杂志文章@ 14388871 % JMIR出版公司%V 16% N 卡塔尔世界杯8强波胆分析1% P e 15% T患者访问互联网健康记录对青光眼用药的影响:随机对照试验%A Kashiwagi,Kenji %A Tsukahara,Shigeo %+山梨市大学医学院，1110 Shimokato, Chuo, 409-3898, Japan, 81 552731111 ext 2372, kenjik@yamanashi.ac.jp %K互联网%K青光眼%K眼压%K个人健康记录%K用药%D 2014 %7 15.01.2014 %9原始论文%J J医学互联网Res %G英文%X背景:青光眼是致盲的主要原因之一。降低眼压是预防青光眼视神经病变进展的唯一有效方法。大多数青光眼患者一生中都需要使用抗青光眼眼药水。因此，良好的青光眼治疗依从性和持久性是更好的青光眼护理的重要因素。目的:本研究旨在探讨基于互联网的青光眼护理支持系统对青光眼药物使用的影响。方法:将患者随机分为两组。非互联网接入(NIA)组由在4年期间仅在眼科医生检查时才使用基于互联网的青光眼护理支持系统的患者组成。互联网接入(IA)组由在入组后的前2年与NIA组具有相同的基于互联网的青光眼护理支持系统接入的患者组成，但在剩余的2年也可免费访问青光眼护理支持系统。调查青光眼药物使用的变化。 Results: In total, 81 patients in the IA group and 90 patients in the NIA group satisfied the study protocol. The number of antiglaucoma ophthalmic solutions used during the study period significantly increased in the NIA group (P<.03) but not in the IA group. The percentages of patients with unchanged, increased, and decreased antiglaucoma ophthalmic solution use during the study period were 61.1% (55/90), 17.8% (16/90), and 3.3% (3/90), respectively, in the NIA group, and 56.8% (46/81), 8.6% (7/81), and 13.6% (11/81), respectively, in the IA group (P<.001). Internet access significantly shifted from an increasing intraocular pressure trend to a decreasing trend in the IA group (P=.002) among the patients who did not have any medication changes. Conclusions: Allowing patients to browse their medical data may reduce the use and improve the effectiveness of glaucoma medication. Trial Registration: UMIN-CTR Clinical Trial Number: UMIN000006982; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&type=summary&recptno=R000008238&language=E (Archived by WebCite at http://www.webcitation.org/6MRPQeEAv). %M 24429379 %R 10.2196/jmir.2795 %U //www.mybigtv.com/2014/1/e15/ %U https://doi.org/10.2196/jmir.2795 %U http://www.ncbi.nlm.nih.gov/pubmed/24429379