类风湿性关节炎和胆结石疾病的风险:全国范围的基于人口的研究
Jiho Park1, Yeonghee Eun2, Kyungdo Han3
1Department of Internal Medicine, Konkuk University of Medicine, Seoul, Republic of Korea.
Annals of translational medicine
|September 15, 2025
概括
患有类风湿性关节炎 (RA) 的患者患上胆结石的风险显著增加. 该研究还发现,与对照组相比,RA患者的胆囊切除手术风险略有增加.
科学领域:
- 类风湿病学 类风湿病学
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,导致全身炎症和并发症.
- 现有证据将RA与胆结石或胆囊切除术联系起来是有限的和不一致的.
- 这项研究调查了RA与胆结石和胆囊切除术风险之间的关联.
研究的目的:
- 为了确定患有类风湿性关节炎 (RA) 的患者是否有患上胆结石的风险增加.
- 评估RA患者是否比没有RA的患者更有可能接受胆囊切除术.
主要方法:
- 利用来自韩国国家健康保险服务的数据 (54,910名RA患者).
- 根据年龄和性别,将RA患者 (1:3比) 与没有RA的对照匹配.
- 采用考克斯回归分析来比较胆结石和胆囊切除术的风险.
主要成果:
- 关节炎患者患上胆结石的风险显著增加 (aHR为1.58,P<0.001).
- 在RA患者中,发病率为每1000人年15.69,对照组为10.09.
- 在RA患者中观察到胆囊切除术的风险略微增加 (aHR 1.15,P=0.04).
结论:
- 患有类风湿性关节炎 (RA) 的人面临更高的胆结石疾病风险.
- 关节炎患者患上胆囊切除术的风险略高.
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