视网膜静脉阻塞致病因素及影响预后视力相关因素

发布时间：2018-03-10 04:01

本文选题：视网膜静脉阻塞　切入点：致病机制　出处：《热带医学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨视网膜静脉阻塞致病因素及影响预后视力的相关因素,为视网膜静脉阻塞患者的临床治疗提供参考。方法收集2014年5月至2015年5月镇安县医院治疗并确诊为视网膜静脉阻塞患者170例,依据患者病灶部位,将其分为总干阻塞(n=47)、半侧阻塞(n=68)及分支阻塞(n=55)。对患者的临床资料进行回顾性分析。结果视网膜静脉阻塞致病原因Logistic回归分析数据显示,高血压(OR:4.161;95%CI:2.234~7.749)和高密度脂蛋白(HDL)降低(OR:12.308;95%CI:5.945~25.478)与视网膜静脉阻塞发病呈正相关(P=0.000)。而糖尿病、高脂血症、高TG、高Tc及青光眼与视网膜静脉阻塞的发病差异无统计学意义(P0.05)。长期吸烟可能为视网膜静脉阻塞的保护因素。治疗后,与初诊视力相比,三种类型视网膜阻塞患者预后视力均有明显提高,差异有统计学意义(P0.05);视网膜静脉阻塞患者初诊视力对预后视力影响很大,患者初诊视力越高,其预后视力效果越好,差异有统计学意义(P0.05)。结论缺血型视网膜静脉阻塞是影响患者视力预后的主要因素;患者视力预后与其初诊水平有很大关系。
[Abstract]:Objective to investigate the pathogenic factors of retinal vein occlusion (RVO) and the related factors affecting the prognosis of visual acuity. Methods from May 2014 to May 2015, 170 patients with retinal vein occlusion were treated in Zhenan County Hospital and diagnosed as retinal vein occlusion. The patients were divided into total trunk occlusion (47), hemiocclusion (68) and branch occlusion (55). The clinical data of the patients were retrospectively analyzed. Results the Logistic regression analysis data of the causes of retinal vein occlusion were analyzed. Hypertension: OR4.161 / 95CI: 2.2347.749) and high density lipoprotein (HDL) lowering OR12.308 and 95 CI: 5.945 ~ 25.478)) there is a positive correlation between the incidence of retinal vein occlusion and diabetes mellitus and hyperlipidemia. There was no significant difference in the incidence of high TG, high Tc and retinal vein occlusion between glaucoma and retinal vein occlusion (P 0.05). Long-term smoking may be the protective factor for retinal vein occlusion. The prognosis visual acuity of the three types of retinal obstruction patients was significantly improved, the difference was statistically significant (P 0.05), the primary visual acuity of the patients with retinal vein occlusion had a great influence on the prognosis visual acuity, the higher the first diagnosis visual acuity of the patients, the better the prognosis visual acuity effect. Conclusion Ischemic retinal vein occlusion is the main factor affecting the prognosis of visual acuity, and the prognosis of visual acuity is closely related to the level of initial diagnosis.
【作者单位】：镇安县医院五官科;
【分类号】：R774.1

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