从2013年到2024年,第一线眼治疗的趋势:一个多机构和多国队列研究
Lan-Hsin Chuang1,2, Daniel Hsiang-Te Tsai3,4, Yuan-Hsi Chan5,6
1Department of Ophthalmology, Keelung Chang Gung Memorial Hospital, No. 222, Maijin Road, Keelung City, 204, Taiwan.
Ophthalmology and therapy
|February 4, 2026
概括
眼治疗模式正在发生变化. 开角玻璃眼 (OAG) 显示了更多的手术使用,而闭角玻璃眼 (ACG) 则更多地依赖于药物治疗. 这些趋势为未来的绿眼治疗策略提供了信息.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 青光眼是全球成年人失明的主要原因之一.
- 了解当前的第一线治疗模式对于治疗绿眼病至关重要.
- 当代治疗策略需要更新的洞察力.
研究的目的:
- 在12年的时间内分析一线眼治疗的趋势.
- 为了比较开角玻璃眼 (OAG) 和闭角玻璃眼 (ACG) 的治疗模式.
- 为了识别药物,手术和激光疗法使用的转变.
主要方法:
- 使用电子健康记录 (2013-2024) 的回顾性队列研究.
- 包括40岁以上的OAG或ACG诊断的患者.
- 使用曼-肯达尔测试评估单调趋势,报告肯达尔的t和q值.
主要成果:
- 在OAG中,药物使用减少了 (91.0%至85.8%),而手术增加了 (4.8%至9.0%).
- 激光治疗在OAG (4.2%至5.2%) 中保持稳定.
- 在ACG中,药物使用增加了 (72.4%至88.6%),手术 (9.8%至2.6%) 和激光治疗 (17.8%至8.8%) 显著下降.
结论:
- 药物仍然是对OAG和ACG的首要一线治疗.
- 治疗模式显示,OAG的手术增加和ACG的药物依赖增加的趋势.
- 需要进一步的研究来评估长期结果,并指导亚型特异性玻璃眼管理.
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