脂质修饰疗法和胰腺炎风险:一个元分析
David Preiss1, Matti J Tikkanen, Paul Welsh
1BHF Glasgow Cardiovascular Research Centre, University of Glasgow, 126 University Pl, Glasgow G12 8TA, United Kingdom. david.preiss@glasgow.ac.uk
JAMA
|August 23, 2012
概括
静止剂治疗与正常或轻微升高的甘油三水平的患者胰腺炎风险降低有关. 然而,纤维化疗法显示,胰腺炎风险的潜在增加.
科学领域:
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 观察性研究表明,他类药物治疗可能与胰腺炎有关.
- 脂质指南推纤维酸治疗高甘油三血症以减轻胰腺炎风险,但纤维酸可以导致胆结石,胰腺炎风险因素.
研究的目的:
- 利用大型随机对照试验的数据,调查他类药物或纤维酸治疗与胰腺炎发病率之间的关联.
主要方法:
- 对相关随机对照试验进行了MEDLINE,EMBASE和Web of Science的系统文献搜索.
- 来自21项他类药物试验 (153,414名参与者) 和7项纤维酸试验 (40,162名参与者) 的数据使用随机效应元分析进行了聚合.
主要成果:
- 达丁类药物治疗与胰腺炎风险降低有关 (风险比率[RR],0.79;95% CI,0.65-0.95).
- 纤维化疗法显示了胰腺炎风险增加的趋势 (RR, 1.39; 95% CI, 1.00-1.95).
结论:
- 随机试验数据的综合分析表明,在正常或轻微升高的甘油三水平的患者中,他类药物的使用与胰腺炎的风险较低有关.
- 纤维化疗法可能与胰腺炎的风险增加有关.
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