The Application of Terlipressin in the Management of Ascites in Liver Cirrhosis: Current Status and Prospects.

IF 1.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL British journal of hospital medicine Pub Date : 2024-11-30 Epub Date: 2024-11-25 DOI:10.12968/hmed.2024.0606
Lixiao Shen, Jie Ying, Junbiao Zhao
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Abstract

Ascites due to liver cirrhosis is a common complication in patients with liver disease, severely affecting their prognosis and quality of life. Traditional treatment methods have significant limitations in managing ascites, highlighting the need for new therapeutic approaches. As an antidiuretic drug, terlipressin has shown good efficacy and potential in treating ascites. This review covers terlipressin's application in managing ascites caused by liver cirrhosis, covering the mechanism of action, usage strategies, clinical effects, and potential side effects. Clinical trial results are discussed to provide a glimpse into the efficacy and safety of terlipressin in managing ascites and its side effects. Additionally, we provide detailed discussions on medication precautions and management strategies for adverse reactions in high-risk patients. Finally, this review outlines future research directions, such as new clinical trial designs, comparisons of terlipressin with other novel drugs, and the exploration of individualized treatment models. These efforts aim to provide references for clinical practice and promote further development in this field.

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特利加压素在肝硬化腹水治疗中的应用:现状与展望。
肝硬化腹水是肝病患者常见的并发症,严重影响患者的预后和生活质量。传统的治疗方法在处理腹水方面有明显的局限性,强调需要新的治疗方法。特利加压素作为一种抗利尿药物,在治疗腹水方面已显示出良好的疗效和潜力。本文综述特利加压素在治疗肝硬化腹水中的应用,包括作用机制、使用策略、临床疗效和潜在副作用。临床试验结果进行了讨论,以提供一瞥特利加压素在管理腹水及其副作用的有效性和安全性。此外,我们还详细讨论了高危患者的用药注意事项和不良反应的处理策略。最后,本文概述了未来的研究方向,如新的临床试验设计,特利加压素与其他新药的比较,以及个体化治疗模式的探索。旨在为临床实践提供参考,促进该领域的进一步发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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