质子抑制剂与喘风险增加有关:一项全国性嵌套病例控制研究
Wei-Ting Wang1, Cheng-Yuan Li2, Yun-Ting Chang2
1From the Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Allergy and asthma proceedings
|August 29, 2023
概括
长期使用质子抑制剂 (PPI) 与患的风险增加有关. 这种风险取决于剂量,特别是在男性中,因此需要进一步研究因果机制.
科学领域:
- 药理学 药理学是指药理学的学科.
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 质子抑制剂 (PPI) 在全球范围内被广泛使用.
- 防护剂使用与喘风险之间的联系尚未得到充分证实.
研究的目的:
- 调查使用质子抑制剂与新发喘风险之间的关联.
- 探索剂量依赖关系和危险因素.
主要方法:
- 使用台湾国家健康保险研究数据库 (1999-2013) 进行的一项回顾性队列研究.
- 患有新发喘的病例 (n=20,344) 与对照病例进行了1:1匹配.
- 用PPI定义为>30个累积定义每日剂量 (cDDD);根据查尔森并发症指数 (CCI) 对并发症进行调整.
主要成果:
- 在PPI使用和喘风险之间发现了显著的,剂量依赖的关联.
- 男性的调整后的OR随着PPI暴露时间的增加 (≥365cDDDs的1.24至1.61).
- 男性的风险高于女性;特定的PPI (兰索普拉,潘托普拉,奥梅普拉,埃索梅普拉) 与风险增加有关.
结论:
- 长时间使用质子抑制剂与患喘的风险更高有关.
- 这种联系在各种人口统计和临床因素中是一致的.
- 需要进一步的前性研究来确认因果关系和理解机制.
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