引用本文:陈力锋,徐彤彤,朱 华(综述).对选择性COX-2抑制剂所致心血管事件发生机理的重新评判[J].中国临床新医学,2010,3(3):292-295.
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对选择性COX-2抑制剂所致心血管事件发生机理的重新评判
陈力锋,徐彤彤,朱 华(综述)
541001 广西,桂林医学院附属医院特需病区(陈力锋,徐彤彤);530001 南宁,广西中医学院药学院(朱 华)
摘要:
[摘要] COX是前列腺素一类物质生成的限速酶,COX-2被认为主要与炎症等过程中PG的生成相关,与动脉粥样硬化的发生发展正相关。但选择性COX-2抑制剂的使用却增加了心血管事件的发生。其原因PGI2和TAX2的比例失衡学说被广泛接受。近年研究表明选择性的COX-2抑制剂尚有许多其他新的作用及副作用,因此极有必要对选择性的COX-2抑制剂的作用做一新的评判。
关键词:  选择性COX-2抑制剂  心血管事件  重新评判
DOI:10.3969/j.issn.1674-3806.2010.03.38
分类号:R 543.5
基金项目:
The re-evaluation of the mechanism of cardiovascular events caused by the selective COX-2 inhibitors
CHEN Li-feng,XU Tong-tong,ZHU Hua
Special Requirement Ward, Affiliated Hospital of Guilin Medical College, Guangxi 541001,China
Abstract:
[Abstract] COX is a rate-limiting enzyme in generation of prostaglandins. It is considered COX-2 is primarily releted to the generation of prostaglandins in the process of inflammation and positively releted with the occurrence the development of atherosclerosis. However, selective COX-2 inhibitors have increased the incidence of cardiovascular events. The reason for the imbalance between PGI2 and TAX2 doctrine has been widely accepted. In recent years, studies have shown that selective COX-2 inhibitors has many other new roles and side effects, there is a great need for doing a new judgement on the role of selective COX-2 inhibitors.
Key words:  Selective COX-2 inhibitors  Cardiovascular events  Re-assessment