期刊文献+

质子泵抑制剂联合氯吡格雷治疗心血管疾病的安全性研究进展 被引量:8

Researh Progress in the Safety of Proton Pump Inhibitor Combined with Clopidogrel Treatment for Cardiovascular Diseases
在线阅读 下载PDF
导出
摘要 心血管疾病的发病率呈现逐年上升的趋势,对人们的健康构成严重的威胁。目前质子泵抑制剂联合氯吡格雷预防与治疗心血管疾病是临床上常用的方案。质子泵抑制剂与氯吡格雷均经肝脏酶代谢,联合应用时,质子泵抑制剂可能会与氯吡格雷发生相互作用,影响氯吡格雷的药物代谢与药效特征,甚至可能会增加心血管事件的发生率。该文从氯吡格雷的药物代谢、临床疗效、临床评价等方面,依据现有研究文献,对质子泵抑制剂联合氯吡格雷治疗心血管疾病的安全性进行评价。 The incidence of cardiovascular diseases sees a yearly increasing trend , which is a serious threat to the health of people.Currently proton pump inhibitor combined with clopidogrel is a common clinical scheme,both of which are metabolized by liver enzymes,and the proton pump inhibitor might interact with clopidogrel and affect the drug metabolism and pharmacodynamic characteristics of clopidogrel , or even increase the incidence of cardiovascular events.Here is to evaluate the safety of the combined application of proton pump inhibitor and clopidogrel from the aspects of drug metabolism ,clinical effect and clinical evalua-tion of clopidogrel.
出处 《医学综述》 2015年第14期2606-2608,共3页 Medical Recapitulate
基金 上海市嘉定区卫生局重点学科建设计划项目(ZD001)
关键词 心血管疾病 质子泵抑制剂 氯吡格雷 安全性 Caridovascular diseases Proton pump inhibitor Clopidogrel Safety
  • 相关文献

参考文献22

二级参考文献249

  • 1柯元南,陈纪林.不稳定性心绞痛和非ST段抬高心肌梗死诊断与治疗指南[J].中华心血管病杂志,2007,35(4):295-304. 被引量:2168
  • 2Walsh JH,Peterson WL.The treatment of helicobacter pylori infection in in management of peptic ulcer disease.N Engl J Med,1995,333:984-991.
  • 3Gisbert JP,Pajares JM.Helicobacter pylori "rescue" therapy after failure of two eradicaton treatments.Helicobacter,2005,10:363-372.
  • 4Zhao FJ,Wang J,Yang YM,et al.Effect of CYP2C19 genetic polymorphisms on the efficacy of proton pump inhibitor-based triple therapy for helicobacter pylori eradication:A Meta-Analysis.Helicobacter,2008,13:532-541.
  • 5Tanigawara Y,Aoyama N,Kita T,et al.CYP2C19 genotype-related efficacy of omeprazole for the treatment of helicobacter pylori.Clin Pharmacol Ther,1999,66:528-34.
  • 6Padol S,Yuan Y,Thabane M,et al.The effect of CYP2C19 polymorphisms on H.Pylori eradication rate in dual and triple first-line PPI therapies:A Meta-analysis.Am J Gastroenterol,2006,101:1467-1475.
  • 7Mitsushige Sugimoto,Takahisa Furuta,Naohito Shirai.Evidence that the Degree and Duration of Acid Suppression are Related to Helicobacter pylori Eradication by Triple Therapy.Helicobacter,2007,12:317-323.
  • 8Ieiri I,Kubota T,Urae A,et al.Pharmacokinetics of omeprazole(a substrate of CYP2C19) and comparison with two mutant alleles,C gamma P2C19_2 in exon 5 and C gamma CYP2C19_3 in exon 4 in Japanese subjects.Clin Pharmacol Ther,1996,59:647-653.
  • 9Anderson JL, Adams CD, Anman EM, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction [J]. J Am Coll Cardiol,2007,50(7) :e1-e157.
  • 10Bhatt DL, Topol EJ. Clopidogrel added to aspirin versus aspirin alone in sec- ondary prevention and high-risk primary prevention: rationale and design of the Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Manage- ment, and Avoidance (CHARISMA) trial [ J ]. Am Heart J, 2004,148 : 263- 268.

共引文献162

同被引文献70

引证文献8

二级引证文献26

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部