血管紧张素转换酶抑制剂/血管紧张素受体拮抗剂在新型冠状病毒肺炎疫情防控中的应用分析Application of angiotensin-converting enzyme inhibitor/angiotensin receptor antagonist during COVID-19 epidemic prevention and control
吴瑶;余珊;段杰;王芊入;吴倪;李波;姜黎;
摘要(Abstract):
根据《中国心血管病报告》,中国现患心血管病人数约2.9亿,而大量循证医学证据证实了血管紧张素转换酶抑制剂(ACEI)或血管紧张素受体拮抗剂(ARB)治疗心血管等疾病的价值。ACEI/ARB是肾素-血管紧张素-醛固酮系统(RAAS)的阻滞剂,可上调血管紧张素转换酶2(ACE2)表达水平。而ACE2是新型冠状病毒肺炎(COVID-19)发生发展的关键分子靶点,一方面它是侵入人体细胞的必须受体,触发了COVID-19的发生,另一方面在COVID-19的发展过程中发挥抗炎保护作用。本文探讨在疫情防控期间能否使用ACEI/ARB,以期为心血管疾病患者合理使用ACEI/ARB提供思路与参考。
关键词(KeyWords): 新型冠状病毒肺炎;新型冠状病毒;血管紧张素转化酶2;血管紧张素转换酶抑制剂;血管紧张素受体拮抗剂;心血管疾病;肾素-血管紧张素-醛固酮系统
基金项目(Foundation): 四川医事卫生法治研究中心资助项目(YF19-Q14);; 成都市郫都区人民医院新型冠状病毒肺炎院内课题(2020XG01)
作者(Author): 吴瑶;余珊;段杰;王芊入;吴倪;李波;姜黎;
Email:
DOI: 10.14053/j.cnki.ppcr.202101001
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