早期重症监护病房入院期间的药物基因组变异和镇静结果:一个务实的研究
Moataz E Mohamed1, Tam T Nguyen1, Jared Larson2
1Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, Minnesota, USA.
药物基因组 (PGx) 变异没有显著影响机械通风 (MV) 关键病患者的镇静结果. 然而,患者对PGx测试表现出积极的看法,这表明了潜在的未来效用.
科学领域:
- 药物基因组学 药物基因组学
- 关键护理医学 关键护理医学
- 遗传学 是一个遗传学.
背景情况:
- 在机械通风 (MV) 患者中,不可预测的镇静剂和止痛药反应很常见.
- 遗传变异 (药物遗传学 (PGx) 变异) 可能会影响这些患者的反应.
- 了解PGx关联对于优化重症监护患者管理至关重要.
研究的目的:
- 为了研究PGx变化和静止结果之间的关联,在MV的ICU患者.
- 评估患者对PGx测试和结果的看法和满意度.
- 探索特定基因变异与达到目标镇静水平之间的关系.
主要方法:
- 展望性,观察性PGx关联研究.
- 在MV接受镇静剂/止痛药的成年ICU患者被纳入 (n=78).
- 后勤回归分析了改变的PGx表型 (CYP2D6,CYP3A4/5,COMT,OPRM1,CYP2B6) 和实现目标的里士满兴奋镇静量表 (RASS) 分数之间的关联.
主要成果:
- 参与者平均有2个改变的PGx表型.
- 在越来越多的改变PGx表型和更糟糕的镇静结果 (达到目标RASS范围) 之间没有发现显著的关联.
- 释放后的调查参与者报告了对PGx测试的积极看法.
结论:
- 在研究基因中的PGx变异和重症MV患者的镇静结果之间没有发现显著的关联.
- 需要对更大的队列和额外的基因进行进一步的研究.
- 集中治疗室的参与者对PGx表现出积极的态度,这表明他们对未来的临床整合有潜在的接受.
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