91视频专区

《办公室》免费在线观看高清版 - 电影 - 影视大全

攻克干法正极 4680 的同时,特斯拉也正在加深与宁德时代等中国公司的合作。宁德时代今年初开始与特斯拉在内华达州合建用于储能的磷酸铁锂电池工厂。特斯拉向宁德时代购买现成的电池产线,宁德时代提供部分技术和采购支持,赚取技术授权费。

2024年12月05日,688777 中控技术 -360.84 -1.43 1.16 0.86

《办公室》免费在线观看高清版 - 电影 - 影视大全

每日一笑:老板钦定公司年度最佳桌面2023-06-05 10:21·①支穿云箭事实证明有时候真的很有用挺慌的及时止损显露真身我喜欢但我不知道没毛病太真实了店不想开了是吧有内鬼终止交易辞职报告已经写好了客服这行是做到头了only for youth脚法好的两个都要他还挑上口味了所谓:嗤之以鼻老板钦定公司年度最佳桌面太真实了太坏了吧要不还是断个句吧相当严谨~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~小伙伴们大家好吖很高兴能成为你的搞笑系博主我会坚持每天把欢乐分享给大家希望大家多多支持想看更多的每日一笑片段么快来关注我们吧段子来源于网络如有侵权立即删除~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

市府那块地,李宏伟和九光争得很激烈。虽然表面上讲和了,但暗地里,还是拳来脚往,不停地使小动作。记者:刘瑾阳 摄影:刘瑾阳 校对:杨荷放 编辑:刘玉红

shoufa2024-06-14 14:05·qichewentiyiluokuangdanzhenzhengdezhujinquhoucaizhidao,zheshixuyaofuchuyidingdedaijiade。

海(贬补颈)氏(厂丑颈)自(窜颈)小(齿颈补辞)生(厂丑别苍驳)活(贬耻辞)在(窜补颈)大(顿补)家(闯颈补)族(窜耻)里(尝颈),练(尝颈补苍)就(闯颈耻)了(尝颈补辞)一(驰颈)颗(碍别)七(蚕颈)窍(蚕颈补辞)玲(尝颈苍驳)珑(窜耻辞)心(齿颈苍),小(齿颈补辞)小(齿颈补辞)年(狈颈补苍)纪(闯颈)就(闯颈耻)跟(骋别苍)各(骋别)色(厂别)人(搁别苍)物(奥耻)打(顿补)交(闯颈补辞)道(顿补辞),跟(骋别苍)什(厂丑颈)么(惭别)人(搁别苍)说(厂丑耻辞)什(厂丑颈)么(惭别)话(贬耻补),对(顿耻颈)海(贬补颈)氏(厂丑颈)来(尝补颈)说(厂丑耻辞),都(顿耻)是(厂丑颈)小(齿颈补辞)意(驰颈)思(厂颈)。海(贬补颈)氏(厂丑颈)不(叠耻)管(骋耻补苍)是(厂丑颈)在(窜补颈)精(闯颈苍驳)神(厂丑别苍)上(厂丑补苍驳),还(贬耻补苍)是(厂丑颈)在(窜补颈)物(奥耻)质(窜丑颈)上(厂丑补苍驳),都(顿耻)极(闯颈)为(奥别颈)富(贵耻)裕(驰耻)。身(厂丑别苍)在(窜补颈)书(厂丑耻)香(齿颈补苍驳)门(惭别苍)第(顿颈),在(窜补颈)书(厂丑耻)本(叠别苍)的(顿别)晕(驰耻苍)染(搁补苍)下(齿颈补),容(搁辞苍驳)貌(惭补辞)虽(厂耻颈)比(叠颈)不(叠耻)上(厂丑补苍驳)华(贬耻补)兰(尝补苍)的(顿别)娇(闯颈补辞)艳(驰补苍),却(蚕耻别)在(窜补颈)气(蚕颈)度(顿耻)上(厂丑补苍驳)胜(厂丑别苍驳)过(骋耻辞)华(贬耻补)兰(尝补苍)许(齿耻)多(顿耻辞),是(厂丑颈)“腹(贵耻)有(驰辞耻)诗(厂丑颈)书(厂丑耻)气(蚕颈)自(窜颈)华(贬耻补)”的(顿别)代(顿补颈)表(叠颈补辞)人(搁别苍)物(奥耻)。

测补苍办补苍丑补辞产耻谤辞苍驳测颈辫颈苍驳虫颈虫颈补濒补颈诲别测耻濒耻苍锄补颈肠颈箩耻补苍迟耻锄丑辞苍驳濒补颈。迟辞苍驳蝉丑颈,箩颈苍辩颈箩颈苍补苍驳补辞飞别苍锄丑辞苍驳蝉丑耻辩颈虫颈补苍驳诲别苍驳箩颈测颈箩颈耻箩颈补辞驳补辞,锄丑辞耻尘辞濒颈补苍驳迟颈补苍锄耻颈驳补辞辩颈飞别苍锄补颈33℃锄耻辞测辞耻。蝉丑辞耻箩颈补苍驳测耻丑别诲补蹿别苍驳迟颈补苍辩颈测颈苍驳虫颈补苍驳,箩颈苍补苍办辞苍驳辩颈蝉丑颈诲耻锄别苍驳箩颈补,辩颈飞别苍蝉耻颈产颈补苍丑耻补产耻诲补,诲补苍尘别苍谤别驳补苍丑耻辞箩颈补苍驳驳别苍驳箩颈补尘颈苍驳虫颈补苍。

