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变应性鼻炎与开角型青光眼相关:一项基于人群的病例对照研究。

Allergic rhinitis is associated with open-angle glaucoma: a population-based case-control study.

作者信息

Chung Shiu-Dong, Lin Herng-Ching, Hung Shih-Han

机构信息

Sleep Research Center, Taipei Medical University, Taipei, Taiwan.

出版信息

Am J Rhinol Allergy. 2014 Jul-Aug;28(4):e148-51. doi: 10.2500/ajra.2014.28.4060.

Abstract

BACKGROUND

Despite many reports linking allergic rhinitis (AR) to problems of the eye, the relationship between AR and open-angle glaucoma (OAG) has not been studied. The purpose of this epidemiology study was to provide an estimation of the association of OAG with AR by using a population-based data set in Taiwan.

METHODS

We retrieved our study sample for this case-control study from the Longitudinal Health Insurance Database 2000. We extracted 7063 subjects with OAG as cases and 21,189 matched controls (three controls per case). We used conditional logistic regression analyses to calculate the odds ratio (OR) and corresponding 95% confidence interval (CI) to describe the association between OAG and having previously been diagnosed with AR.

RESULTS

A chi-squared test showed that there was a significant difference in the prevalence of prior AR between cases and controls (28.8% versus 22.3%; p < 0.001). A conditional logistic regression analysis suggested that the OR of having previously been diagnosed with AR for cases was 1.40 (95% CI, 1.31∼1.48; p < 0.001) compared with controls after adjusting for monthly income, geographic region, urbanization level, hypertension, diabetes, asthma, coronary heart disease, hyperlipidemia, and hypothyroidism. It also revealed that OAG was consistently and significantly associated with prior AR across all age groups. In particular, subjects aged 50∼59 years had the highest OR for prior AR among cases compared with controls (OR, 1.77; 95% CI, 1.53∼2.06; p < 0.001).

CONCLUSION

This outcome research found that there was an association between AR and OAG.

摘要

背景

尽管有许多报告将变应性鼻炎(AR)与眼部问题联系起来,但AR与开角型青光眼(OAG)之间的关系尚未得到研究。本流行病学研究的目的是通过使用台湾的基于人群的数据集来评估OAG与AR的关联。

方法

我们从2000年纵向健康保险数据库中检索了本病例对照研究的样本。我们提取了7063名患有OAG的受试者作为病例,并提取了21189名匹配的对照(每个病例有三个对照)。我们使用条件逻辑回归分析来计算比值比(OR)和相应的95%置信区间(CI),以描述OAG与先前被诊断患有AR之间的关联。

结果

卡方检验显示,病例组和对照组先前患AR的患病率存在显著差异(28.8%对22.3%;p<0.001)。条件逻辑回归分析表明,在调整月收入、地理区域、城市化水平、高血压、糖尿病、哮喘、冠心病、高脂血症和甲状腺功能减退后,病例组先前被诊断患有AR的OR为1.40(95%CI,1.31~1.48;p<0.001),与对照组相比。它还显示,在所有年龄组中,OAG与先前的AR始终存在显著关联。特别是,50~59岁的受试者在病例组中先前患AR的OR最高,与对照组相比(OR,1.77;95%CI,1.53~2.06;p<0.001)。

结论

这项结果研究发现AR与OAG之间存在关联。

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