对脏,甲状腺和副甲状腺功能的长期影响:对实验室数据的回顾性分析
Brian Shine1, Rebecca F McKnight2, Laurence Leaver3
1John Radcliffe Hospital, Oxford, UK.
Lancet (London, England)
|May 25, 2015
概括
对情绪障碍的治疗可能导致脏和甲状腺功能障碍,特别是在60岁以下的女性中. 定期监测脏,甲状腺和副甲状腺功能对于接受治疗的患者至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
背景情况:
- 是治疗情绪障碍的基石,具有显著的疗效.
- 然而,其使用与人们对脏和内分泌系统的不良影响相关.
研究的目的:
- 分析实验室数据,确定使用者脏,甲状腺和副甲状腺功能障碍的发生率.
- 为了确定与这些不良影响相关的风险因素.
主要方法:
- 来自牛津大学医院NHS信托 (1982-2014) 的实验室数据的回顾性分析.
- 包括18岁以上的患者,至少有两次相关实验室测量.
- 利用生存分析和考克斯回归来估计使用的危险比率.
主要成果:
- 使用显著增加了第三阶段慢性病 (CKD),甲状腺功能低下和高血的风险.
- 女性,尤其是年轻女性,面临更高的脏和甲状腺疾病的风险.
- 更高的度和早期治疗阶段与增加不良事件风险有关.
结论:
- 治疗与功能下降,甲状腺功能低下和高血症有关.
- 年轻女性和含量较高的人群面临最高风险.
- 基线和定期长期监测脏,甲状腺和副甲状腺功能对于治疗的患者至关重要.
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