在接受普罗波福,克莱维迪平或两者治疗的患者中,过高甘油三糖血的发生率
Christopher B Johns1, Travis W Fleming1, Skyler R Brown1
1Department of Pharmacy, The University of Tennessee Medical Center, Knoxville, TN, USA.
The Annals of pharmacotherapy
|February 26, 2024
概括
在重症患者中使用普罗波福和克利维迪平 (PC) 并没有显著改变三糖水平或高三糖 (HTG) 发病率. 当PC同时使用时,甘油三的监测频率不需要改变.
科学领域:
- 关键护理医学 关键护理医学
- 临床药理学 临床药理学
- 药理动力学 药理动力学
背景情况:
- 普罗波福和克莱维迪平是临床重症监护中常见的脂质乳液药物.
- 有限的数据存在hypertriglyceridemia (HTG) 发病率与单独或同时使用这些药物.
研究的目的:
- 评估普罗波福,克利维迪平或同时使用的PC对重症成年人中甘油三水平和相关结果的影响.
主要方法:
- 对190名接受≥24小时普罗波福和/或克利维迪平治疗的成年患者进行了回顾性队列研究.
- 主要结局:高血压 (>400 mg/dL) 的发生率. 二次结局:TG水平,停留时间,胰腺炎的发展.
主要成果:
- 在普罗波 (17.4%),克利维迪平 (12%),和PC (12.9%) 组中,HTG的发生率相似 (P=0.6246).
- 峰值和中位数的甘油三水平在各组中也相似.
结论:
- 同时使用普罗波和克利维迪平似乎不会增加高甘油三血症的风险.
- 当前对甘油三水平的监测协议在同时使用这些药物时可能足够.
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