相关实验视频
Updated: Jun 12, 2025

06:39
Real-Time Void Spot Assay
Published on: February 10, 2023
1.9K
质子抑制剂使用与成年人过度活性膀风险之间的关联:一个横截面研究
Yuan-Zhuo Du1, Jia-Hao Liu1, Fu-Chun Zheng1
1Department of Urology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China; Key Laboratory of Urinary System Diseases of Jiangxi Province, Nanchang, China.
Urology
|September 20, 2024
概括
质子抑制剂 (PPI) 的使用与成年人过度活性膀 (OAB) 的更高风险有关. 长期使用PPI进一步增加了发展OAB症状的可能性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 质子抑制剂 (PPI) 被广泛用于与酸有关的胃肠道疾病.
- 过度活跃的膀 (OAB) 显著影响生活质量,其特点是尿急和尿频.
研究的目的:
- 为了检查质子抑制剂 (PPI) 使用与成年人群中过度活性膀 (OAB) 的患病率之间的关联.
- 调查PPI持续时间和OAB发生率之间的剂量反应关系.
主要方法:
- 国家健康和营养检查调查 (NHANES) 数据 (2007-2018) 的横截面分析.
- 用多变量逻辑回归和限制立方线 (RCS) 来评估PPI-OAB关系.
- 进行了相互作用和分层分析,以探索修饰因素.
主要成果:
- 这项研究包括24,458名成年人,其中PPI使用者表现出更高的夜尿,冲动性失禁和OAB.
- 完全调整的模型显示,在PPI使用者中,OAB的风险显著增加 (OR=1.36,95% CI:1.17-1.60).
- 每增加一年的PPI使用与OAB症状频率增加3%有关 (P=.01).
结论:
- 在PPI使用和成年人OAB发展之间存在显著的积极关联.
- 长时间的PPI治疗与经历OAB症状的风险增加有关.
相关概念视频
Acid Suppressive Drugs for Peptic Ulcer Disease: Proton Pump Inhibitors
361
Peptic ulcers, often induced by H. pylori infections or NSAID usage, arise from disruptions in the delicate balance of gastric acid production. Peptic ulcers stem from heightened gastric acid levels due to H. pylori infections or NSAID use. The protective mucus layer diminishes in the presence of these factors, allowing gastric acid to erode the stomach lining and form ulcers.
Gastric acid, a potent cocktail of hydrogen and chloride ions, is produced in specialized parietal cells within the...
Gastric acid, a potent cocktail of hydrogen and chloride ions, is produced in specialized parietal cells within the...
361
Drugs for Treatment of Constipation-Predominant IBS
143
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
143
Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors
357
Peptic ulcer disease, commonly called PUD, represents a multifaceted condition characterized by disruptions in the lining of the gastrointestinal (GI) tract. Central to the protection of the gastrointestinal lining is the mucosal-bicarbonate barrier. This physiological defense mechanism is a formidable shield against the corrosive effects of gastric acid and pepsin secretion in the stomach. Its role is pivotal in maintaining the structural integrity of the stomach's inner lining.
357
Peptic Ulcer Disease I: Introduction
141
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
141
Peptic Ulcer Disease IV: Management
74
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
74
Antihypertensive Drugs: Potassium-Sparing Diuretics
473
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
473

