青光眼住院手术患者的构成及变化趋势分析

发布时间：2018-04-30 18:32

本文选题：青光眼 + 住院手术　；参考：《浙江大学》2010年硕士论文

【摘要】： 目的：分析青光眼住院手术患者的内部构成比及其性别、年龄分布,为青光眼的防治研究提供流行病学参考。方法：回顾分析浙江大学医学院附属第二医院眼科2001年1月～2008年12月期间青光眼住院手术患者资料,共1983例(1983眼),按术后诊断分为：急性原发性闭角型青光眼(PACG)、慢性PACG、原发性开角型青光眼(POAG)、继发性青光眼(SG)和先天性青光眼(CG)。统计住院手术患者的年龄、性别分布及各种类型青光眼的构成比,分析其内部构成比及变化趋势。将原发性青光眼患者按年龄分为6个时间组(40,40-50,50-60,60-70,70-80和80岁),观察不同性别组患者人数的分布情况。结果： 8年间原发性青光眼、SG和CG各占青光眼总数的61.82%、31.01%和7.16%。住院手术患者中,PACG患者男：女=1：2.05；POAG患者男：女=2.41：1；SG患者男：女=1.94：1；CG患者男：女=1.45：1。原发性青光眼住院手术患者中,PACG,患者男性和女性均多见于60-70岁年龄组。POAG患者女性多见于50-60岁年龄组(31.7%),而男性多见于40-50岁年龄组(21.7%)。40岁以下原发性青光眼手术患者以POAG患者多于PACG,而40岁以上则相反。结论：本研究表明原发性青光眼尤其是PACG是青光眼住院手术患者的主要类型。40岁以上人群中,PACG可能是青光眼防治的重点,而40岁以下人群的防治重点则可能是POAG。
[Abstract]:Objective: To analyze the internal composition ratio, sex and age distribution of glaucoma inpatients, and to provide epidemiological reference for the prevention and treatment of glaucoma. Methods: The data of glaucoma surgery patients in the second affiliated Hospital of Zhejiang University Medical College from January 2001 to December 2008 were analyzed retrospectively. A total of 1983 patients were divided into acute primary angle-closure glaucoma (PACGG), chronic angle-closure glaucoma (PACGG), primary open-angle glaucoma (Poag), secondary glaucoma (SGG) and congenital glaucoma (CGG) according to the postoperative diagnosis. The age, sex distribution and constituent ratio of various types of glaucoma were analyzed, and the internal composition ratio and its changing trend were analyzed. The patients with primary glaucoma were divided into 6 groups according to their age. Results: In 8 years, SG and CG accounted for 31. 01% and 7. 16% of the total number of glaucoma respectively. PACG patients: male: female 1: 2.05: Poag: male: female: 2.41: 1: SG: female: 1.94: 1CG, male: female: 1.45: 1. In primary glaucoma inpatients undergoing surgery, both male and female patients were found in the 60-70 age group. Poag patients were more commonly seen in the 50-60 age group than men in the 40-50 age group and in the 40-50 age group with primary glaucoma under the age of 21.70.The patients under 40 years of age underwent primary glaucoma surgery. The number of POAG patients was higher than that of PACGs, and the opposite was true over 40 years of age. Conclusion: This study suggests that primary glaucoma, especially PACG, is the main type of glaucoma surgery patients. In the population over 40 years old, PACG may be the focus of the prevention and treatment of glaucoma, while the prevention and treatment of patients under 40 years of age may be the focus of POAG.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R779.6

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