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2025 02 v.17 153-160
SGLT2抑制剂对心血管风险患者炎症因子水平影响的Meta分析
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邮箱(Email): 361536712@qq.com;
DOI:
中文作者单位:

川北医学院第二临床医学院南充市中心医院心血管内科;

摘要(Abstract):

目的 系统评价钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂对心血管风险患者炎症因子水平的影响。方法 计算机检索PubMed、Cochrane Library、EMbase和Web of Science数据库中以“sodium glucose transporter 2 inhibitors”、“inflammation”及“inflammatory biomarkers”等检索词,搜索了所有关于SGLT2抑制剂对炎症因子水平影响的随机对照试验(RCT),检索时间为数据库建立之日至2023年11月30日,筛选并纳入相关文献,使用RevMan5.4软件进行Meta分析。结果 共纳入23篇文献,共计2766例患者(男性占比61.3%),其中SGLT2抑制剂治疗组1491例,安慰剂或常规药物治疗对照组1275例。Meta分析结果显示:(1)与对照组相比,SGLT2抑制剂的治疗能够降低心血管风险患者炎症因子超敏C反应蛋白(hs-CRP)水平[标准化均数差(SMD):-0.21;95%置信区间(CI):-0.39~-0.03,P=0.02]、肿瘤坏死因子-α(TNF-α),加权均数差[(WMD):-0.63;95%CI:-0.95~-0.32,P<0.0001)]以及白细胞介素-6[(IL-6,WMD=-0.55,95%CI:-0.84~-0.26,P=0.0002)]水平均降低;(2)亚组分析结果显示,在非吡格列酮对照组中,SGLT2抑制剂组提高了脂联素水平(SMD=0.17,95%CI:0.02~0.32,P=0.02);(3)SGLT2抑制剂对瘦素的影响无统计学意义(P>0.05)。结论 SGLT2抑制剂的治疗能够降低心血管风险患者炎症因子hs-CRP、TNF-α以及IL-6的水平,提高血清脂联素水平。SGLT2抑制剂在心血管风险患者中显示出抗炎作用,有望改善患者心血管事件及远期预后。

关键词(KeyWords): 钠-葡萄糖协同转运蛋白2抑制剂;心血管疾病;炎症;Meta分析;随机对照试验
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中图分类号:R54

引用信息:

[1]杨小凤,王林江,陈颖等.SGLT2抑制剂对心血管风险患者炎症因子水平影响的Meta分析[J].中国循证心血管医学杂志,2025,17(02):153-160.

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