使用GLP-1受体激动剂不会增加后内镜呼吸道并发症的风险
Jena Velji-Ibrahim1,2, Piyush Nathani3, Harsh K Patel3
1Internal Medicine, Prisma Health Upstate, Greenville, United States.
Endoscopy international open
|February 17, 2025
概括
在内镜检查之前使用类似葡萄糖-1受体激动剂 (GLP-1 RA) 不会增加呼吸道并发症的风险,如吸气性肺炎或肺炎. 这一发现支持在内镜手术前继续使用这些药物.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
背景情况:
- 关于在内镜手术前使用GLP-1RA的患者出现呼吸道并发症的数据有限.
- 对于糖尿病和肥胖症来说,GLP-1 RAs越来越多地被处方.
研究的目的:
- 调查GLP-1 RA使用与内镜手术后呼吸道并发症之间的关联.
- 在内镜检查之前评估持续GLP-1RA药物治疗的安全性.
主要方法:
- 使用TrinetX数据库进行回顾性队列研究.
- 在内镜检查后3个月内将糖尿病或肥胖的成年患者纳入GLP-1RA.
- 倾向性得分匹配和考克斯比例危险模型被用于结果评估.
主要成果:
- 对46,948名患者的分析显示,内镜后吸入性肺炎没有显著差异 (HR 0.92,95% CI 0.54-1.56).
- 在GLP-1RA使用者和非使用者之间,在内镜后的肺炎发病率中没有显著差异 (HR1.01,95% CI 0.83-1.24)
结论:
- 在内镜手术前使用GLP-1RA与呼吸道并发症的风险增加无关.
- 目前的证据支持在接受内镜检查的患者中继续使用GLP-1RA.
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