GLP -1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)不(Bu)良(Liang)反(Fan)应(Ying)/事(Shi)件(Jian)分(Fen)析(Xi)2020-03-10 10:48·医(Yi)学(Xue)顾(Gu)事(Shi)红(Hong)蓝(Lan)融(Rong)合(He)2013 年(Nian)我(Wo)国(Guo)慢(Man)性(Xing)病(Bing)及(Ji)其(Qi)危(Wei)险(Xian)因(Yin)素(Su)监(Jian)测(Ce)显(Xian)示(Shi),18岁(Sui)及(Ji)以(Yi)上(Shang)人(Ren)群(Qun)糖(Tang)尿(Niao)病(Bing)患(Huan)病(Bing)率(Lv)为(Wei)10. 4%[1],目(Mu)前(Qian)已(Yi)成(Cheng)为(Wei)世(Shi)界(Jie)第(Di)一(Yi)大(Da)糖(Tang)尿(Niao)病(Bing)国(Guo)。随(Sui)着(Zhuo)降(Jiang)糖(Tang)新(Xin)药(Yao)不(Bu)断(Duan)上(Shang)市(Shi),GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)已(Yi)在(Zai)临(Lin)床(Chuang)广(Guang)泛(Fan)使(Shi)用(Yong),目(Mu)前(Qian)上(Shang)市(Shi)7个(Ge)品(Pin)种(Zhong),分(Fen)别(Bie)为(Wei)利(Li)拉(La)鲁(Lu)肽(Zuo)( CFDA,2011 年(Nian)) 、艾(Ai)塞(Sai)那(Na)肽(Zuo)( CFDA,2009 年(Nian)) 、艾(Ai)塞(Sai)那(Na)肽(Zuo)缓(Huan)释(Shi)制(Zhi)剂(Ji)( CFDA,2018 年(Nian)) 、贝(Bei)那(Na)鲁(Lu)肽(Zuo)( CFDA,2016 年(Nian)) 、利(Li)司(Si)那(Na)肽(Zuo)( CFDA,2017 年(Nian)) 、阿(A)必(Bi)鲁(Lu)肽(Zuo)( FDA,2014 年(Nian)) 、度(Du)拉(La)糖(Tang)肽(Zuo)( FDA,2014 年(Nian)) 、索(Suo)马(Ma)鲁(Lu)肽(Zuo)( FDA,2014 年(Nian)) ,其(Qi)中(Zhong)前(Qian)5 种(Zhong)已(Yi)在(Zai)国(Guo)内(Nei)上(Shang)市(Shi)。艾(Ai)塞(Sai)那(Na)肽(Zuo)是(Shi)第(Di)一(Yi)个(Ge)上(Shang)市(Shi)的(De)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao),是(Shi)从(Cong)墨(Mo)西(Xi)哥(Ge)巨(Ju)蜥(Zuo)蜴(Zuo)毒(Du)液(Ye)中(Zhong)分(Fen)离(Li)出(Chu)的(De)一(Yi)种(Zhong)含(Han)有(You)39 个(Ge)氨(An)基(Ji)酸(Suan)的(De)多(Duo)肽(Zuo)序(Xu)列(Lie),人(Ren)体(Ti)同(Tong)源(Yuan)性(Xing)最(Zui)低(Di)( 53%) ; 贝(Bei)那(Na)鲁(Lu)肽(Zuo)通(Tong)过(Guo)基(Ji)因(Yin)工(Gong)程(Cheng)技(Ji)术(Shu)重(Zhong)组(Zu)合(He)成(Cheng),与(Yu)人(Ren)体(Ti)内(Nei)源(Yuan)性(Xing)GLP-1 结(Jie)构(Gou)相(Xiang)同(Tong)。目(Mu)前(Qian)研(Yan)究(Jiu)显(Xian)示(Shi)利(Li)拉(La)鲁(Lu)肽(Zuo)疗(Liao)效(Xiao)更(Geng)好(Hao),证(Zheng)据(Ju)更(Geng)足(Zu),使(Shi)用(Yong)最(Zui)为(Wei)广(Guang)泛(Fan); 艾(Ai)塞(Sai)那(Na)肽(Zuo)缓(Huan)释(Shi)制(Zhi)剂(Ji)、阿(A)必(Bi)鲁(Lu)肽(Zuo)、度(Du)拉(La)糖(Tang)肽(Zuo)、索(Suo)马(Ma)鲁(Lu)肽(Zuo)为(Wei)周(Zhou)制(Zhi)剂(Ji),使(Shi)用(Yong)更(Geng)为(Wei)方(Fang)便(Bian),依(Yi)从(Cong)性(Xing)更(Geng)高(Gao)。GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)呈(Cheng)葡(Pu)萄(Tao)糖(Tang)浓(Nong)度(Du)依(Yi)赖(Lai)的(De)方(Fang)式(Shi)增(Zeng)强(Qiang)胰(Yi)岛(Dao)素(Su)分(Fen)泌(Mi)、抑(Yi)制(Zhi)胰(Yi)高(Gao)糖(Tang)素(Su)分(Fen)泌(Mi),延(Yan)缓(Huan)胃(Wei)排(Pai)空(Kong),抑(Yi)制(Zhi)摄(She)食(Shi)中(Zhong)枢(Shu)控(Kong)制(Zhi)食(Shi)欲(Yu)减(Jian)少(Shao)进(Jin)食(Shi)量(Liang)。可(Ke)有(You)效(Xiao)降(Jiang)低(Di)血(Xue)糖(Tang),显(Xian)著(Zhu)降(Jiang)低(Di)体(Ti)重(Zhong)和(He)血(Xue)脂(Zhi)、血(Xue)压(Ya),部(Bu)分(Fen)品(Pin)种(Zhong)有(You)心(Xin)血(Xue)管(Guan)疾(Ji)病(Bing)获(Huo)益(Yi)证(Zheng)据(Ju),单(Dan)独(Du)使(Shi)用(Yong)低(Di)血(Xue)糖(Tang)风(Feng)险(Xian)低(Di)。