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Updated: May 10, 2025

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
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使用健康保险数据对耳毒药物的审查:数据驱动的管理系统
Jiwon Kim1,2, Chul Young Yoon1,2, Junhun Lee1,2
1Research Institute of Hearing Enhancement, Yonsei University Wonju College of Medicine Wonju South Korea.
某些药物,特别是质子抑制剂和抗生素,增加听力损失的风险,特别是在老年人中. 年龄和潜在的疾病是药物诱导性听力损失的关键因素.
科学领域:
- 耳部毒理学 耳部毒理学
- 药物监督 药物监督 药物监督
- 流行病学 流行病学
背景情况:
- 在全球范围内,听力损失影响了超过157亿人.
- 识别耳毒药对于预防和管理至关重要.
研究的目的:
- 调查韩国耳毒药使用与听力损失之间的关联.
- 为药物使用和预防听力损失提供临床指南的信息.
主要方法:
- 使用韩国国家卫生数据 (2009-2016) 的回顾性观察性研究.
- 使用后勤回归和Cox比例危险模型分析疑似耳毒性听力损失 (SOHL) 和药物处方.
主要成果:
- 年长的成年人 (≥65) 对SOHL的几率比率显著增加.
- 质子抑制剂 (PPI) 和抗生素与增加SOHL风险有关,特别是在老年人中.
- 在65岁以下的患者中,PPI的风险也更高.
结论:
- 年龄,性别,潜在疾病和特定药物是SOHL的重要风险因素.
- 应根据患者年龄仔细考虑药物的使用,以减轻听力损失的风险.
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