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和双相情感障碍患者骨折的风险:基于人口的队列研究
Vanessa W S Ng1, Miriam T Y Leung2, Wallis C Y Lau3
1Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong, China.
Psychiatry research
|July 13, 2024
概括
与其他情绪稳定剂相比,双极性障碍的治疗可能会降低骨折风险. 这一发现对患有严重精神疾病的患者至关重要,因为他们容易跌倒.
科学领域:
- 骨质新陈代谢和心理健康
- 对双相情感障碍的药理疗法
背景情况:
- 双极性障碍的治疗方法,包括抗精神病药物和情绪稳定性抗药,引起人们对骨折风险的担忧.
- 对于与特定双相情感障碍药物相关的比较骨折风险的了解有限.
研究的目的:
- 为了比较双相情感障碍患者治疗的骨折风险与抗精神病药物或情绪稳定抗药物.
- 在一大群患者中研究对骨代谢和骨折风险的影响.
主要方法:
- 使用英国初级保健电子健康记录 (1993-2019) 进行的回顾性队列研究.
- 包括40697名被诊断患有双相情感障碍的患者,其中13385名是情绪稳定剂的新用户.
- 在使用者和非使用者 (抗精神病药物,氨酸,拉莫特里金,卡巴马泽平) 之间的骨折风险比较.
主要成果:
- 与非治疗相比,的使用与骨折风险明显降低 (HR 0.66,95% CI 0.44-0.98).
- 这种关联在与各种抗精神病药物和抗药物子组的比较中保持一致.
- 的潜在骨调节特性可能有助于降低骨折风险.
结论:
- 可能在患有双相情感障碍的患者中提供对骨折的保护作用.
- 的这种骨折预防益处尤其适用于患有严重精神疾病,跌倒风险较高的人.
- 研究结果支持对双相情感障碍患者,特别是那些骨折风险较高的患者考虑.
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