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绝经后激素治疗或增加肾结石风险
作者:本站 时间:2010-11-10 点击:598 来源:Arch Intern Med
<P style="BACKGROUND: white; LINE-HEIGHT: 12.65pt"><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">&nbsp;&nbsp;&nbsp; 美国有研究报告,对健康绝经后女性,</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">HT</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">或增加肾结石风险。论文发表于</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">10</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">月</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">11</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">日刊出的《内科学文献》</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">[Arch&nbsp;Intern&nbsp;Med&nbsp;2010</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">,</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">170</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">18</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">):</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">1678]</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">。 </SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P> <P style="BACKGROUND: white; LINE-HEIGHT: 12.65pt"><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">  研究者回顾分析美国</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">40</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">个临床中心开展的妇女健康倡议(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">WHI</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">)研究中肾结石发生率。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">WHI</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">研究纳入</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">10739</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">名已切除子宫的绝经女性,随机予结合型雌激素(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">CEE</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">,</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">0.625&nbsp;mg/d</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">)或安慰剂,纳入</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">16608</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">名有子宫的绝经后女性予</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">CEE+</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">醋酸甲羟孕酮(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">2.5&nbsp;mg/d</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">)或安慰剂。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">CEE</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">和雌孕激素试验组分别平均随访</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">7.1</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">年和</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">5.6</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">年,评估肾结石发生率。结果为,接受</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">HT</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">者发生肾结石的风险显著升高(</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">39</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">例</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">/1</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">万人</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">-</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">年对</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">34</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">例</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">/1</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">万人</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">-</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">年,</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">HR=1.21</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">),停止研究用药后</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">HR</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">升至</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial">1.39</SPAN><SPAN style="FONT-SIZE: 8pt; COLOR: #3e3e3e; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">。肾结石风险升高与是否联用孕激素无关,分组前肾结石病史对结果无显著影响。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 8pt; COLOR: #3e3e3e; FONT-FAMILY: Arial"><o:p></o:p></SPAN></P>
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