激素替代疗法和干眼综合征
D A Schaumberg1, J E Buring, D A Sullivan
1Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, 900 Commonwealth Ave E, Boston, MA 02215, USA. dschaumberg@rics.bwh.harvard.edu
JAMA
|November 22, 2001
概括
绝经后的激素替代疗法 (HRT) 增加了干眼综合征的风险,尤其是在仅使用雌激素的情况下. 使用HRT的持续时间也与眼睛干燥风险的增加有关.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 妇女健康 妇女健康
背景情况:
- 绝经后激素替代疗法 (HRT) 是广泛使用的.
- 雌激素对催膜和干眼综合征的潜在负面影响尚未得到充分研究.
研究的目的:
- 研究HRT使用与绝经后妇女干眼综合征发病率之间的关联.
主要方法:
- 一项大型队列研究,涉及25665名绝经后妇女.
- 在48个月内收集了HRT使用和干眼综合征 (诊断或严重症状) 的数据.
主要成果:
- 使用HRT与较高的干眼综合征风险有关.
- 仅用雌激素的HRT显示赔率比为1.69;雌激素加上孕激素/孕激素的赔率比为1.29.
- 每增加3年的HRT持续时间,都会增加15%的干眼风险.
结论:
- 使用HRT的绝经后妇女面临患干眼综合征的风险增加.
- 医生应该向患者告知这种潜在的HRT并发症.
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