与使用德斯摩素相关的低血的危险因素
Jae Heon Kim1, Hee Jo Yang2, Sang Yeong Kim3
1Department of Urology, Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea.
Translational andrology and urology
|July 10, 2024
概括
在4.4%的患者中,治疗夜尿症的德斯莫普林可以导致低血症. 风险因素包括年龄,某些并发症和特定药物. 建议谨慎使用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 药理学 药理学是指药理学的学科.
背景情况:
- 夜严重影响患者的生活质量.
- 德斯莫普拉辛是一种常见的治疗成人夜尿症.
- 德斯摩素的使用与低血症的风险有关.
研究的目的:
- 为了确定低血症的发病率在患者处方德斯莫普林.
- 为了确定与德斯莫普林素诱导的低血症相关的危险因素.
主要方法:
- 对成人患者的回顾性分析新处方德斯莫普林素0.1毫克 (片).
- 从2015年1月到2020年12月收集的数据.
- 分析基线特征,并发症和同时服用的药物,以确定低血风险因素 (血清≤135 mmol/dL).
主要成果:
- 总共包括了918名成年患者.
- 低血症的总体发病率为4.4%.
- 低血症在老年患者 (71.0岁对61.6岁),高血压患者和服用血管新生素受体阻断剂或 thiazides 的患者中更为普遍.
结论:
- 低血是德斯莫普林素使用者的显著风险,发生在4.4%的患者中.
- 关键的风险因素包括晚年,特定的并发症,同时服用药物,以及降低估计的淋巴球过率 (eGFR).
- 建议在处方德斯莫普林时保持临床警,特别是在高危人群中.
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