其(Qi)说(Shuo)明(Ming)书(Shu)中(Zhong)常(Chang)见(Jian)不(Bu)良(Liang)反(Fan)应(Ying)为(Wei)恶(E)心(Xin)、呕(Ou)吐(Tu)等(Deng)胃(Wei)肠(Chang)道(Dao)症(Zheng)状(Zhuang)。但(Dan)有(You)文(Wen)献(Xian)报(Bao)道(Dao)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)可(Ke)导(Dao)致(Zhi)胰(Yi)腺(Xian)炎(Yan)、肾(Shen)损(Sun)伤(Shang)、过(Guo)敏(Min)性(Xing)休(Xiu)克(Ke)等(Deng)严(Yan)重(Zhong)不(Bu)良(Liang)事(Shi)件(Jian)。文(Wen)献(Xian)检(Jian)索(Suo)发(Fa)现(Xian)目(Mu)前(Qian)尚(Shang)无(Wu)该(Gai)药(Yao)不(Bu)良(Liang)反(Fan)应(Ying)的(De)相(Xiang)关(Guan)综(Zong)述(Shu)。文(Wen)献(Xian)检(Jian)索(Suo)策(Ce)略(Lue)采(Cai)用(Yong)计(Ji)算(Suan)机(Ji)在(Zai)中(Zhong)国(Guo)知(Zhi)网(Wang)( CNKI) 、万(Wan)方(Fang)数(Shu)据(Ju)中(Zhong)以(Yi)( “艾(Ai)塞(Sai)那(Na)肽(Zuo)”or“利(Li)拉(La)鲁(Lu)肽(Zuo)”or“贝(Bei)那(Na)鲁(Lu)肽(Zuo)”or“利(Li)司(Si)那(Na)肽(Zuo)”or“GLP-1”or“胰(Yi)高(Gao)血(Xue)糖(Tang)素(Su)”or“胰(Yi)升(Sheng)血(Xue)糖(Tang)素(Su)”or“诺(Nuo)和(He)力(Li)”or“百(Bai)泌(Mi)达(Da)”or“百(Bai)达(Da)扬(Yang)”or“谊(Yi)生(Sheng)泰(Tai)”or“利(Li)时(Shi)敏(Min)”) and( “不(Bu)良(Liang)”or“副(Fu)作(Zuo)用(Yong)”or“例(Li)”) 为(Wei)主(Zhu)题(Ti),在(Zai)PubMed 数(Shu)据(Ju)库(Ku)中(Zhong)以(Yi)( “Exenatide”or“Liraglutide”or“Benaglutide”or“Lixisenatide”or“Albiglutide”or“Dulaglutide”or“Semaglutide”or“GLP-1”) and“Case reports”为(Wei)“MeSH Terms 或(Huo)Title /Abstract”进(Jin)行(Xing)文(Wen)献(Xian)检(Jian)索(Suo),检(Jian)索(Suo)时(Shi)间(Jian)截(Jie)至(Zhi)2018 年(Nian)9 月(Yue)4 日(Ri)。根(Gen)据(Ju)需(Xu)要(Yao)回(Hui)溯(Su)相(Xiang)关(Guan)参(Can)考(Kao)文(Wen)献(Xian),收(Shou)集(Ji)国(Guo)内(Nei)外(Wai)公(Gong)开(Kai)发(Fa)表(Biao)的(De)医(Yi)药(Yao)期(Qi)刊(Kan)上(Shang)关(Guan)于(Yu)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)的(De)ADR/ADE 个(Ge)例(Li)报(Bao)道(Dao)。文(Wen)献(Xian)排(Pai)除(Chu)标(Biao)准(Zhun): 排(Pai)除(Chu)因(Yin)用(Yong)药(Yao)差(Cha)错(Cuo)所(Suo)致(Zhi)的(De)不(Bu)良(Liang)事(Shi)件(Jian),排(Pai)除(Chu)文(Wen)献(Xian)中(Zhong)未(Wei)说(Shuo)明(Ming)和(He)未(Wei)验(Yan)证(Zheng)到(Dao)可(Ke)能(Neng)是(Shi)由(You)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)引(Yin)起(Qi)的(De); 排(Pai)除(Chu)病(Bing)例(Li)信(Xin)息(Xi)不(Bu)详(Xiang)的(De)报(Bao)道(Dao); 排(Pai)除(Chu)个(Ge)案(An)汇(Hui)总(Zong)性(Xing)质(Zhi)的(De)二(Er)次(Ci)综(Zong)述(Shu)性(Xing)文(Wen)献(Xian); 通(Tong)过(Guo)文(Wen)献(Xian)信(Xin)息(Xi)比(Bi)对(Dui)排(Pai)除(Chu)重(Zhong)复(Fu)报(Bao)道(Dao)案(An)例(Li)。文(Wen)献(Xian)综(Zong)述(Shu)方(Fang)法(Fa)阅(Yue)读(Du)纳(Na)入(Ru)分(Fen)析(Xi)的(De)文(Wen)献(Xian),分(Fen)别(Bie)统(Tong)计(Ji)文(Wen)献(Xian)的(De)参(Can)考(Kao)文(Wen)献(Xian)年(Nian)份(Fen)及(Ji)作(Zuo)者(Zhe),统(Tong)计(Ji)7 种(Zhong)药(Yao)物(Wu)所(Suo)致(Zhi)ADR/ADE 名(Ming)称(Cheng)、用(Yong)药(Yao)时(Shi)间(Jian)、累(Lei)及(Ji)器(Qi)官(Guan)系(Xi)统(Tong)、主(Zhu)要(Yao)临(Lin)床(Chuang)表(Biao)现(Xian)、处(Chu)置(Zhi)措(Cuo)施(Shi)、转(Zhuan)归(Gui)情(Qing)况(Kuang),以(Yi)及(Ji)患(Huan)者(Zhe)年(Nian)龄(Ling)、性(Xing)别(Bie)、体(Ti)重(Zhong)指(Zhi)数(Shu)( BMI) 、用(Yong)量(Liang)用(Yong)法(Fa)、合(He)并(Bing)用(Yong)药(Yao)、合(He)并(Bing)疾(Ji)病(Bing)、过(Guo)敏(Min)史(Shi)等(Deng)项(Xiang)目(Mu),依(Yi)据(Ju)“Naranjo ADR Probability Scale[2]”依(Yi)次(Ci)对(Dui)报(Bao)道(Dao)病(Bing)例(Li)的(De)ADR/ADE 进(Jin)行(Xing)关(Guan)联(Lian)性(Xing)评(Ping)价(Jia)。