噻唑烷二酮类药物不良反应的再认识

被引:2
作者
刘晓云
刘超
机构
[1] 南京医科大学第一附属医院内分泌科
关键词
噻唑烷二酮; 肝毒性; 体重; 心力衰竭; 心血管事件; 骨折;
D O I
暂无
中图分类号
R587.1 [糖尿病];
学科分类号
1002 ; 100201 ;
摘要
噻唑烷二酮类药物(TZDs)通过激活过氧化物酶体增殖物活化受体-γ,增加外周组织对胰岛素的敏感性而改善胰岛素抵抗,以其独特的作用机制在口服抗糖尿病药物中独树一帜。然而,近年来有关 TZDs 不良反应的报道日渐增多。在肝毒性、体重增加、水肿、心力衰竭等不良反应得到确认的同时,关于其心血管与骨代谢方面的不良反应更是备受关注。科学而合理地分析与认识这些不良反应,对指导临床实践具有重要意义。
引用
收藏
页码:369 / 373
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