姓名:张雅娉  袁洪  黄志军
作者单位:中南大学湘雅三医院心内科,长沙,450013
基金项目:国家“重大新药创制”科技重大专项子项目基金资助项目
摘    要:阿利吉仑(aliskiren)用于肾素-血管紧张素-醛固酮系统(RAAS)的起始步骤达到降压目的,其半衰期极长,耐受性可与安慰剂相媲美。单用阿利吉仑的降压疗效与其他一线降压药相似,甚至更优;联合用药疗效明显提高,不发生有害的药物间相互作用。对于特殊高血压人群如合并糖尿病、肥胖、或是老年高血压病人,阿利吉仑也表现出极好的疗效和耐受性。阿利吉仑对靶器官起到明显的保护作用,可逆转和延缓高血压引起的心血管和肾脏损害。

关 键 词:肾素抑制剂  阿利吉仑  高血压

Direct renin inhibition: Aliskiren
ZHANG Ya-ping , YUAN Hong , HUANG Zhi-jun.Direct renin inhibition: Aliskiren[J].The Chinese Journal of Clinical Pharmacology,2012,28(3):221-224.
Authors:ZHANG Ya-ping  YUAN Hong  HUANG Zhi-jun
Affiliation:(Cardiology,The Third Xiang-Ya Hospital of Central South University,Changsha 450013,China)
Abstract:Aliskiren is an effective antihypertensive drug by inhibiting the renin-angiotensin system.It has a prolonged duration of action and favorable tolerability comparable with placebo.The blood pressure-lowering effect of aliskiren monotherapy is similar,if not superior,to that of other first-line antihypertensive agents,and is greatly enhanced when aliskiren is combined with various other antihypertensive medications,without any adverse drug interactions.Aliskiren is also an effective and well tolerated therapy in special populations,including diabetic,obese,and elderly hypertensives.Beyond its blood pressure-lowering efficacy,aliskiren has positive effects on markers of cardiovascular and renal damage.
Keywords:renin inhibitors  aliskiren  hypertension
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