评(Ping)价(Jia)标(Biao)准(Zhun): ≥9 分(Fen):高(Gao)度(Du)可(Ke)能(Neng)有(You)关(Guan); 5 ~ 8 分(Fen): 很(Hen)可(Ke)能(Neng)有(You)关(Guan); 1 ~ 4 分(Fen): 可(Ke)能(Neng)有(You)关(Guan); ≤0 分(Fen): 可(Ke)疑(Yi)。2 结(Jie)果(Guo)通(Tong)过(Guo)文(Wen)献(Xian)检(Jian)索(Suo),获(Huo)得(De)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)相(Xiang)关(Guan)ADR/ADE 病(Bing)例(Li)报(Bao)道(Dao)文(Wen)献(Xian)共(Gong)31 篇(Pian)( 32 个(Ge)病(Bing)例(Li)) ,剔(Ti)除(Chu)超(Chao)剂(Ji)量(Liang)使(Shi)用(Yong)( 用(Yong)药(Yao)错(Cuo)误(Wu)) 3 篇(Pian),阴(Yin)性(Xing)报(Bao)道(Dao)1 篇(Pian),剔(Ti)除(Chu)法(Fa)文(Wen)文(Wen)献(Xian)1 篇(Pian),纳(Na)入(Ru)分(Fen)析(Xi)文(Wen)献(Xian)26 篇(Pian),艾(Ai)塞(Sai)那(Na)肽(Zuo)12 篇(Pian),利(Li)拉(La)鲁(Lu)肽(Zuo)14 篇(Pian),度(Du)拉(La)糖(Tang)肽(Zuo)1 篇(Pian),其(Qi)余(Yu)品(Pin)种(Zhong)0 篇(Pian)。发(Fa)表(Biao)时(Shi)间(Jian)范(Fan)围(Wei): 1994 ~ 2018 年(Nian)。26 篇(Pian)文(Wen)献(Xian)中(Zhong)提(Ti)取(Qu)有(You)效(Xiao)病(Bing)例(Li)28 例(Li),男(Nan)11 例(Li)( 39%) ,女(Nv)17 例(Li)( 61%) ; 患(Huan)者(Zhe)最(Zui)小(Xiao)20 岁(Sui),最(Zui)大(Da)83岁(Sui),平(Ping)均(Jun)年(Nian)龄(Ling)( 56. 41 ± 15. 95) 岁(Sui); 30 ~ 80 岁(Sui)患(Huan)者(Zhe)占(Zhan)全(Quan)部(Bu)病(Bing)例(Li)的(De)81%。32 例(Li)使(Shi)用(Yong)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)的(De)病(Bing)例(Li)中(Zhong): 3 例(Li)超(Chao)剂(Ji)量(Liang)使(Shi)用(Yong)利(Li)拉(La)鲁(Lu)肽(Zuo)( 18 mg·d - 1 持(Chi)续(Xu)用(Yong)7 个(Ge)月(Yue),54mg once、72 mg once 自(Zi)杀(Sha)未(Wei)遂(Sui),3例(Li)均(Jun)未(Wei)出(Chu)现(Xian)严(Yan)重(Zhong)不(Bu)良(Liang)事(Shi)件(Jian)) ,1例(Li)为(Wei)阴(Yin)性(Xing)报(Bao)道(Dao)( 2 型(Xing)糖(Tang)尿(Niao)病(Bing)伴(Ban)甲(Jia)状(Zhuang)腺(Xian)髓(Sui)样(Yang)癌(Ai)患(Huan)者(Zhe)使(Shi)用(Yong)度(Du)拉(La)糖(Tang)肽(Zuo)2. 0 mg,每(Mei)周(Zhou)1 次(Ci)× 6 个(Ge)月(Yue),对(Dui)比(Bi)治(Zhi)疗(Liao)前(Qian)后(Hou)血(Xue)清(Qing)降(Jiang)钙(Gai)素(Su)水(Shui)平(Ping)、甲(Jia)状(Zhuang)腺(Xian)大(Da)小(Xiao)变(Bian)化(Hua)均(Jun)无(Wu)统(Tong)计(Ji)学(Xue)意(Yi)义(Yi),未(Wei)恶(E)化(Hua)甲(Jia)状(Zhuang)腺(Xian)髓(Sui)样(Yang)癌(Ai)病(Bing)情(Qing)) ,4 例(Li)予(Yu)以(Yi)剔(Ti)除(Chu)。其(Qi)余(Yu)28 例(Li)有(You)效(Xiao)病(Bing)例(Li)中(Zhong),艾(Ai)塞(Sai)那(Na)肽(Zuo)用(Yong)量(Liang)范(Fan)围(Wei)5 ~ 10 μg·d - 1,利(Li)拉(La)鲁(Lu)肽(Zuo)用(Yong)量(Liang)范(Fan)围(Wei)0. 3 ~ 1. 8 mg·d - 1,度(Du)拉(La)糖(Tang)肽(Zuo)用(Yong)量(Liang)为(Wei)2. 0 mg /周(Zhou)。报(Bao)道(Dao)涉(She)及(Ji)艾(Ai)塞(Sai)那(Na)肽(Zuo)13 例(Li)( 46. 43% ) ,利(Li)拉(La)鲁(Lu)肽(Zuo)14 例(Li)( 50. 00% ) ,度(Du)拉(La)糖(Tang)肽(Zuo)1 例(Li)( 3. 57% ) ; 12 例(Li)消(Xiao)化(Hua)系(Xi)统(Tong)事(Shi)件(Jian)中(Zhong),艾(Ai)塞(Sai)那(Na)肽(Zuo)4 例(Li)( 33. 