Eur Heart J:非布索坦预防脑、心血管或肾脏疾病疗效

2019-03-08 xing.T 网络

由此可见,非布索坦可降低尿酸并延缓肾功能障碍的进展。

近日,血管领域权威杂志Eur Heart J上发表了一篇研究文章,研究人员旨在比较用非布索坦治疗的高尿酸血症患者和用改变生活方式的常规治疗患者脑、血管和肾脏事件的发生情况。

这项多中心、前瞻性、随机、开放标签、盲法终点研究是在日本141家医院进行。共有1070名患者被纳入意向治疗人群。具有脑、心血管或肾脏疾病风险的老年高尿酸血症(血尿酸>7.0至≤9.0mg/dL)患者,定义为高血压、2型糖尿病、肾脏疾病或脑或心血管疾病史,这些患者随机分为非布索坦治疗组和无非布索坦治疗组,观察36个月。脑、心血管和肾脏事件以及所有死亡被定义为主要复合事件。

非布索坦组(n=537)和无非布索坦组(n=533)的终点(停药或完成研究)血清尿酸水平分别为4.50±1.52和6.76±1.45 mg/dL(P<0.001)。非布索坦组的主要复合事件发生率显著低于无非布索坦治疗组[风险比(HR)为0.75,95%置信区间(CI)为0.592-0.950; P=0.017],并且最常见的事件是肾损伤(非布索坦组为16.2%,无非布索坦组为20.5%; HR为0.745,95%CI为0.562-0.987; P=0.041)。

由此可见,非布索坦可降低尿酸并延缓肾功能障碍的进展。

原始出处:

Sunao Kojima.et al.Febuxostat for Cerebral and CaRdiorenovascular Events PrEvEntion StuDy.Eur Heart J.https://doi.org/10.1093/eurheartj/ehz119

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    2019-03-10 zhaojie88
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    2019-03-10 slcumt
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    2019-03-09 清风拂面

    谢谢分享学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1700912, encodeId=b69c1e009128a, content=<a href='/topic/show?id=7605993983e' target=_blank style='color:#2F92EE;'>#非布索坦#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99398, encryptionId=7605993983e, topicName=非布索坦)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=968830287714, createdName=wetgdt, createdTime=Fri Nov 29 03:05:00 CST 2019, time=2019-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357129, encodeId=4522135e12987, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Mar 10 06:05:00 CST 2019, time=2019-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563066, encodeId=1f321563066c5, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Mar 10 06:05:00 CST 2019, time=2019-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=362341, encodeId=5191362341d2, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sat Mar 09 22:05:30 CST 2019, time=2019-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=362271, encodeId=538c3622e1b7, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/2EVCwc9WmQS6ec99H2TX8ejmR40xYjwrIcrqjAnibV36aicL1sLxc21rhpZnqTOxk33HP44iayEwo6qYXqgZvdRtA/132, createdBy=d0d01573846, createdName=329523732, createdTime=Fri Mar 08 19:08:30 CST 2019, time=2019-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032090, encodeId=7007103209070, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Fri Mar 08 18:05:00 CST 2019, time=2019-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=362262, encodeId=cd2e362262d6, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Fri Mar 08 15:39:19 CST 2019, time=2019-03-08, status=1, ipAttribution=)]
    2019-03-08 329523732

    不错

    0

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    2019-03-08 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2019-03-08 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0

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