摘要
目的:研究以罗非昔布、塞来昔布、伐地昔布、鲁米昔布为代表的选择性COX-2抑制剂在临床应用的安全性。方法:查询国内外相关文献资料并结合临床实践进行回顾性研究。结果:罗非昔布、塞来昔布、伐地昔布、鲁米昔布等都有增加心血管不良事件的危险,同时罗非昔布的心血管风险要高于塞来昔布。结论:心血管危险是COX-2抑制剂的“类效应,”所以在临床应用这类药物时,应当加强合理的监管措施;仍需对COX-2抑制剂在心血管系统的安全性进行深入研究。
Objective: To study the clinical safety of selective cyclooxygenase-2 inhibitors which mainly include rofecoxib, celecoxib, valdecoxib and lumiracoxib. Methods: The related literatures were searched for and analyzed retrospectively with clinical practice. Resuits: The selective cyclooxygenase-2 inhibitors including rofecoxib, celecoxib, valdecoxib and lumiracoxib could increase the risk of cardiovascular event and the risk of rofecoxib was higher than celecoxib. Conclusion: Cardiovascular risk is of class effect of the selective cycloox.vgenase-2 inhibitors. Supervision of them in clinical use should be intensified and the cardiovascular safety of these drugs should be investigated further.
出处
《儿科药学杂志》
CAS
2005年第5期6-8,共3页
Journal of Pediatric Pharmacy