在患有骨质疏松症的患者中使用双酸盐时出现青光眼的风险:一项病例对照研究
Bonnie He1, Mahyar Etminan2,3, Rami Darwich4
1Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, NS, Canada. bonnie.he@dal.ca.
Eye (London, England)
|December 28, 2024
概括
与非使用者相比,患有骨质疏松症的双酸盐 (BP) 用户面临急性角关闭 (AAC) 的风险更高. 化酸盐是一种特定的BP,显示了AAC发展的可能性增加.
科学领域:
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 双酸盐 (BPs) 是骨质疏松症的主要治疗方法.
- 之前的案例报告表明,BP与急角闭合 (AAC) 之间存在潜在联系.
研究的目的:
- 调查与骨质疏松症患者使用双酸盐相关的AAC和开角玻璃眼 (OAG) 的风险.
- 为了解决缺乏关于BP和青光眼风险的大规模流行病学数据的问题.
主要方法:
- 追溯性队列研究与病例控制分析 (2008-2018).
- 利用了 PharMetrics Plus 数据库 (IQVIA),其中包含超过 1.5 亿个患者记录.
- 包括208,111名骨质疏松症患者,通过ICD-9/10代码和BP处方史来定义AAC和OAG.
主要成果:
- 双酸盐使用者发展AAC的可能性更高 (调整后的IRR=1.78).
- 与其他双酸盐配方的使用者相比,risedronate用户的AAC风险明显增加 (调整后的IRR = 2.12).
- 在使用双酸盐时没有观察到OAG的风险增加.
结论:
- 使用双酸盐的骨质疏松症患者表现出急性角关闭的风险较高.
- 与其他双酸盐相比,二酸盐与发展AAC的可能性更大.
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