33% ) ,利(Li)拉(La)鲁(Lu)肽(Zuo)8 例(Li)( 66. 67% ) 。7例(Li)急(Ji)性(Xing)肾(Shen)损(Sun)伤(Shang)报(Bao)道(Dao)病(Bing)例(Li)中(Zhong),3 例(Li)患(Huan)者(Zhe)用(Yong)药(Yao)前(Qian)即(Ji)存(Cun)在(Zai)肾(Shen)功(Gong)能(Neng)不(Bu)全(Quan),3 例(Li)患(Huan)者(Zhe)合(He)并(Bing)使(Shi)用(Yong)了(Liao)血(Xue)管(Guan)紧(Jin)张(Zhang)素(Su)受(Shou)体(Ti)抑(Yi)制(Zhi)药(Yao)± 利(Li)尿(Niao)药(Yao)类(Lei)降(Jiang)压(Ya)药(Yao)物(Wu)。ADR/ADE 发(Fa)生(Sheng)时(Shi)间(Jian)最(Zui)快(Kuai)出(Chu)现(Xian)在(Zai)首(Shou)次(Ci)用(Yong)药(Yao)10min 后(Hou),最(Zui)迟(Chi)为(Wei)连(Lian)续(Xu)用(Yong)药(Yao)1. 5 年(Nian)后(Hou)。由(You)表(Biao)2 数(Shu)据(Ju)可(Ke)知(Zhi), 28 例(Li)ADR/ADE 中(Zhong)17 例(Li)发(Fa)生(Sheng)在(Zai)用(Yong)药(Yao)2 个(Ge)月(Yue)内(Nei)( 60. 71%) ; 8 例(Li)胰(Yi)腺(Xian)炎(Yan)中(Zhong)5 例(Li)发(Fa)生(Sheng)在(Zai)初(Chu)始(Shi)用(Yong)药(Yao)2 个(Ge)月(Yue)内(Nei)( 62. 50%) ; 7 例(Li)急(Ji)性(Xing)肾(Shen)损(Sun)伤(Shang)中(Zhong)6 例(Li)发(Fa)生(Sheng)在(Zai)初(Chu)始(Shi)用(Yong)药(Yao)2 个(Ge)月(Yue)内(Nei)( 85. 71%) 。ADR/ADE 累(Lei)及(Ji)器(Qi)官(Guan)和(He)系(Xi)统(Tong)及(Ji)临(Lin)床(Chuang)表(Biao)现(Xian)ADR/ADE 累(Lei)及(Ji)器(Qi)官(Guan)系(Xi)统(Tong)分(Fen)类(Lei)参(Can)照(Zhao)《WHO 药(Yao)品(Pin)不(Bu)良(Liang)反(Fan)应(Ying)术(Shu)语(Yu)集(Ji)》,GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)ADR/ADE 主(Zhu)要(Yao)涉(She)及(Ji)消(Xiao)化(Hua)系(Xi)统(Tong)、泌(Mi)尿(Niao)生(Sheng)殖(Zhi)系(Xi)统(Tong)、皮(Pi)肤(Fu)及(Ji)附(Fu)件(Jian)系(Xi)统(Tong)等(Deng),临(Lin)床(Chuang)表(Biao)现(Xian)为(Wei)恶(E)心(Xin)、呕(Ou)吐(Tu)、食(Shi)欲(Yu)减(Jian)退(Tui),腹(Fu)痛(Tong)、胰(Yi)酶(Mei)升(Sheng)高(Gao)、肝(Gan)酶(Mei)升(Sheng)高(Gao),肌(Ji)酐(Zuo)或(Huo)肾(Shen)小(Xiao)球(Qiu)滤(Lv)过(Guo)率(Lv)( eGFR升(Sheng)高(Gao)) 、无(Wu)尿(Niao)、少(Shao)尿(Niao),低(Di)血(Xue)压(Ya),皮(Pi)疹(Zhen)、荨(Zuo)麻(Ma)疹(Zhen)等(Deng)。其(Qi)中(Zhong)严(Yan)重(Zhong)ADR/ADE 有(You)急(Ji)性(Xing)胰(Yi)腺(Xian)炎(Yan)、急(Ji)性(Xing)肾(Shen)损(Sun)伤(Shang)以(Yi)及(Ji)过(Guo)敏(Min)性(Xing)休(Xiu)克(Ke)。28 例(Li)患(Huan)者(Zhe)均(Jun)停(Ting)药(Yao)给(Gei)予(Yu)对(Dui)症(Zheng)处(Chu)理(Li)治(Zhi)疗(Liao)。12 例(Li)消(Xiao)化(Hua)系(Xi)统(Tong)损(Sun)害(Hai)患(Huan)者(Zhe),1 例(Li)因(Yin)急(Ji)性(Xing)坏(Huai)死(Si)性(Xing)胰(Yi)腺(Xian)炎(Yan)继(Ji)发(Fa)重(Zhong)症(Zheng)肺(Fei)炎(Yan)死(Si)亡(Wang),6 例(Li)痊(Quan)愈(Yu),5 例(Li)缓(Huan)解(Jie),转(Zhuan)归(Gui)时(Shi)间(Jian)3 d ~ 6个(Ge)月(Yue)。8 例(Li)泌(Mi)尿(Niao)生(Sheng)殖(Zhi)系(Xi)统(Tong)损(Sun)害(Hai)患(Huan)者(Zhe),3 例(Li)痊(Quan)愈(Yu),5 例(Li)缓(Huan)解(Jie),转(Zhuan)归(Gui)时(Shi)间(Jian)8 d ~ 4 个(Ge)月(Yue)。28 例(Li)ADR/ADE 病(Bing)例(Li)中(Zhong),高(Gao)度(Du)可(Ke)能(Neng)有(You)关(Guan)3 例(Li)( 10. 71%) ,很(Hen)可(Ke)能(Neng)有(You)关(Guan)18 例(Li)( 64. 29%) ,可(Ke)能(Neng)有(You)关(Guan)7 例(Li)( 25. 00%) ; 可(Ke)疑(Yi)0 例(Li)( 0) ,其(Qi)中(Zhong)1 例(Li)急(Ji)性(Xing)胰(Yi)腺(Xian)炎(Yan)和(He)1 例(Li)致(Zhi)抑(Yi)郁(Yu)症(Zheng)状(Zhuang)加(Jia)重(Zhong)为(Wei)高(Gao)度(Du)可(Ke)能(Neng)。GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)ADR/ADE 性(Xing)别(Bie)比(Bi)例(Li)统(Tong)计(Ji)发(Fa)现(Xian)女(Nv)性(Xing)稍(Shao)高(Gao)于(Yu)男(Nan)性(Xing),但(Dan)对(Dui)于(Yu)胰(Yi)腺(Xian)炎(Yan)、急(Ji)性(Xing)肾(Shen)损(Sun)伤(Shang)男(Nan)女(Nv)发(Fa)情(Qing)况(Kuang)相(Xiang)当(Dang)。不(Bu)同(Tong)品(Pin)种(Zhong)统(Tong)计(Ji)显(Xian)示(Shi),艾(Ai)塞(Sai)那(Na)肽(Zuo)与(Yu)利(Li)拉(La)鲁(Lu)肽(Zuo)总(Zong)体(Ti)发(Fa)生(Sheng)情(Qing)况(Kuang)相(Xiang)当(Dang),但(Dan)利(Li)拉(La)鲁(Lu)肽(Zuo)消(Xiao)化(Hua)系(Xi)统(Tong)不(Bu)良(Liang)事(Shi)件(Jian)发(Fa)生(Sheng)例(Li)数(Shu)更(Geng)多(Duo),可(Ke)能(Neng)与(Yu)临(Lin)床(Chuang)消(Xiao)耗(Hao)量(Liang)有(You)一(Yi)定(Ding)关(Guan)系(Xi)。对(Dui)于(Yu)已(Yi)经(Jing)存(Cun)在(Zai)肾(Shen)功(Gong)不(Bu)全(Quan)者(Zhe),合(He)并(Bing)使(Shi)用(Yong)血(Xue)管(Guan)紧(Jin)张(Zhang)素(Su)受(Shou)体(Ti)抑(Yi)制(Zhi)药(Yao)± 利(Li)尿(Niao)药(Yao)者(Zhe),以(Yi)及(Ji)应(Ying)用(Yong)GLP-1 受(Shou)体(Ti)激(Ji)动(Dong)药(Yao)期(Qi)间(Jian)出(Chu)现(Xian)严(Yan)重(Zhong)呕(Ou)吐(Tu)、腹(Fu)泻(Xie)导(Dao)致(Zhi)脱(Tuo)水(Shui)、低(Di)血(Xue)压(Ya)者(Zhe)应(Ying)当(Dang)警(Jing)惕(Ti)急(Ji)性(Xing)肾(Shen)功(Gong)损(Sun)害(Hai)发(Fa)生(Sheng),故(Gu)建(Jian)议(Yi)临(Lin)床(Chuang)用(Yong)药(Yao)前(Qian)后(Hou)应(Ying)监(Jian)测(Ce)肾(Shen)功(Gong)能(Neng),对(Dui)于(Yu)出(Chu)现(Xian)严(Yan)重(Zhong)胃(Wei)肠(Chang)反(Fan)应(Ying)者(Zhe)应(Ying)当(Dang)减(Jian)少(Shao)用(Yong)药(Yao)剂(Ji)量(Liang)或(Huo)停(Ting)药(Yao)观(Guan)察(Cha)。3 例(Li)皮(Pi)肤(Fu)及(Ji)其(Qi)附(Fu)件(Jian)ADR/ADE 报(Bao)道(Dao)中(Zhong),1例(Li)患(Huan)者(Zhe)对(Dui)赖(Lai)脯(Fu)胰(Yi)岛(Dao)素(Su)和(He)甘(Gan)精(Jing)胰(Yi)岛(Dao)素(Su)过(Guo)敏(Min),表(Biao)现(Xian)为(Wei)注(Zhu)射(She)部(Bu)位(Wei)红(Hong)肿(Zhong)、瘙(Zuo)痒(Yang)、硬(Ying)结(Jie),1 例(Li)有(You)过(Guo)敏(Min)性(Xing)鼻(Bi)炎(Yan)及(Ji)哮(Xiao)喘(Chuan)病(Bing)史(Shi),且(Qie)2 例(Li)均(Jun)发(Fa)生(Sheng)在(Zai)再(Zai)次(Ci)用(Yong)药(Yao)10d 内(Nei),故(Gu)对(Dui)于(Yu)既(Ji)往(Wang)有(You)药(Yao)物(Wu)过(Guo)敏(Min)史(Shi)或(Huo)有(You)过(Guo)敏(Min)性(Xing)疾(Ji)病(Bing)史(Shi)者(Zhe),首(Shou)次(Ci)用(Yong)药(Yao)或(Huo)再(Zai)次(Ci)用(Yong)药(Yao)10 d 内(Nei),应(Ying)注(Zhu)意(Yi)有(You)无(Wu)过(Guo)敏(Min)反(Fan)应(Ying)发(Fa)生(Sheng)。还(Huan)有(You)1 例(Li)艾(Ai)塞(Sai)那(Na)肽(Zuo)致(Zhi)过(Guo)敏(Min)性(Xing)休(Xiu)克(Ke)严(Yan)重(Zhong)不(Bu)良(Liang)反(Fan)应(Ying)的(De)报(Bao)道(Dao),该(Gai)病(Bing)例(Li)提(Ti)醒(Xing)临(Lin)床(Chuang)在(Zai)初(Chu)次(Ci)使(Shi)用(Yong)艾(Ai)塞(Sai)那(Na)肽(Zuo)周(Zhou)制(Zhi)剂(Ji)期(Qi)间(Jian)要(Yao)注(Zhu)意(Yi)过(Guo)敏(Min)反(Fan)应(Ying)的(De)防(Fang)范(Fan)。统(Tong)计(Ji)显(Xian)示(Shi)急(Ji)性(Xing)肾(Shen)损(Sun)伤(Shang)和(He)胰(Yi)腺(Xian)炎(Yan)多(Duo)发(Fa)生(Sheng)在(Zai)初(Chu)次(Ci)用(Yong)药(Yao)2 个(Ge)月(Yue)内(Nei),故(Gu)对(Dui)于(Yu)有(You)上(Shang)述(Shu)ADR/ADE 风(Feng)险(Xian)者(Zhe),用(Yong)药(Yao)2 个(Ge)月(Yue)内(Nei)药(Yao)师(Shi)应(Ying)当(Dang)加(Jia)强(Qiang)监(Jian)护(Hu)与(Yu)随(Sui)访(Fang),注(Zhu)意(Yi)有(You)无(Wu)腹(Fu)痛(Tong)、严(Yan)重(Zhong)呕(Ou)吐(Tu)、脱(Tuo)水(Shui)、无(Wu)尿(Niao)等(Deng)症(Zheng)状(Zhuang),以(Yi)防(Fang)严(Yan)重(Zhong)ADR/ADE 发(Fa)生(Sheng)。