在药物引起的失眠中性别差异的现实世界分析:来自FAERS和CVARDD数据库的证据
Yuntai Wang1,2, Shengjie Wang1,2, Fuxing Liu1,2
1Department of Rehabilitation Medicine, Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Wuhan City, Hubei Province, China.
Frontiers in neurology
|February 18, 2026
概括
这项研究确定了许多导致失眠的药物,突出了性别特异性的显著风险差异. 早期监测对于管理药物诱导失眠 (DII) 和患者安全至关重要.
科学领域:
- 药物监督 药物监督 药物监督
- 药品安全 药品安全
- 睡眠医学 睡眠医学
背景情况:
- 失眠是一种普遍存在的睡眠障碍,影响生活质量.
- 药物诱导失眠 (DII) 是二次失眠的一个未被认可的原因.
- 关于DII.II中性别特异的数据有限.
研究的目的:
- 使用现实数据识别药物失眠相关性.
- 评估药物诱导失眠的性别特异性.
- 验证发现并描述高风险药物的发病时间.
主要方法:
- 使用FAERS数据 (2004-2025) 的回顾性药监测研究.
- 不成比例分析 (ROR,PRR,BCPNN,MGPS) 和性别分层的比较.
- 在CVARDD和Weibull模型中进行外部验证,以确定发病时间.
主要成果:
- 确定了266,429起失眠报告;女性 (60.1%) 报告的比男性 (32.0%) 更多.
- 237种药物显示出显著的失眠信号,包括未标记的风险.
- 在20种顶级药物中,15种药物具有显著的性药物相互作用;TTO显示早期发病.
结论:
- 识别了多种药物失眠信号,并得到了验证.
- 在DII风险中量化显著的性别特异性差异.
- 强调需要承认DII和监测与性别相关的变化.
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