与吸入性皮质类固醇和类固醇的同时使用相关的肺炎风险增加:药监测分析
Junlong Ma1, Yaxin Liu1, Yuanyuan Sun1
1Center of Clinical Pharmacology, Third Xiangya Hospital, Central South University, No 138, Tongzipo Road, Yuelu District, Changsha, 410013, Hunan, China.
吸入性皮质类固醇 (ICS) 和类固醇 (BZD) 的联合使用显著增加了喘和COPD患者的肺炎风险. 医疗保健提供者在将这些药物一起处方时应谨慎行事.
科学领域:
- 肺部医学 肺部医学
- 药物监督 药物监督 药物监督
- 临床药理学 临床药理学
背景情况:
- 吸入性皮质类固醇 (ICS) 可以治疗喘和COPD,但会增加肺炎的风险.
- 用于呼吸系统患者精神疾病的二西平 (BZD) 也与肺炎有关.
- 这项研究研究了同时使用ICS和BZD引起的肺炎风险.
研究的目的:
- 调查联合吸入性皮质类固醇和二甲使用与肺炎风险之间的关联.
- 为量化患者同时使用ICS和BZD的肺炎风险.
主要方法:
- 对FDA不良事件报告系统数据的分析 (Q4 2013-Q3 2023).
- 包括涉及喘或COPD患者的报告.
- 不成比例和物流回归分析,包括加法和乘法模型.
- 根据性别,年龄和疾病类型进行子组分析.
主要成果:
- 总共有238,411份报告进行了分析.
- 同时使用ICS和BZD显示,肺炎的报道显著增加 (ROR:2.41,95% CI 2.25-2.58).
- 在特定组合 (如mometasone/clonazepam) 和女性,老年人 (>60岁) 和喘患者中观察到高风险.
结论:
- 联合使用ICS和BZD与肺炎的风险显著增加有关.
- 临床医生在联合处方ICS和BZD时应谨慎.
- 需要进一步的临床研究来充分阐明这种药物相互作用.
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