另(Ling)外(Wai)有(You)1 例(Li)新(Xin)的(De)很(Hen)可(Ke)能(Neng)因(Yin)使(Shi)用(Yong)利(Li)拉(La)鲁(Lu)肽(Zuo)后(Hou)导(Dao)致(Zhi)男(Nan)性(Xing)不(Bu)孕(Yun)的(De)报(Bao)道(Dao),其(Qi)机(Ji)制(Zhi)还(Huan)有(You)待(Dai)进(Jin)一(Yi)步(Bu)研(Yan)究(Jiu)探(Tan)讨(Tao),对(Dui)于(Yu)有(You)生(Sheng)育(Yu)需(Xu)求(Qiu)的(De)男(Nan)性(Xing)患(Huan)者(Zhe),药(Yao)师(Shi)应(Ying)当(Dang)做(Zuo)好(Hao)用(Yong)药(Yao)教(Jiao)育(Yu)与(Yu)指(Zhi)导(Dao)。参(Can)考(Kao)文(Wen)献(Xian)1 中(Zhong)国(Guo)2 型(Xing)糖(Tang)尿(Niao)病(Bing)防(Fang)治(Zhi)指(Zhi)南(Nan)( 2017 年(Nian)版(Ban)) [J]. 中(Zhong)国(Guo)实(Shi)用(Yong)内(Nei)科(Ke)杂(Za)志(Zhi), 2018, 38( 4) : 292-3442 Suggested definitions and relationships among medicationmisad ventures,medication errors,adverse drug events,andadverse drug reactions) [J]Am J Health-Syst Pharm,1998,55( 2) : 165-1663 Denker PS. Exenatide ( exendin-4) -induced pancreatitis: acase report[J]. Diabetes Care, 2006, 29( 2) : 4714 Ayoub WA,Kumar AA,Naguib HS. Exenatide-induced acutepancreatitis[J]. Endocr Pract, 2010, 16( 1) : 80-835 Shridhar N. Iyer,Almond J. Drake,R. Lee West. et al.Case report of acute necrotizing pancreatitis associated withcombination treatment of sitagliptin and exenatied[J]. EndocrPract, 2012,1( 18) : e10-e136 Lee PH,Stockton MD. Acute pancreatitis associated with liraglutide[J]. Annals of Pharmacotherapy, 2011, 45( 4) : e227 Famularo G,Gasbarrone L. Pancreatitis during treatment with liraglutide[J]. Journal ofPancreas, 2012, 13( 5) : 540-5418 Bourezane H,Kastler B. Late and severe acute necrotizing pancreatitis in a patient with liraglutide[J]. Therapie, 2012,67( 6) : 539-5439 Kaakeh Y,Kanjee S,Boone K. Liraglutide-induced acute kidney injury[J]. Pharmacotherapy, 2012, 32( 1) : e7-1110 Kern E,VanWagner LB,Yang GY. Liraglutide-induced autoimmune hepatitis[J]. JAMA Internal Medicine,2014,174( 6) : 984-98711 顾(Gu)晔(Zuo),徐(Xu)书(Shu)杭(Hang),倪(Ni)学(Xue)建(Jian),等(Deng). 胰(Yi)岛(Dao)素(Su)和(He)艾(Ai)塞(Sai)那(Na)肽(Zuo)过(Guo)敏(Min)两(Liang)例(Li)报(Bao)道(Dao)并(Bing)文(Wen)献(Xian)复(Fu)习(Xi)[J]. 标(Biao)记(Ji)免(Mian)疫(Yi)分(Fen)析(Xi)与(Yu)临(Lin)床(Chuang),2015,22( 1) : 78-8012 Korkmaz H,Araz M,Alkan S. Liraglutide-related cholelithiasis[J]. Aging Clinical and Experimental Research,2015,27( 5) : 751-75313 Nakata H,Sugitani S,Yamaji S, et al. Pancreatitis with pancreatictail swelling associated with incretin-based therapiesdetected radiologically in two cases of diabetic patients withend-stage renal disease[J]. Internal Medicine ( Tokyo,Japan), 2012, 51( 21) :3045-304914 张(Zhang)凡(Fan),王(Wang)丽(Li)霞(Xia). 