CDK 和 DM2 患者使用 SLGT2 抑制剂降低死亡率风险的益处

Fonseca Pandora Eloa Oliveira, Azevedo Jeremias Aguiar, Bié Sara Maria Gomes, Ferreira Sávio Benvindo
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摘要

2 型糖尿病(T2DM)是慢性肾脏病(CKD)最常见的病因。慢性肾脏病的特点是肝脏组织逐渐受损,是肾脏和心血管疾病导致死亡的重要风险因素。因此,随机临床试验研究了钠-葡萄糖共转运体2(SLGT2)抑制剂的使用,认为它是治疗慢性肾脏病和T2DM患者的一种很有前景的疗法。本研究旨在分析在慢性肾脏病和 T2DM 患者中使用 SGLT2 抑制剂对降低死亡风险的益处。为此,我们采用了定性描述的方法,在 PubMed、Embase 和 VHL 数据库中进行了文献综述。纳入标准为 2018 年至 2023 年期间以葡萄牙语和英语发表的临床试验文章、随机或非随机研究、队列研究、病例对照研究和开放存取,主题涉及 SGLT2 抑制剂、CDK 和 T2DM 患者。在此背景下,研究发现,接受卡那利福嗪治疗的患者死于慢性肾脏病的风险比接受安慰剂治疗的患者低 30%,而达帕利福嗪可延长患者的生存期。在这种情况下,在评估服用 Empagliflozin 的患者肾病恶化或因心血管原因死亡的情况时,只有 13.1%的患者达到了这一结果,而服用安慰剂的患者为 16.9%,因此该药物可以安全地降低死亡风险。因此,SGLT2 抑制剂在 CDK 和 T2DM 的治疗中显示出卓越的疗效,降低了死亡风险,对减少肾脏和心血管疾病结局以及延长生存期都有积极作用。
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Benefits of using SLGT2 Inhibitors for Patients with CDK and DM2 to Reduce Mortality Risks
Type 2 diabetes mellitus (T2DM) is the most common cause of chronic kidney disease (CKD). CKD is characterized by progressive liver tissue damage and is an important risk factor for mortality due to renal and cardiovascular outcomes. Thus, randomized clinical trials have investigated the use of sodium-glucose cotransporter 2 (SLGT2) inhibitors as a promising therapy for patients with CKD and T2DM. This study aimed to analyze the benefits of using SGLT2 inhibitors in patients with CKD and T2DM to reduce mortality risks. To this end, a qualitative, descriptive methodological approach was adopted using a literature review in the PubMed, Embase, and VHL databases. The inclusion criteria were clinical trial articles, randomized or non-randomized, cohort studies, case-control studies, and open access, published in Portuguese and English, between 2018 and 2023 with topics associated with SGLT2 inhibitors, CDK, and T2DM patients. In this context, it was observed that the risk of death from CKD in patients treated with Canaglifozin was 30% lower than in those treated with a placebo and that Dapaglifozin prolonged survival. In this context, when assessing the progression of kidney disease or death from cardiovascular causes in patients taking Empagliflozin, only 13.1% achieved the outcome compared to 16.9% on placebo, so the drug safely reduces the risk of mortality. Consequently, SGLT2 inhibitors have shown excellent results in the treatment of CDK and T2DM, with a reduction in the risk of mortality, positive effects on reducing renal and cardiovascular outcomes, as well as prolonging survival.
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