[预防结石的变化]
Cyril Derouet1, Sébastien Kissling1, Beat Roth2
1Service de néphrologie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Revue medicale suisse
|February 28, 2024
概括
通过含的石头后预防结石可能不会受益于甲酸盐. 仔细的风险和益处评估是需要在预防结石的 thiazide 处方.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 药理学 药理学是指药理学的学科.
背景情况:
- 结石是一种常见的尿路疾病.
- 石头后的管理侧重于通过改变生活方式和药物治疗的预防.
- 最近的试验质疑某些药物类别的疗效.
研究的目的:
- 为了评估甲酸在预防结石复发方面的有效性.
- 为了向临床实践提供有关对含石的 thiazide 处方的信息.
主要方法:
- 进行了一项随机对照试验 (NOSTONE).
- 包括患有含的结石的患者.
- 这项研究将甲酸治疗与预防复发的对照组进行了比较.
主要成果:
- 甲酸在预防结石复发方面没有显著的益处.
- 在治疗组和对照组之间没有观察到统计学上显著的差异.
结论:
- 目前的证据不支持仅为预防石复发的石患者开处方.
- 对于个体患者,应仔细考虑 thiazide 的风险-益处概况.
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