利(Li)拉(La)鲁(Lu)肽(Zuo)注(Zhu)射(She)液(Ye)致(Zhi)转(Zhuan)氨(An)酶(Mei)升(Sheng)高(Gao)1 例(Li)[J].中(Zhong)国(Guo)药(Yao)物(Wu)警(Jing)戒(Jie), 2018, 15( 6) : 372-37315 López-Ruiz A,del Peso-Gilsanz C,Meoro-Avilés A, et al. Acuterenal failure when exenatide is co-administered with diureticsand angiotensin Ⅱ blockers[J]. Pharmacy world&Science, 2010, 32( 5) : 559-56116 Nandakoban H,Furlong TJ. Acute tubulointerstitial nephritisfollowing treatment with exenatide[J]. Diabetic Medicine,2013, 30( 1) : 123-12517 Kaakeh Y,Kanjee S,Boone K. Liraglutide-induced acutekidney injury[J]. Pharmacotherapy, 2012, 32( 1) : e7-1118 Dubois-Laforgue D,Boutboul D,Lévy DJ, et al. Severe acuterenal failure in patients treated with glucagon-like peptide-1receptor agonists[J]. Diabetes Research and Clinical Practice,2014, 103( 3) : e53-5519 Gariani K,de Seigneux S. Acute interstitial nephritis aftertreatment with liraglutide[J]. American Journal of KidneyDiseases, 2014, 63( 2) : 34720 Aijazi I,Abdulla FM,Zuberi BJ. Exenatide induced acutekidney injury[J]. Journal of Ayub Medical College, 2014, 26( 4) : 636-63921 Fontoura P,Cardoso MC,Erthal-Martins MC,et al. The effects of liraglutide on male fertility: a case report[J]. Reproductive Biomedicine Online, 2014, 29( 5) : 644-64622 Pérez E,Martínez-Tadeo J,Callero A, et al. A case report of allergy to exenatide[J]. Jjournal of Allergy and Clinical Immunology,2014,2( 6) : 822-82323 Hamann CR,Chung C,Kaffenberger BH. Pyoderma gangrenosum associated with dulaglutide therapy[J]. Int J Dermatol,2018, 49( 10) : 1-3.24 赵(Zhao)文(Wen)成(Cheng),张(Zhang)建(Jian)中(Zhong),李(Li)洋(Yang),等(Deng). 百(Bai)泌(Mi)达(Da)致(Zhi)低(Di)血(Xue)糖(Tang)1 例(Li)报(Bao)告(Gao)[J].吉(Ji)林(Lin)大(Da)学(Xue)学(Xue)报(Bao)( 医(Yi)学(Xue)版(Ban)) , 2013, 39( 3) : 54325 王(Wang)琦(Zuo),翟(Di)爱(Ai)华(Hua),刘(Liu)书(Shu)东(Dong),等(Deng). 艾(Ai)塞(Sai)那(Na)肽(Zuo)注(Zhu)射(She)液(Ye)引(Yin)起(Qi)过(Guo)敏(Min)性(Xing)休(Xiu)克(Ke)1 例(Li)[J]. 中(Zhong)国(Guo)医(Yi)院(Yuan)药(Yao)学(Xue)杂(Za)志(Zhi),2017,37 ( 22) : 2312-231326 Kohen I. Exenatide-induced depression in a geriatric patient[J]. InternationalJournal of Geriatric Psychiatry,2008,23( 4) : 443-44427 Ambrosio ML,Monami M,Sati L, et al. GLP-1 receptor agonist-induced polyarthritis: a case report[J]. Acta Diabetologica,2014, 51( 4) : 673-67428 Ruby RJ,Armato JP,Pyke C. GLP-1 provoked severe hypoglycemiain an individual with type 2 diabetes and a benigninsulinoma[J]. Diabetes Care, 2014, 37( 8) : e177-178

561而魏嘉比高亚麟年轻20岁,像是被爆出轨的女星徐梓钧更是1998年出生的,小了整整26岁。《办公室》免费在线观看高清版 - 电影 - 影视大全

缅甸甩粑粑

发布于:策勒县
声明:该文观点仅代表作者本人,搜狐号系信息发布平台,搜狐仅提供信息存储空间服务。
意见反馈 合作

Copyright ? 2023 Sohu All Rights Reserved

搜狐公司 版权所有