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韩国视网膜静脉阻塞与银屑病的相关性:一项全国范围内基于人群的前瞻性队列研究。

Association between Retinal Vein Occlusion and Psoriasis in Korea: A Nationwide Population-based Prospective Cohort Study.

机构信息

Department of Dermatology, Uijeongbu St Mary's Hospital, College of Medicine, The Catholic University of Korea, 271 Cheon Bo-ro, Uijeongbu, Gyeonggi-Do, 11765, Republic of Korea..

出版信息

Acta Derm Venereol. 2022 Aug 26;102:adv00767. doi: 10.2340/actadv.v102.2299.

Abstract

Psoriasis is a chronic inflammatory skin disease imparting increased risk of cardiovascular diseases. Until now, few studies have reported an increased incidence of ophthalmological retinal vasculopathy in individuals with psoriasis. This study aimed to investigate the association between psoriasis and retinal vein occlusion in the Korean population. Data collected by the National Health Insurance Service between 2009 and 2015 in Korea were analysed. Participants who underwent national health examinations from 2009 to 2012 were enrolled in this study and were divided into either the psoriasis group (n = 3,088) or the control group (n = 465,205). All occurrences of retinal vein occlusion were observed, and the incidence rate of retinal vein occlusion was compared between the psoriasis and control groups. A Cox proportional hazards regression analysis was used to assess the association between psoriasis and newly developed retinal vein occlusion. During a mean 4.37-year follow-up period, 2,034 patients developed retinal vein occlusion. According to multivariable Cox proportional hazard models, individuals with psoriasis had a significantly higher risk of retinal vein occlusion compared with controls (hazard ratio 1.72, 95% confidence interval 1.18-2.51) after adjustments for covariates. This study found that psoriasis was positively associated with retinal vein occlusion.

摘要

银屑病是一种慢性炎症性皮肤疾病,会增加心血管疾病的风险。到目前为止,很少有研究报告银屑病患者的眼科视网膜血管病变发病率增加。本研究旨在调查韩国人群中银屑病与视网膜静脉阻塞之间的关系。分析了韩国国家健康保险服务在 2009 年至 2015 年期间收集的数据。本研究纳入了 2009 年至 2012 年期间接受国家健康检查的参与者,并将其分为银屑病组(n=3088)或对照组(n=465205)。观察所有视网膜静脉阻塞的发生情况,并比较银屑病组和对照组的视网膜静脉阻塞发生率。使用 Cox 比例风险回归分析评估银屑病与新发生的视网膜静脉阻塞之间的关联。在平均 4.37 年的随访期间,2034 名患者发生视网膜静脉阻塞。根据多变量 Cox 比例风险模型,在校正了协变量后,银屑病患者的视网膜静脉阻塞风险明显高于对照组(风险比 1.72,95%置信区间 1.18-2.51)。本研究发现,银屑病与视网膜静脉阻塞呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df7/9593496/e53645229b72/ActaDV-102-2299-g001.jpg

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