心血管康复医学杂志2024,Vol.33Issue(3) :361-364.DOI:10.3969/j.issn.1008-0074.2024.03.25

β受体阻滞剂在慢性阻塞性肺疾病合并心血管疾病中的治疗进展

Progress in β receptor-blocker treatment in chronic obstructive pulmonary disease complicated with cardiovascular diseases

岳雨倩 陈复辉
心血管康复医学杂志2024,Vol.33Issue(3) :361-364.DOI:10.3969/j.issn.1008-0074.2024.03.25

β受体阻滞剂在慢性阻塞性肺疾病合并心血管疾病中的治疗进展

Progress in β receptor-blocker treatment in chronic obstructive pulmonary disease complicated with cardiovascular diseases

岳雨倩 1陈复辉1
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作者信息

  • 1. 哈尔滨医科大学附属第二医院呼吸内科,黑龙江哈尔滨 150081
  • 折叠

摘要

β受体阻滞剂是治疗心血管疾病(CVD)的药物,而β受体激动剂用于治疗慢性阻塞性肺疾病(COPD),两种药物作用机制相反.但COPD与CVD二者联系密切,CVD与肺功能障碍的严重程度相关.β受体阻滞剂用于COPD的争议不断,但研究表明,心脏选择性β受体阻滞剂可以降低轻、中度COPD合并CVD的死亡率,且可降低COPD加重的风险,而非选择性β受体阻滞剂则会增加COPD加重的风险.但是在COPD合并CVD患者中使用心脏选择性β受体阻滞剂的剂量,及与β受体激动剂之间的平衡仍需要谨慎对待.研究新型的 β受体阻滞剂更是未来需密切关注的问题.

Abstract

β-receptor blockers are used to treat cardiovascular disease(CVD),while β-receptor agonists are used to treat chronic obstructive pulmonary disease(COPD).The two drugs have opposite mechanisms of action.Howev-er,there is a close relationship between COPD and CVD,and CVD is related to the severity of pulmonary dysfunc-tion.The use of β-receptor blockers in COPD is still controversial,but studies have shown that cardiac selective β-receptor blockers can reduce mortality in mild and moderate COPD with CVD and reduce the risk of COPD exacerbation,while non-selective β-receptor blockers increase the risk of COPD exacerbation.However,the dosage of cardiac selective β-receptor blockers and its balance with β-receptor agonists in COPD patients with CVD still requires serious treatment.Research on new β-receptor blockers is a problem to be paid close attention to in the future.

关键词

肺疾病,慢性阻塞性/心血管疾病/肾上腺素能β受体拮抗剂

Key words

Pulmonary disease,chronic obstructive/Cardiovascular diseases/Adrenergic beta-antagonists

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出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
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