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抗逆转录病毒疗法与血压变化之间的关联:D2EFT研究的结果
Phyo Pyae Nyein1, Kathy Petoumenos1, Margaret Borok2
1The Kirby Institute, University of New South Wales, Sydney, Australia.
概括
服用多卢特格拉维尔加达鲁纳维尔/里托纳维尔的人在48周后,与服用2种核酸逆转录酶抑制剂加达鲁纳维尔/里托纳维尔的人相比,他们的血压增加更高.
科学领域:
- 艾滋病毒/艾滋病研究研究
- 药理学 药理学是指药理学的学科.
- 心血管健康的心血管健康
背景情况:
- 抗逆转录病毒疗法 (ART) 对于治疗艾滋病毒至关重要.
- 了解不同ART治疗方案的心血管安全性比较是必不可少的.
研究的目的:
- 为了比较两种不同的ART疗法对血压的影响.
- 评估基于杜洛特格拉维尔的疗法对高血压的安全性.
主要方法:
- 采用了一种随机对照研究设计.
- 参与者接受了多卢特格拉维尔+达鲁纳维尔/里托纳维尔或2种核酸逆转录酶抑制剂+达鲁纳维尔/里托纳维尔.
- 血压一直被监测到第48周.
主要成果:
- 在dolutegravir+darunavir/ritonavir组中观察到压缩性和压缩性血压的较大增加.
- 这些差异在第48周仍然具有统计学意义.
- 观察到的血压变化与体重增加无关.
结论:
- 与使用2种核酸逆转录酶抑制剂的疗法相比,基于dolutegravir的ART疗法可能与高血压的风险更高有关.
- 对于服用多卢特格拉维尔+达鲁纳维尔/里托纳维尔的患者,可能需要进一步进行心血管监测.
- 这一发现对长期的艾滋病毒管理策略有影响.
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