血,水和眼样本中的内分类大麻素和皮质醇,主要角度闭眼与对照对照
Dewang Angmo1, Gazella Bruce Warjri1, L Gowtham2
1Glaucoma Research Facility and Clinical Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
European journal of ophthalmology
|April 13, 2024
概括
血内分类素在正常人中高于原发性角闭眼光病 (PACG) 患者,而皮质醇水平在PACG中升高. 玻璃眼患者报告生活质量较差.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 玻璃眼病理学 玻璃眼病理学
背景情况:
- 主要视角闭眼镜 (PACG) 是视力丧失的重要原因之一.
- 内分泌大麻素 (EC) 和皮质醇在生理和病理过程中起作用.
- 了解PACG的生物标志物对于早期诊断和管理至关重要.
研究的目的:
- 为了比较PACG患者和对照者的血,水性幽默和眼水平的内分泌素 (安纳胺[AEA],2-阿拉基多诺伊尔糖醇 [2AG]) 和皮质醇.
- 评估和比较生活质量使用世卫组织生活质量简要版本 (WHOQOL-BREF) 问卷在两组.
主要方法:
- 招募了60名患者 (≥40岁),其中30名被诊断患有PACG,30名患有白内障 (对照).
- 参与者接受了眼科评估,完成了WHOQOL-BREF,并提供了血,水性幽默和眼样本.
- 在收集的样本中测量了AEA,2AG和皮质醇的水平.
主要成果:
- 血AEA和2AG水平在对照组明显高于PACG患者 (分别为p=0.01和p=0.002).
- 血和水性皮质醇水平在PACG患者中显著更高,显示出高诊断价值 (AUROC).
- 在对照组中,生活质量评分 (WHO-QOL) 显著提高 (p<0.001).
结论:
- 在PACG患者和对照人群中,眼内分类素水平没有差异.
- 血和水性皮质醇水平可以区分正常个体和青光眼患者.
- 皮质醇水平升高与格劳科马患者的生活质量降低有关.
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