Clin Gastroenterology H:他汀类药物可降低肝细胞癌的死亡率

2019-09-05 不详 MedSci原创

他汀类药物的使用与发生肝细胞癌(HCC)的风险较低有关。然而,尚不清楚使用他汀类药物后使用是否与HCC患者死亡风险降低有关。因此本项研究旨在这方面进行一定的探讨。

背景与目的
他汀类药物的使用与发生肝细胞癌(HCC)的风险较低有关。然而,尚不清楚使用他汀类药物后使用是否与HCC患者死亡风险降低有关。因此本项研究旨在这方面进行一定的探讨。

方法
研究人员对2002年至2016年诊断出的15422例HCC患者的数据进行了回顾性分析。研究人员确定了在癌症诊断前后填写的他汀类药物处方,并使用时间依赖性Cox回归模型计算调整风险比(HRs)和死亡风险的95%CI。

结果
研究数据显示14.9%的HCC患者在诊断后使用了他汀类药物。我们发现,诊断后使用他汀类药物可降低癌症特异性死亡风险(调整HR,0.85; 95%CI,0.77-0.93)和全因死亡率(HR,0.89; 95%CI,0.83-0.95)。这些反向关联的大小对于使用高剂量或低剂量他汀类药物的患者是一致的,并且在一系列滞后期(从HCC诊断后0个月至12个月)中保持反向关联。

结论
本项研究表明在诊断出HCC后使用他汀类药物(高剂量或低剂量)与死亡率的降低相关。

原始出处:

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    2019-09-17 许安
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    2019-12-07 xjy02
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