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非甾体抗炎药的肾毒性

Nephrotoxicity of nonsteroidal anti-inflammatory drugs.

作者信息

Baisac J, Henrich W L

机构信息

Department of Internal Medicine, Veterans Affairs Medical Center, Dallas, Tex.

出版信息

Miner Electrolyte Metab. 1994;20(4):187-92.

PMID:7845321
Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) are important therapeutic agents in the management of rheumatologic disorders and other pain syndromes. Over the counter availability of the drugs has expanded the usage of the drugs. This article reviews the nephrotoxicity of these drugs, with some emphasis on NSAID-related proteinuria. Although reversibility of renal involvement upon drug discontinuance is the rule, progression to end-stage renal disease has occurred. A proposed guideline for monitoring renal impairment in low- and high-risk patients is also presented.

摘要

非甾体抗炎药(NSAIDs)是治疗风湿性疾病和其他疼痛综合征的重要药物。这些药物的非处方可得性扩大了其使用范围。本文综述了这些药物的肾毒性,重点讨论了与NSAIDs相关的蛋白尿。虽然停药后肾脏受累通常可逆转,但也有进展至终末期肾病的情况。本文还提出了一项针对低风险和高风险患者监测肾功能损害的建议指南。

相似文献

1
Nephrotoxicity of nonsteroidal anti-inflammatory drugs.非甾体抗炎药的肾毒性
Miner Electrolyte Metab. 1994;20(4):187-92.
2
Nonsteroidal anti-inflammatory drug induced renal syndromes.非甾体抗炎药引起的肾脏综合征。
J Ky Med Assoc. 1992 Jul;90(7):336-9.
3
Nonsteroidal anti-inflammatory drug nephrotoxicity. Should we be concerned?
Arch Intern Med. 1990 Feb;150(2):268-70.
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[Renal toxicity of nonsteroidal anti-inflammatory agents and clometacin].[非甾体抗炎药与氯灭酸的肾毒性]
Therapie. 1986 Sep-Oct;41(5):331-7.
5
Non-steroidal anti-inflammatory nephrotoxicity.
Ann Clin Lab Sci. 1988 May-Jun;18(3):240-52.
6
Nephrotoxicity with nonsteroidal anti-inflammatory drugs.非甾体抗炎药所致肾毒性
Br J Gen Pract. 1993 Mar;43(368):129.
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Nephrotic syndrome and renal failure associated with use of nonsteroidal anti-inflammatory drugs.与使用非甾体抗炎药相关的肾病综合征和肾衰竭。
J Tenn Med Assoc. 1980 Oct;73(10):709-11.
8
Acute renal failure and glomerulopathy caused by nonsteroidal anti-inflammatory drugs.
Arch Intern Med. 1992 May;152(5):986-90.
9
NSAIDs and kidney.非甾体抗炎药与肾脏
J Assoc Physicians India. 2004 Aug;52:632-40.
10
[Nephrotoxicity of non-steroidal anti-inflammatory agents. Apropos of 6 case reports and review of the literature].[非甾体类抗炎药的肾毒性。基于6例病例报告及文献综述]
Therapie. 1987 Jul-Aug;42(4):379-85.

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Changes in intrarenal oxygenation as evaluated by BOLD MRI in a rat kidney model for radiocontrast nephropathy.在放射性对比剂肾病大鼠肾脏模型中,通过血氧水平依赖性功能磁共振成像(BOLD MRI)评估的肾内氧合变化。
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