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他汀类药物治疗与流感易感性的关系:一项纵向研究的系统评价和荟萃分析。

Association between Statins Administration and Influenza Susceptibility: A Systematic Review and Meta-Analysis of Longitudinal Studies.

机构信息

School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China.

Nanshan District Center for Disease Control and Prevention, Shenzhen 518000, China.

出版信息

Viruses. 2024 Feb 10;16(2):278. doi: 10.3390/v16020278.

Abstract

Previous studies reported that the association between statins use and influenza infection was contradictory. A systematic review and meta-analysis of longitudinal studies were performed to determine the association between statins use and influenza susceptibility. The literature search was conducted in PubMed, Embase, and Web of Science, from each database's inception to 21 May 2023. The fixed effect model and random effects model were used for data synthesis. In our study, a total of 1,472,239 statins users and 1,486,881 statins non-users from five articles were included. The pooled risk ratio (RR) of all included participants was 1.05 (95% CI: 1.03-1.07), and there were still significant differences after adjusting for vaccination status. Of note, RR values in statins users were 1.06 (95% CI: 1.03-1.08) in people aged ≥60 years old and 1.05 (95% CI: 1.03-1.07) in participant groups with a higher proportion of females. Administration of statins might be associated with an increased risk of influenza infection, especially among females and elderly people. For those people using statins, we should pay more attention to surveillance of their health conditions and take measures to prevent influenza infection.

摘要

先前的研究报告称,他汀类药物的使用与流感感染之间的关联存在矛盾。本研究通过系统评价和荟萃分析对纵向研究进行了评估,以确定他汀类药物的使用与流感易感性之间的关系。文献检索在 PubMed、Embase 和 Web of Science 数据库中进行,时间范围为每个数据库的创建日期至 2023 年 5 月 21 日。采用固定效应模型和随机效应模型进行数据综合。在我们的研究中,共有来自五篇文章的 1472239 名他汀类药物使用者和 1486881 名他汀类药物非使用者纳入。所有纳入参与者的汇总风险比(RR)为 1.05(95%CI:1.03-1.07),在调整疫苗接种状态后仍存在显著差异。值得注意的是,在年龄≥60 岁的他汀类药物使用者中,RR 值为 1.06(95%CI:1.03-1.08),在女性比例较高的参与者组中,RR 值为 1.05(95%CI:1.03-1.07)。他汀类药物的使用可能与流感感染的风险增加有关,尤其是在女性和老年人中。对于那些正在使用他汀类药物的人,我们应该更加关注他们的健康状况监测,并采取措施预防流感感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a84d/10893112/211dc0a7ad2e/viruses-16-00278-g001.jpg

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