强直性脊柱炎患者服抗炎药警惕胃肠道风险

2013-11-22 孙梦 健康报

由中国医师协会风湿免疫科医师分会主办,辉瑞中国支持的中国强直性脊柱炎患者胃肠道及心血管危险因素调查发布会日前在京召开。调研结果显示,近半数调查对象为高度胃肠道风险患者,70.37%的受调查患者曾服用非甾体抗炎药(NSAIDs)治疗强直性脊柱炎。 此次调查从今年3月开始,历时9个月,调查范围覆盖全国46家三甲医院,共收集超过7000例强直性脊柱炎门诊病历,调查罗列了13个可能引起胃肠道不良

由中国医师协会风湿免疫科医师分会主办,辉瑞中国支持的中国强直性脊柱炎患者胃肠道及心血管危险因素调查发布会日前在京召开。调研结果显示,近半数调查对象为高度胃肠道风险患者,70.37%的受调查患者曾服用非甾体抗炎药(NSAIDs)治疗强直性脊柱炎。

此次调查从今年3月开始,历时9个月,调查范围覆盖全国46家三甲医院,共收集超过7000例强直性脊柱炎门诊病历,调查罗列了13个可能引起胃肠道不良反应的危险因素。结果显示,“曾使用NSAIDs”高居强直性脊柱炎患者胃肠道高危因素之首,其他高危因素还包括合并使用抗风湿药、吸烟、使用糖皮质激素、酗酒等。

解放军总医院风湿免疫科主任黄烽教授表示,强直性脊柱炎患者在确诊后应立即开始NSAIDs治疗,并足量、足疗程用药,这样可迅速改善生活质量,但应当注意应用NSAIDs伴随的胃肠道安全隐患。

北京协和医院风湿免疫科主任张奉春教授建议,医生在开NSAIDs处方时要考虑患者胃肠道风险,做好定期随诊和健康宣教,这对于临床安全使用NSAIDs药物,减少患者出现胃肠道严重并发症至关重要。目前,国内NSAIDs药物种类繁多,医生应根据患者情况选择所用的NSAIDs,应在开始治疗1个月后查尿、肌酐及血压,以后每3个月~6个月复查。


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    2015-03-21 右脚梅西

    是的

    0

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    2014-01-01 zywlvao
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