风湿科需慎重选择非甾体类抗炎药

被引:3
作者
姚锋
李婉宜
机构
[1] 四川大学华西基础医学与法医学院微生物学教研室
关键词
环氧化酶2选择性抑制剂; 非甾体类抗炎药; 塞来昔布; 双氯芬酸; 布洛芬; 心血管不良反应; 胃肠道出血; 肾脏不良反应;
D O I
暂无
中图分类号
R452 [投药法、用药法];
学科分类号
摘要
对风湿科医师来说,已经有很多的药物来治疗关节炎,包括镇痛药、非甾体类抗炎药(NSAIDs)、激素、缓解疾病抗风湿药、生物制剂等。非选择性NSAIDs或者环氧化酶2选择性抑制剂已经被风湿科医师广泛应用于关节炎患者,但是随之而来的是使用NSAIDs药物患者的心血管疾病、肾脏疾病和胃肠道疾病的发病率逐渐增加。不同的NSAIDs药物这些不良反应的差异较大。治疗方案中,使用NSAIDs一定要考虑导致这些不良反应的风险。风湿科医师在处方时一定要根据个体差异来评估使用NSAIDs的利弊。
引用
收藏
页码:3099 / 3102
页数:4
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