在患有自身免疫性肝炎的患者中,骨质疏松性骨折的风险增加
Jihye Lim1, Ye-Jee Kim2, Seonok Kim2
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
The American journal of gastroenterology
|June 12, 2023
概括
患有自身免疫性肝炎 (AIH) 的患者面临更高的骨质疏松性骨折风险. 肝硬化和长期使用皮质糖类药物显著增加了AIH患者的骨折风险.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
- 类风湿病学 类风湿病学
背景情况:
- 自身免疫性肝炎 (AIH) 是一种慢性肝病,具有潜在的全身并发症.
- 在大型研究中,AIH与骨质疏松性骨折风险之间的关联尚未得到充分证实.
研究的目的:
- 为了调查诊断为自身免疫性肝炎的患者骨质疏松性骨折的风险.
- 确定与AIH患者骨折风险增加相关的因素.
主要方法:
- 一项使用韩国国家医疗保险服务索赔数据 (2007-2020) 的回顾性队列研究.
- 根据年龄,性别和随访时间,将7062名AIH患者与28122名对照 (1:4比) 匹配.
- 定义骨质疏松性骨折为脊椎骨折,部骨折,远半径骨折或近腰骨折.
主要成果:
- 与对照组相比,AIH患者的骨质疏松性骨折发病率显著更高 (17.5/1000人年),IR比率为1.24.
- 与骨折风险增加相关的因素包括女性性别,年龄较大,中风病史,肝硬化存在以及葡萄糖皮质激素的使用.
- 较长时间暴露于葡萄糖皮质激素与骨质疏松性骨折风险的逐渐增加有关.
结论:
- 患有自身免疫性肝炎的患者患有骨质疏松性骨折的风险较高.
- 肝硬化和长期的葡萄糖皮质激素治疗加剧了AIH患者的骨质疏松性骨折风险.
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