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一项队列研究发现,与壮病相关的末期病风险很高
Sangmo Hong1, Kyung-Soo Kim2, Kyungdo Han3
1Department of Internal Medicine, Guri Hospital, Hanyang University, College of Medicine, Seoul, Republic of Korea.
患有壮症的患者面临着明显更高的患末期脏病 (ESKD) 的风险. 这种增加的风险与糖尿病和高血压等疾病有关,突出显示了巨患者需要主动脏监测的需要.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 由于生长激素和IGF-1的过量引起的巨,有许多并发症.
- 在壮症中对脏并发症的纵向数据有限.
研究的目的:
- 为了调查壮病患者末期病 (ESKD) 的风险.
- 分析糖尿病和高血压在壮病和ESKD关系中作为调解者的作用.
主要方法:
- 使用韩国全国数据进行的回顾性队列研究.
- 2,187名壮病患者和10,935名匹配对照人被跟踪平均6.51年.
- 使用了Cox比例危险回归分析,控制了多个共变量.
主要成果:
- 与对照人群相比,ESKD的发病率在壮病患者中显著较高 (每1000人年为2.00人),每1000人年为0.46人).
- 在壮病患者中,ESKD的调整后危险比为2.36.
- 糖尿病和高血压被确定为壮症和ESKD之间的显著调解者.
结论:
- 巨症独立地与ESKD风险增加有关.
- 糖尿病和高血压在壮病患者中起到ESKD发展的重要促进作用.
- 目前的治疗方法,如垂体外科手术和体静止素类似物,并没有显著改变这种关联.
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