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PLoS Med:他汀类药物或不能预防静脉血栓的形成

2012-09-20 T.Shen 生物谷

近日,刊登在国际杂志PLOS Medicine上的一篇研究报告中,来自牛津大学等机构的一个国际小组研究发现,在成年人中,降胆固醇的他汀类药物或许并不能预防血凝块(blood clots,一种静脉血栓栓塞)。 2009年时,一项名为JUPITER随机试验结果报道了,他汀类药物罗舒伐他汀在健康人群中可以使得静脉血栓事件风险减半。然而本项研究是基于一小部分血栓栓塞病人进行的研究。为了获得更多的关于他汀

近日,刊登在国际杂志PLOS Medicine上的一篇研究报告中,来自牛津大学等机构的一个国际小组研究发现,在成年人中,降胆固醇的他汀类药物或许并不能预防血凝块(blood clots,一种静脉血栓栓塞)。

2009年时,一项名为JUPITER随机试验结果报道了,他汀类药物罗舒伐他汀在健康人群中可以使得静脉血栓事件风险减半。然而本项研究是基于一小部分血栓栓塞病人进行的研究。为了获得更多的关于他汀类药物的可能临床效应,研究者对29项他汀类药物随机试验的数据以及超过1000项血栓栓塞事件进行结合分析。

在结合分析过程中,研究者发现,未服用他汀类药物的人群静脉血栓形成发生率为1%,然而服用他汀类药物的人群血栓发生率只是0.9%。研究者同时发现,随着他汀类药物剂量的改变,丝毫不会影响静脉血栓形成的发生率。

研究者总结道,这项研究提供了他汀类药物对于血栓形成影响的一些数据和信息,当然我们并不能确定以前研究中所指出的大量随机性血栓形成风险的降低结果。然而在世界范围内并不排除有许多类型的病人确实在服用他汀类药物后静脉血栓形成发生了明显的降低。

拓展阅读:
               

  • 研究表明他汀类药物可能有助抗癌
  • JAMA:他汀类药物可降低胰腺炎发病风险
  • Lancet:服用他汀类药物降低心血管疾病的患病风险优于患糖尿病的风险
  • NEJM述评:他汀类药物 获益仍然远大于风险
  • Arch Intern Med:他汀类药物副作用新添“成员”——疲劳
  • Lancet:Meta分析表明他汀类药物可有效用于一级预防
  • 2012 AAN年会:他汀类或降低卒中早期死亡率
  • The Cochrane Library:CABG前他汀类治疗可降低术后房颤风险
  • 荟萃分析显示CABG前使用他汀类药物可降低术后房颤风险
  • Stroke:停用他汀类药物影响颅内出血转归
  • 他汀类药物安全性调查引起的大讨论
  • Arch Neuro:他汀类药物可明显降低帕金森病的发病风险
  • FDA修改了他汀类药物安全信息
  • BJC:联合使用他汀类药物和紫杉醇可有效引发癌细胞凋亡
  • J Hepatol:警惕他汀类药物相关肝毒性
  • Cancer:他汀类药与致命性前列腺癌死亡率下降相关
  • IJC:他汀类强化治疗益处仅限于非致死性事件
  • BMJ:他汀类药物未能降低感染风险
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      2020-01-06 天地飞扬

      学习

      0

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      2019-12-27 130****4638

      学习了,谢谢分享

      0

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      2019-12-27 天地飞扬

      学习

      0

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      2012-12-27 xue8602
    6. [GetPortalCommentsPageByObjectIdResponse(id=377874, encodeId=bd7f3e7874ec, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Jan 06 23:27:58 CST 2020, time=2020-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377490, encodeId=78833e749028, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=00501987275, createdName=130****4638, createdTime=Fri Dec 27 15:51:15 CST 2019, time=2019-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=377485, encodeId=3da23e7485c1, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Fri Dec 27 12:52:09 CST 2019, time=2019-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2044324, encodeId=4570204432459, content=<a href='/topic/show?id=644725344b1' target=_blank style='color:#2F92EE;'>#他汀类药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25344, encryptionId=644725344b1, topicName=他汀类药)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIibticIBly5jCSic5ZElW4He3rO4DMpUHUFaFX57OicNMnzckWaicBNeStwugWHFCuOdicoakApM4HGmtw/132, createdBy=f8672500006, createdName=ms6390871039024434, createdTime=Wed Jul 17 08:30:00 CST 2013, time=2013-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1955168, encodeId=cb7719551684f, content=<a href='/topic/show?id=0aeb991e44c' target=_blank style='color:#2F92EE;'>#静脉血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99174, encryptionId=0aeb991e44c, topicName=静脉血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d139492, createdName=xue8602, createdTime=Thu Dec 27 08:30:00 CST 2012, time=2012-12-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1697146, encodeId=c28a169e14659, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Sat Jun 01 16:30:00 CST 2013, time=2013-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1605831, encodeId=4293160583145, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sat Sep 22 01:30:00 CST 2012, time=2012-09-22, status=1, ipAttribution=)]
      2013-06-01 fusion
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