63例青光眼待排住院患者临床特征分析

发布时间：2018-08-17 18:10

【摘要】： 目的:探讨可疑青光眼住院患者的性别,年龄,有无家族史,主要症状,初测眼压,C/D比值,青光眼性视野改变,24小时眼压波动,部分激发实验及近视情况与出院诊断间的相关性,以期明确青光眼诊断中影响较大的因素,指导青光眼的早期诊断方向,同时为疑似青光眼患者诊断提供新的流行病学资料。方法:对1991年至2010年我院临床上以可疑青光眼收治入院的63例病例资料进行统计,分析其性别,年龄,有无家族史,主要症状,最高眼压,C/D比值,青光眼性视野改变,24小时眼压波动,部分激发实验及近视情况与出院诊断的组成特征。结果:63例可疑青光眼住院病例中,70.31%为女性病例;年龄最多分布在31～60岁间,占77.78% ;51例(81%)患者以眼胀痛为主要症状,视物模糊者占到19例(30.6%),头痛者为18例(28.6%)为主要症状,以上症状有部分重叠;所有病例房角均功能开放;最高压眼压≥22 mmHg者34例(54%);出现青光眼性视野改变9例(14.3%);24小时眼压波动阳性者13例(20.6%);11例(17.5%)的病例C/D比值异常;饮水实验阳性者3例(4.8%);24例( 38.1%)的病例有近视;在出院诊断中,13例(20.6%)的病例确诊为青光眼,36例(57.1%)的病例排除了青光眼,14例(22.2%)的病例仍为可疑青光眼。行单因素卡方检验,其中P 0.05的包括:年龄,最高眼压,青光眼性视野改变,24小时眼压波动,表明组间差异有统计学意义。结论:在青光眼待排病例的诊疗中应重视年龄,最高眼压,青光眼性视野改变,24小时眼压波动的监测,对于高危人群加强普及青光眼的防治知识,定期体检,综合检查,有助于早期诊断、早期治疗。
[Abstract]:Objective: to investigate the gender, age, family history, main symptoms, the ratio of intraocular pressure to C / D, the change of glaucoma visual field and the fluctuation of intraocular pressure in 24 hours. In order to identify the influential factors in glaucoma diagnosis, to guide the early diagnosis of glaucoma, and to provide new epidemiological data for the diagnosis of suspected glaucoma, part of the excitation experiment and the correlation between myopia and discharge diagnosis. Methods: the data of 63 patients with suspected glaucoma admitted to our hospital from 1991 to 2010 were analyzed. Sex, age, family history, major symptoms, highest IOP C / D ratio were analyzed. Glaucoma visual field changes 24 hours intraocular pressure fluctuation, partial stimulation test, myopia and the characteristics of the diagnosis of discharge. Results 70.31% of 63 cases of suspected glaucoma were female, the most common age was between 31 and 60 years old, accounting for 77.78% (81%) of the patients with ocular distension, 19 cases (30.6%) with blurred vision, 18 cases (28.6%) with headache as the main symptom. The above symptoms were partially overlapped, the atrial angle was open in all cases, 34 cases (54%) had IOP 鈮，

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