在新诊断的开角玻璃眼患者中戒酒后视力障碍风险
Yoon Jeong1, Su Hwan Kim2, Goneui Kang1,3
1Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
JAMA network open
|October 19, 2023
概括
在被诊断为开角玻璃眼 (OAG) 之后戒酒显著降低了严重视力损伤或失明的风险. 持续饮酒,特别是频繁或大量饮酒,会增加OAG患者的这些风险.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 酒精消费与眼内压升高和开角玻璃眼 (OAG) 患病率有关.
- 关于酒精戒断和OAG结果的证据有限.
研究的目的:
- 调查酒精消费模式与新诊断OAG的患者严重视力损伤 (VI) 或失明的风险之间的关联.
主要方法:
- 使用韩国国家医疗保险服务数据进行了回顾性,全国性的队列研究.
- 包括OAG患者,他们以前是饮酒者,按诊断后的饮酒量进行分类 (持续饮酒者与戒酒者).
- 使用加权的Cox比例危险回归和治疗权重的逆概率进行分析.
主要成果:
- 在13,643名OAG患者中,21%的人在诊断后戒酒.
- 禁酒者患严重VI或失明的风险较低 (AHR,0.63).
- 持续的轻度,中度至重度和频繁的饮酒与戒酒相比,与增加的风险有关.
结论:
- 在OAG诊断后戒酒与严重视力丧失的风险降低有关.
- 包括戒酒在内的生活方式干预措施可能对管理OAG至关重要.
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