在接受腹腔透析的成年人中使用-葡萄糖共载体2抑制剂:与倾向相匹配的现实世界数据分析
Eric Amelunxen1, Hauke S Wülfrath1, Friedrich A von Samson-Himmelstjerna1
1Department of Nephrology and Hypertension, University Hospital Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.
Journal of clinical medicine
|December 30, 2025
概括
-葡萄糖携带载体2抑制剂 (SGLT2is) 在腹腔透析患者中是安全的,没有增加不良事件. 然而,SGLT2is在这个高危人群中没有显著降低死亡率或心血管事件.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- -葡萄糖共运输体2抑制剂 (SGLT2is) 显示出对心血管和的益处.
- 关于SGLT2i在腹腔透析 (PD) 患者的安全性和有效性的数据有限,这是一个高风险人群.
研究的目的:
- 评估SGLT2抑制剂在接受腹腔透析的成年患者中的安全性和有效性.
- 评估与PD患者使用SGLT2抑制剂相关的心血管风险,死亡率和不良事件.
主要方法:
- 使用TriNetX数据库中的电子健康记录进行的回顾性全球队列研究.
- 包括19871名成人PD患者;412人开始使用SGLT2抑制剂.
- 倾向性得分匹配创建了367个患者队列进行分析.
主要成果:
- 使用SGLT2抑制剂显示出降低死亡率和主要心血管不良事件的趋势,但没有统计学意义.
- 没有观察到血液透析发生率的显著减少.
- 已知的SGLT2抑制剂不良事件 (酸性脂肪酸症,感染,脱水,腹膜炎) 并没有增加.
结论:
- 在患有高心血管和代谢风险因素的PD患者中,SGLT2抑制剂的使用是安全的.
- 在这个队列中,SGLT2抑制剂对死亡率,心血管结果和技术失败表现出中性影响.
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