止痛药的使用和男性的功能
K M Rexrode1, J E Buring, R J Glynn
1Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Ave, Boston, MA 02215, USA. gaziano@maveric.org
JAMA
|July 24, 2001
概括
适度使用常见的止痛药,如乙氨基和阿司匹林,与健康男性脏问题的风险增加无关. 这项大型研究发现,止痛药使用与功能障碍之间没有显著的关联.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 流行病学 流行病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 病例控制研究表明,止痛药的使用与慢性病之间存在联系.
- 然而,研究这种关联的强有力的队列研究是有限的.
研究的目的:
- 调查止痛药消费与患功能障碍的风险之间的关联.
- 这项研究旨在澄清常见止痛药对脏健康的影响.
主要方法:
- 一项长达14年的队列研究,涉及来自医生健康研究的11,032名最初健康的男性.
- 使用止痛药 (乙氨基,阿司匹林,NSAIDs) 是自我报告的,功能障碍是由肌素升高或肌素清除率降低所定义的.
- 多变量分析根据各种健康和生活方式因素进行调整.
主要成果:
- 在使用乙氨基,阿司匹林或其他非类固醇抗炎药物 (NSAIDs) 与肌素水平升高之间没有发现显著的关联.
- 同样,减少肌素清除率与止痛药使用没有显著的关联.
- 即使是高累积摄入的止痛药也没有与增加功能障碍的风险相关.
结论:
- 适度使用常见的止痛药,包括乙氨基,阿司匹林和NSAIDs,似乎不会增加最初健康男性功能障碍的风险.
- 研究结果表明,在这个人群中,典型的止痛药消费可能对功能安全.
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