服用质子泵抑制剂后出现肾衰竭;关于最新研究结果的微型综述文章

IF 0.2 Q4 UROLOGY & NEPHROLOGY
Parisa Tajdini, M. Foroutan
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引用次数: 0

摘要

质子泵抑制剂(PPIs)经常用于治疗胃酸相关疾病,如胃食管反流病(GERD)。然而,人们越来越关注其不良反应的能力,包括肾功能衰竭。一些研究描述了服用 PPI 与急性肾损伤(AKI)和慢性肾病(CKD)风险增加之间的关系。这种关系背后的机制尚不完全清楚,但可能涉及肾血流和肾小管功能的变化。长期或高剂量使用 PPIs 的患者发生肾衰竭的风险似乎更高。原有肾脏疾病或存在其他肾功能损害风险因素的患者发生肾功能衰竭的风险也更高。临床医生应了解使用 PPI 的潜在风险,并考虑对肾功能受损或有其他 AKI 或 CKD 危险因素的患者采取其他治疗方案。对于长期接受 PPI 治疗的患者,可能还需要定期监测肾功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Renal failure following the administration of proton pump inhibitors; a mini-review article on recent findings
Proton pump inhibitors (PPIs) are frequently administered for the treatment of acid-related disorders such as gastroesophageal reflux disease (GERD). However, there is growing concern about their capability of adverse effects, including renal failure. Several studies have described a relationship between PPI administration and an increased risk of acute kidney injury (AKI) and chronic kidney disease (CKD). The mechanism behind this association is not fully understood, but it may involve changes in renal blood flow and tubular function. The risk of renal failure appears to be higher in patients who use PPIs for extended periods of time or at high doses. It is also higher in patients with pre-existing kidney disease or other risk factors for renal impairment. Clinicians should be aware of the potential risks of PPI use and consider alternative treatment options in patients with renal impairment or other risk factors for AKI or CKD. Regular monitoring of kidney function may also be warranted in patients on long-term PPI therapy.
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来源期刊
Journal of Renal Injury Prevention
Journal of Renal Injury Prevention UROLOGY & NEPHROLOGY-
CiteScore
1.60
自引率
0.00%
发文量
36
期刊介绍: The Journal of Renal Injury Prevention (JRIP) is a quarterly peer-reviewed international journal devoted to the promotion of early diagnosis and prevention of renal diseases. It publishes in March, June, September and December of each year. It has pursued this aim through publishing editorials, original research articles, reviews, mini-reviews, commentaries, letters to the editor, hypothesis, case reports, epidemiology and prevention, news and views and renal biopsy teaching point. In this journal, particular emphasis is given to research, both experimental and clinical, aimed at protection/prevention of renal failure and modalities in the treatment of diabetic nephropathy. A further aim of this journal is to emphasize and strengthen the link between renal pathologists/nephropathologists and nephrologists. In addition, JRIP welcomes basic biomedical as well as pharmaceutical scientific research applied to clinical nephrology. Futuristic conceptual hypothesis that integrate various fields of acute kidney injury and renal tubular cell protection are encouraged to be submitted.
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