JAMA Intern Med:降胆固醇药与记忆损伤有什么联系

2015-06-10 佚名 生物谷

近日,来自美国罗格斯大学的研究者在JAMA Internal Medicine刊登了他们的一项研究成果,当病人服用他汀类药物和非他汀类降胆固醇药物后30天,相比不服用药物的患者而言,服药患者的记忆发生了缺失,这就表明,他汀类药物和非他汀类降胆固醇药物的服用或和个体记忆缺失直接相关。但研究者表示,之所以会出现这样的关联性关系是因为服药病人通常会经常同医生交流病情及服药效果等,这就便于医生们发现他们记

近日,来自美国罗格斯大学的研究者在JAMA Internal Medicine刊登了他们的一项研究成果,当病人服用他汀类药物和非他汀类降胆固醇药物后30天,相比不服用药物的患者而言,服药患者的记忆发生了缺失,这就表明,他汀类药物和非他汀类降胆固醇药物的服用或和个体记忆缺失直接相关。

但研究者表示,之所以会出现这样的关联性关系是因为服药病人通常会经常同医生交流病情及服药效果等,这就便于医生们发现他们记忆缺失的症状;研究者们通常会在很多案例研究中描述服用他汀类药物和急性记忆缺失直接相关,但本文研究却表明长期服用他汀类药物要么改善个体的记忆要么对个体记忆无影响。

Brian L. Strom博士说道,本文中我们将482543名他汀类使用患者和另外两个对照组:482543任何降脂药物(LLDs)都不服用的个体和26484名服用非他汀类的降脂药物,比如考来烯胺、盐酸考来替泊、氯贝丁酯等;同时研究者还进行了二次病例交叉研究,利用诊断标准来收集个体记忆缺失的相关数据。

研究者对比他汀类药物使用者和任何降脂药物都不服用的个体后发现,在疗法开始时的30天里他汀类药物使用者的记忆缺失风险会增加,而对比服用非他汀类的降脂药物的个体和任何降脂药物都不服用的个体,研究者发现在服药30天里个体的记忆缺失风险也会增加;而将他汀类药物使用者同非他汀类降脂药物的使用者进行对比后却没有发现记忆缺失和药物服用之间的关联性。

最后研究者表示,我们发现要么所有的降脂药物都会引发个体急性的记忆缺失,要么是非常有可能引发记忆缺失,而这种关联性或许是检测偏差的结果,而检测偏差或许具有较高的可能性,当然研究者后期还将对接受预防性疗法的病人进行检测确定,比如服用降胆固醇药物的患者。


原始出处:

Strom BL1, Schinnar R2, Karlawish J3, Hennessy S2, Teal V4, Bilker WB2.Statin Therapy and Risk of Acute Memory Impairment.JAMA Intern Med. 2015 Jun 8. doi: 10.1001/jamainternmed.2015.2092. [Epub ahead of print]

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=29568, encodeId=d7752956822, content=看, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Fri Jun 26 12:44:00 CST 2015, time=2015-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396921, encodeId=46571396921b9, content=<a href='/topic/show?id=8bee565436d' target=_blank style='color:#2F92EE;'>#损伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56543, encryptionId=8bee565436d, topicName=损伤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606518, encodeId=91421606518bc, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27016, encodeId=cad02e0167d, content=对长期记忆没有什么影响,可能是药物急性作用的结果, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efcb1614039, createdName=qinweihan19, createdTime=Thu Jun 11 15:18:00 CST 2015, time=2015-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=26919, encodeId=39d7269196b, content=假如确切如此,风险也不大,获益远远超过风险,可能对某些人风险大一点,例如帕金森,需要不断研究。学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Jun 10 17:33:00 CST 2015, time=2015-06-10, status=1, ipAttribution=)]
    2015-06-26 huaxipanxing

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=29568, encodeId=d7752956822, content=看, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Fri Jun 26 12:44:00 CST 2015, time=2015-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396921, encodeId=46571396921b9, content=<a href='/topic/show?id=8bee565436d' target=_blank style='color:#2F92EE;'>#损伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56543, encryptionId=8bee565436d, topicName=损伤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606518, encodeId=91421606518bc, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27016, encodeId=cad02e0167d, content=对长期记忆没有什么影响,可能是药物急性作用的结果, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efcb1614039, createdName=qinweihan19, createdTime=Thu Jun 11 15:18:00 CST 2015, time=2015-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=26919, encodeId=39d7269196b, content=假如确切如此,风险也不大,获益远远超过风险,可能对某些人风险大一点,例如帕金森,需要不断研究。学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Jun 10 17:33:00 CST 2015, time=2015-06-10, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=29568, encodeId=d7752956822, content=看, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Fri Jun 26 12:44:00 CST 2015, time=2015-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396921, encodeId=46571396921b9, content=<a href='/topic/show?id=8bee565436d' target=_blank style='color:#2F92EE;'>#损伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56543, encryptionId=8bee565436d, topicName=损伤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606518, encodeId=91421606518bc, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27016, encodeId=cad02e0167d, content=对长期记忆没有什么影响,可能是药物急性作用的结果, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efcb1614039, createdName=qinweihan19, createdTime=Thu Jun 11 15:18:00 CST 2015, time=2015-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=26919, encodeId=39d7269196b, content=假如确切如此,风险也不大,获益远远超过风险,可能对某些人风险大一点,例如帕金森,需要不断研究。学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Jun 10 17:33:00 CST 2015, time=2015-06-10, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=29568, encodeId=d7752956822, content=看, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Fri Jun 26 12:44:00 CST 2015, time=2015-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396921, encodeId=46571396921b9, content=<a href='/topic/show?id=8bee565436d' target=_blank style='color:#2F92EE;'>#损伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56543, encryptionId=8bee565436d, topicName=损伤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606518, encodeId=91421606518bc, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27016, encodeId=cad02e0167d, content=对长期记忆没有什么影响,可能是药物急性作用的结果, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efcb1614039, createdName=qinweihan19, createdTime=Thu Jun 11 15:18:00 CST 2015, time=2015-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=26919, encodeId=39d7269196b, content=假如确切如此,风险也不大,获益远远超过风险,可能对某些人风险大一点,例如帕金森,需要不断研究。学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Jun 10 17:33:00 CST 2015, time=2015-06-10, status=1, ipAttribution=)]
    2015-06-11 qinweihan19

    对长期记忆没有什么影响,可能是药物急性作用的结果

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=29568, encodeId=d7752956822, content=看, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Fri Jun 26 12:44:00 CST 2015, time=2015-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396921, encodeId=46571396921b9, content=<a href='/topic/show?id=8bee565436d' target=_blank style='color:#2F92EE;'>#损伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56543, encryptionId=8bee565436d, topicName=损伤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606518, encodeId=91421606518bc, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Fri Jun 12 06:34:00 CST 2015, time=2015-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27016, encodeId=cad02e0167d, content=对长期记忆没有什么影响,可能是药物急性作用的结果, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=efcb1614039, createdName=qinweihan19, createdTime=Thu Jun 11 15:18:00 CST 2015, time=2015-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=26919, encodeId=39d7269196b, content=假如确切如此,风险也不大,获益远远超过风险,可能对某些人风险大一点,例如帕金森,需要不断研究。学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=159, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Wed Jun 10 17:33:00 CST 2015, time=2015-06-10, status=1, ipAttribution=)]
    2015-06-10 owlhealth

    假如确切如此,风险也不大,获益远远超过风险,可能对某些人风险大一点,例如帕金森,需要不断研究。学习了。

    0