慢性病中的眼病:瑞典一项全国纵向病例控制研究
Pablo Ballester Dolz1, Karin Ålander2, Petra Smedberg2
1Department of Ophthalmology, Faculty of Medicine and Health, Orebro University, Orebro, Sweden.
Clinical & experimental ophthalmology
|November 17, 2024
概括
患有慢性病 (CKD) 的患者面临患眼病的风险更高,特别是视网膜疾病和白内障,这些疾病往往比普通人群更早出现. 建议对慢性病患者进行定期的眼科检查.
科学领域:
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 是一个全球性的健康问题,患病率和医疗保健成本不断增加.
- 调查CKD和眼睛疾病之间的联系对于患者管理至关重要.
研究的目的:
- 为了确定被诊断为CKD的瑞典患者眼病的发病率.
- 为了确定最常与CKD相关的特定眼睛疾病.
主要方法:
- 进行了以人口为基础的回顾性病例控制研究.
- 包括19455个CKD病例和38890个匹配的对照从2001年至2019年.
- 基于性别,年龄和居住县的匹配对照.
主要成果:
- 与对照组相比,CKD患者患任何眼病的风险增加了1.73倍.
- 观察到白内障 (HR 1.70),其他视网膜疾病 (HR 1.86) 和视网膜血管封闭 (HR 2.08) 的风险增加.
- 眼风险没有显著增加 (HR 0.95),但在CKD患者中,眼睛疾病的发展较早.
结论:
- 慢性病患者患各种眼部疾病的风险显著增加.
- 眼部疾病,特别是视网膜疾病和白内障,在CKD患者中表现得更早.
- 对于患有CKD的人来说,建议进行例行眼病查.
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