与透析相关的肌肉的药物治疗:系统性审查
Nidia Mantilla-Manosalva1,2, Santiago Guadarrama1,2, Lennis Jazmin Bedoya-Muñoz1,2
1Palliative Care Program, Universidad de La Sabana, Bogotá, Colombia.
Seminars in dialysis
|August 18, 2024
概括
这次审查审查了与透析相关的肌肉的药理疗法. 维生素C和维生素E显示出积极的结果,而L-卡尼丁则需要对这种常见患者症状进行进一步研究.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 肌肉是治疗透析的末期病 (ESRD) 患者的常见和衰弱症状.
- 目前用于透析相关肌肉的治疗方法在有效性和安全性上是有限的.
研究的目的:
- 系统地审查药理干预措施治疗透析患者肌肉的疗效和安全性.
- 巩固目前关于透析相关肌肉治疗的证据.
主要方法:
- 在多个数据库 (OVID,CINAHL,PubMed,Web of Science,Cochrane Central) 进行了对实验研究的系统审查,截至2023年8月25日.
- 通过使用RoB2工具评估研究质量,并遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 包括13项涉及9项干预措施的研究 (包括维生素C,E,K2,B7,乳糖, gabapentin,化,肌酸单和L-carnitine).
- 维生素C和维生素E是最受研究的,它们对的频率,严重程度和持续时间有积极的影响.
- 只有对L-卡尼丁和肌酸单酸的研究具有较低的偏差风险;副作用是最小的 (胃肠道不适,高血糖症).
结论:
- 维生素C和维生素E在治疗透析相关肌肉方面表现有前途.
- L-卡尼丁是一种潜在的干预措施,需要进一步进行高质量的研究.
- 未来的研究应该集中在可靠的方法,患者报告的结果和明确的样本上,以加强ESRD患者的治疗策略.
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