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Risk factors for developing oral 5-aminolevulenic acid-induced side effects in patients undergoing fluorescence guided resection

机译:接受荧光引导切除术的患者发生口服5-氨基乙酰丙酸引起的副作用的危险因素

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摘要

Oral 5 aminolevulinic acid (5-ALA) is used to assist surgical resection of malignant tumours in the brain and other locations. Hypotension and alteration of liver functions have been reported as potential adverse effects. This study was designed to assess the incidence and contributing factors that cause 5-ALA induced side effects in a cohort of 90 patients. Hypotension occurred in 11 % of patients irrespective of 5-ALA dose. The only contributing factor was the presence of cardiovascular disease and antihypertensive drug therapy with an odd ratio of 17.7. Liver function were disturbed in 2% in patients who received 20 mg or less/kg body weight compared to 4% in those who received a dose of >20mg/kg 5-ALA. The liver dysfunction was minor and was not clinically significant. We concluded that 5-ALA induced side effects were minimal and hypotension more likely to occur in patients receiving antihypertensive drug therapy.
机译:口服5氨基乙酰丙酸(5-ALA)用于辅助手术切除脑部和其他部位的恶性肿瘤。低血压和肝功能改变已被报告为潜在的不良反应。本研究旨在评估90名患者中由5-ALA引起的副作用的发病率和影响因素。低血压发生在11%的患者中,与5-ALA剂量无关。唯一的影响因素是心血管疾病和降压药物治疗的存在,其奇数比为17.7。接受20 mg / kg / kg或更少体重的患者中2%的肝功能受到干扰,而接受大于20mg / kg的5-ALA的患者为4%。肝功能异常轻微,临床上无明显意义。我们得出的结论是,接受降压药物治疗的患者中5-ALA引起的副作用极小,低血压更容易发生。

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