心血管管理中的性别差异:呼吁更好地承认-第一部分女性和男性的药理学差异;它们有多重要?
Andreea-Cristina Ivanescu1,2, Gheorghe-Andrei Dan1,2
1Carol Davila University of Medicine, Bucharest, Romania; and.
American journal of therapeutics
|May 1, 2024
概括
心血管药物药理学中存在性别差异,但通常被个人因素掩盖. 临床实践需要按性别分类的数据,以实现个性化医疗和改善患者的治疗结果.
科学领域:
- 药理学 药理学是指药理学的学科.
- 心血管医学 心血管医学
- 性差异研究 研究 研究 研究
背景情况:
- 心血管 (CV) 药物药理学中的性别差异 (SD) 已被记录,但临床建议仍然很少.
- 鉴定由于SDs而改变的临床反应对于个性化医学至关重要.
研究的目的:
- 概述CV药物的主要药理学驱动因素,这些驱动因素在性别之间存在差异.
- 讨论这些基于性别的差异的临床影响和挑战.
主要方法:
- 对英语文学进行全面的综述.
- 在PubMed和Embase数据库中对CV药物药理学中SD的研究进行搜索.
主要成果:
- 大多数"取决于性别"的CV药物药理动力学和药理动力学差异通过调整人类学因素来补偿.
- 个人,文化和社会因素,以及性别偏见的处方和遵守,显著影响疾病管理和结果.
- 制定性别指导方针需要仔细评估研究中两种性别的代表性,并报告性别分类数据.
结论:
- 性别之间存在许多药理学差异,但它们的临床意义需要进一步阐明.
- 强制将女性纳入研究和报告性别特异性结果对于临床应用至关重要.
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