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β2 受体拮抗剂在急性呼吸衰竭中的应用。

Beta 2 antagonism in acute respiratory failure.

机构信息

Regional Intensive Care Unit, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland.

出版信息

Crit Care. 2010;14(6):1012. doi: 10.1186/cc9359. Epub 2010 Dec 20.

DOI:10.1186/cc9359
PMID:21176173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3220032/
Abstract

Post hoc analyses from the B-type natriuretic peptide for Acute Shortness of Breath Evaluation (BASEL)-II-ICU study suggest an association between beta-blocker usage at admission and improved mortality in patients treated in the intensive care unit for acute respiratory failure. Although this evidence is encouraging, there is a need for a phase 2 proof-of-concept randomized controlled trial of beta-blocker therapy in patients admitted with acute respiratory failure.

摘要

来自 B 型利钠肽用于急性呼吸困难评估(BASEL)-II-ICU 研究的事后分析表明,在因急性呼吸衰竭接受重症监护治疗的患者中,入院时使用β受体阻滞剂与死亡率降低有关。尽管这一证据令人鼓舞,但仍需要开展一项 2 期以急性呼吸衰竭入院患者为研究对象的β受体阻滞剂治疗的概念验证随机对照试验。

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本文引用的文献

1
Effect of oral β-blocker on short and long-term mortality in patients with acute respiratory failure: results from the BASEL-II-ICU study.口服β受体阻滞剂对急性呼吸衰竭患者短期和长期死亡率的影响:来自 BASEL-II-ICU 研究的结果。
Crit Care. 2010;14(6):R198. doi: 10.1186/cc9317. Epub 2010 Nov 3.
2
A randomized clinical trial of hydroxymethylglutaryl- coenzyme a reductase inhibition for acute lung injury (The HARP Study).羟甲基戊二酰辅酶 A 还原酶抑制治疗急性肺损伤的随机临床试验(HARP 研究)。
Am J Respir Crit Care Med. 2011 Mar 1;183(5):620-6. doi: 10.1164/rccm.201003-0423OC. Epub 2010 Sep 24.
3
Bench-to-bedside review: Beta-adrenergic modulation in sepsis.从临床到病床综述:脓毒症的β-肾上腺素能调节。
Crit Care. 2009;13(5):230. doi: 10.1186/cc8026. Epub 2009 Oct 23.
4
Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial.琥珀酸美托洛尔缓释片在非心脏手术患者中的作用(POISE试验):一项随机对照试验。
Lancet. 2008 May 31;371(9627):1839-47. doi: 10.1016/S0140-6736(08)60601-7. Epub 2008 May 12.
5
Use of beta blockers and the risk of death in hospitalised patients with acute exacerbations of COPD.β受体阻滞剂的使用与慢性阻塞性肺疾病急性加重住院患者的死亡风险
Thorax. 2008 Apr;63(4):301-5. doi: 10.1136/thx.2007.081893. Epub 2007 Oct 19.
6
Beta-blocker use is associated with improved outcomes in adult trauma patients.β受体阻滞剂的使用与成年创伤患者预后改善相关。
J Trauma. 2007 Jan;62(1):56-61; discussion 61-2. doi: 10.1097/TA.0b013e31802d972b.
7
Beta-blocker exposure is associated with improved survival after severe traumatic brain injury.β受体阻滞剂的使用与重度创伤性脑损伤后的生存率提高有关。
J Trauma. 2007 Jan;62(1):26-33; discussion 33-5. doi: 10.1097/TA.0b013e31802d02d0.
8
Elevated cardiac troponin measurements in critically ill patients.危重症患者心脏肌钙蛋白测量值升高。
Arch Intern Med. 2006;166(22):2446-54. doi: 10.1001/archinte.166.22.2446.
9
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Am J Respir Crit Care Med. 2006 Feb 1;173(3):281-7. doi: 10.1164/rccm.200508-1302OC. Epub 2005 Oct 27.