在使用通用数据模型的情况下使用水友性和脂友性他类药物和听力损失的风险:多中心队列研究
Insik Song1, Minjin Kim2,3, Hangseok Choi2,3
1Department of Otorhinolaryngology-Head and Neck Surgery, Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.
Scientific reports
|July 31, 2023
概括
在超脂血症患者中,水友性他类药物可能会降低与脂友性他类药物相比的听力损失风险. 这一发现表明,水友性他类药物在治疗听力障碍方面具有潜在的预防作用.
科学领域:
- 心脏病学和耳鼻喉学.
- 药理学和药理学流行病学
背景情况:
- 听力障碍是一个重要的全球健康问题,治疗选择有限.
- 超脂血症是一种常见的疾病,通常用他类药物治疗来治疗.
研究的目的:
- 为了比较患有超脂血症的患者的听力损失的风险,用水友性与脂友性他类药物治疗.
- 调查他类型对听力障碍发病率的影响差异.
主要方法:
- 使用来自韩国三家医院的共同数据模型数据库进行了回顾性多中心研究.
- 倾向性得分匹配,考克斯比例回归和元分析被用来比较听力损失风险.
- 数据包括37,322名高脂血症患者,分析诊断后听力损失的发生.
主要成果:
- 总的来说,分析显示,与脂友性他类药物使用者相比,水友性他类药物使用者的听力损失风险在统计学上显著较低 (HR,0.40;95% CI,0.18-0.91).
- 在倾向性得分匹配后,在医院之间没有观察到听力损失风险的显著差异.
- 水友性他类药物组的男性患者表现出听力损失的风险降低.
结论:
- 与脂性他类药物相比,水性他类药物可能与高脂血症患者的听力损失风险较低有关.
- 需要进一步的研究来证实这些发现,并探索潜在的机制.
- 在特定患者群体中,他类药物选择可能在减轻听力损伤风险方面发挥作用.
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