比较抗血小板药物对血管疾病患者肾脏的安全影响

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摘要

目的:大多数血管疾病都属于炎症性疾病,因为它们会逐渐伤害血管,破坏重要器官的正常血流。本研究旨在确定乙酰水杨酸和氯吡格雷治疗对血管疾病患者肾脏健康的潜在危害:研究采用了横断面研究设计、病历回顾性数据收集方法和基于目的取样的数据抽样方法:研究结果表明,使用抗血小板药物与患肾脏疾病的风险之间没有明显的相关性。相反,患者的生活方式、使用会增加肾脏GFR风险的药物以及可能损害肾脏血流的并发症都会增加患肾脏疾病的风险,P值小于0.05。不过,长期用药对肾功能也有重要影响。科学启示:使用抗血小板药物治疗心血管疾病,如动脉粥样硬化、斑块形成、内皮功能障碍、血管内膜基质阻塞或损伤等,这些都是血管疾病的症状,而血管疾病是一种进行性炎症性疾病,它经常与肾功能紊乱的风险有关。使用抗血小板会扩大传入血管:相反,患者的生活方式、病情严重程度和病史等因素可能会对发生肾功能障碍的可能性产生更重要的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the Safety Effects of Antiplatelets on the Kidneys in Patients with Vascular Disease
Aims: Most vascular disorders fall under the category of inflammatory diseases because they gradually harm blood vessels, disrupting the normal flow of blood to and from vital organs. The purpose of this research was to determine the potential dangers to kidney health associated with acetylsalicylic acid and clopidogrel treatment in patients with vascular diseases. Methodology: A cross-sectional research design was employed in the study, as well as retrospective data collection methods on medical records, and purposive sampling-based data sampling methodologies. Results: The study's findings indicated that there was no significant correlation between the use of antiplatelets and the risk of developing kidney disorders. It is rather, a patient's lifestyle, use of medications that increase the risk of renal GFR, and co-occurring diseases that may impair blood flow in the renal afferen can all increase their risk of developing a renal disorder with p-value <0.05. Nevertheless, the prolonged use of medication also plays a significant role in kidney function. The study's results indicate that renal problems are not attributed to the usage of antiplatelet drugs such as clopidogrel and acetylsalicylic acid. Scientific Novelty: Several using antiplatelet for indicated cardiovascular disease such us, atherosclerosis, plaque formation, endothelial dysfunction, and blockage or damage to the vascular endotelial matrix are all symptoms of vascular disease, a progressive inflammatory illness, it's frequently associated with the risk of kidney disorders. The use of antiplatelet will enlarge the afferent blood vessels. Conclusion: Instead, factors such as a patient's lifestyle, the severity of their condition, and their medical history could have a more significant impact on the likelihood of developing kidney dysfunction.
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