使用吸入性皮质类固醇的患者骨折风险增加:一项韩国全国性的研究
Sung Hye Kong1,2, Ae Jeong Jo3, Chan Mi Park4
1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
吸入性皮质类固醇 (ICS) 在喘患者中使用,特别是骨质疏松症患者,显著增加骨折风险. 这强调了需要监测这些人的骨健康.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 整形外科 整形外科 整形外科
背景情况:
- 喘管理涉及各种药物,具有潜在的全身效应.
- 骨健康是老龄化人口的一个关键问题.
研究的目的:
- 调查不同类型的喘药物与骨健康结果之间的关联.
- 评估与喘药物使用有关的骨质疏松和关节骨折风险.
主要方法:
- 使用韩国国家医疗保险服务数据 (2015-2019) 进行的回顾性队列研究.
- 包括6173名66岁的喘妇女,按药物分类:非使用者,白血抗体,吸入性皮质类固醇 (ICS) 和ICS+长效β抗体 (LABA).
- 主要结局:主要骨质疏松性骨折和部骨折的发生率.
主要成果:
- 在2.7年的时间里,发生了615次严重的骨质疏松和96次关节骨折.
- ICS和ICS+LABA使用者在两种骨折类型中都显示出显著更高的风险 (HRs>1.38).
- 这种风险增加在患有骨质疏松症的患者中尤为明显.
结论:
- 喘药物,特别是ICS和ICS+LABA,与骨折风险增加有关.
- 对喘患者,特别是老年妇女和患有骨质疏松症的人来说,骨健康监测至关重要.
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