降脂药物的肝脏毒性及其防治策略研究进展
投稿时间:2013-10-29  修订日期:2014-06-11  点此下载全文
引用本文:徐岩成,方一杰,阎澜,姜远英,曹永兵.降脂药物的肝脏毒性及其防治策略研究进展[J].药学实践杂志,2014,32(6):412~415,464
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作者单位E-mail
徐岩成 福建中医药大学药学院, 福建 福州 350108
第二军医大学药学院, 上海 200433 
 
方一杰 第二军医大学药学院, 上海 200433
沈阳药科大学生命科学与生物制药学院, 辽宁 沈阳 110016 
 
阎澜 第二军医大学药学院, 上海 200433  
姜远英 第二军医大学药学院, 上海 200433  
曹永兵 第二军医大学药学院, 上海 200433 ybcao@vip.sina.com 
中文摘要:肝脏毒性是降血脂药物治疗常见的毒副作用之一,其发生机制尚不完全清楚,大多数降血脂药物的毒副作用都是剂量依赖性的,而且在停药后都有明显的缓解与改善。高龄以及慢性疾病等都是诱发降血脂药物肝脏毒性的潜在因素。降血脂药物的肝脏损伤治疗暂无统一规范,临床应对策略以停药、非特异性保肝和对症治疗为主。研发低毒性或具有保肝作用的降血脂药物,尤其是中药及中药制剂是一个具有良好前景的发展方向。
中文关键词:高血脂  药物  肝脏毒性
 
Progress on the hepatotoxicity of lipid-lowering drugs and its prevention strategies
Abstract:Hepatotoxicity is one of the most common adverse reactions during anti-hyperlipidemia treatment. Mechanisms of anti-hyperlipidemia drug-induced hepatotoxicity are not clear yet, but most of the toxic reactions are dose-related hypersensitivity and could be released after drug withdrawal. It is accepted that clinical risk factors for the development of hepatotoxicity during anti-hyperlipidemia treatment are high age and chronic illnesses. Treatment of anti-hyperlipidemia drug-induced hepatotoxicity has not been unified and most of the treatments are non-specific and symptomatic. Researching hypotoxicity and hepatoprotection antihyperlipidemia drug, especially TCM and pharmaceutics will become a promising direction.
keywords:hyperlipidemia  drug  hepatotoxicity
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