本文選題：原發(fā)性急性閉角型青光眼 + 原發(fā)性慢性閉角型青光眼�。� 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:比較原發(fā)性急性閉角型青光眼(Primary acute angle-closure glaucoma,PAACG)、原發(fā)性慢性閉角型青光眼(Primary chronic angle-closure glaucoma,PCACG)患者與正常人群的睡眠質(zhì)量。方法:選擇2016年4月至2016年12月在重慶醫(yī)科大學(xué)附屬第二醫(yī)院眼科病房住院的PAACG患者20例(急性組)、PCACG患者15例(慢性組),以同期在我院體檢中心體檢的24人(正常組)為觀察對(duì)象。采用匹茲堡睡眠質(zhì)量指數(shù)量表(Pittsburgh sleep quality index,PSQI)對(duì)患者的睡眠質(zhì)量進(jìn)行測(cè)評(píng)。PSQI由24個(gè)評(píng)分條目組成,自評(píng)條目有19個(gè),他評(píng)條目有5個(gè)。其中第19個(gè)條目和5個(gè)他評(píng)條目不參與計(jì)分,剩余的18個(gè)自評(píng)條目組成7個(gè)成份參與計(jì)分,每個(gè)成份有0~3個(gè)等級(jí),分別對(duì)應(yīng)0~3分,7個(gè)成份的累積得分即為PSQI總分,PSQI總分最高為21分。PSQI總分越高,表示睡眠質(zhì)量越差,總分高于7分則認(rèn)為存在睡眠障礙。由一個(gè)醫(yī)師使用統(tǒng)一的指導(dǎo)語(yǔ),按量表評(píng)定要求進(jìn)行指導(dǎo),被測(cè)試者獨(dú)立完成問(wèn)卷。問(wèn)卷采用無(wú)記名的方式,當(dāng)場(chǎng)收回。計(jì)量資料采用獨(dú)立樣本t檢驗(yàn)或者秩和檢驗(yàn)進(jìn)行分析,計(jì)數(shù)資料采用卡方檢驗(yàn)進(jìn)行分析。結(jié)果:20例PAACG患者、15例PCACG患者和24例正常人均獨(dú)立完成測(cè)試,全部納入結(jié)果分析。(1)基本信息:急性組女性較男性多,慢性組和正常組患者則沒(méi)有明顯的性別差異;急性組年齡在50-85歲之間,平均年齡71.15±9.09歲,慢性組年齡在51-89歲之間,平均年齡66.20±12.73歲,正常組年齡在22-85歲之間,平均年齡67.88±6.44歲。(2)睡眠質(zhì)量:急性組患者PSQI總分非常顯著高于正常組(P0.05),且顯著高于慢性組(P0.05),慢性組患者PSQI總分也顯著高于正常組(P0.05);急性組與慢性組睡眠障礙者患病率(Percentage of patients with sleep disorders,PPSD)較正常組高(P0.05);急性組與慢性組PPSD之間差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05)。(3)慢性組不同視野缺損程度患者PPSD的比較:慢性組患者按視野缺損程度分組后,各亞組間PPSD沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:PAACG和PCACG患者的睡眠質(zhì)量較健康對(duì)照組差;PAACG和PCACG患者的PPSD較健康對(duì)照組高;PCACG患者的PPSD與視野缺損程度不存在相關(guān)性。
[Abstract]:Objective: to compare the sleep quality of primary acute angle-closure glaucoma primary chronic angle-closure glaucoma PCACGG patients with primary acute angle closure glaucoma (ACG) and normal subjects. Methods: from April 2016 to December 2016, 20 PAACG patients (15 cases of acute group) in the second affiliated Hospital of Chongqing Medical University were selected. Normal group) is the object of observation. The Pittsburgh sleep quality index (PSQI) was used to evaluate the sleep quality of the patients. PSQI was composed of 24 scoring items, 19 self-rating items and 5 other rating items. The 19th item and 5 other item are not included in the score, and the remaining 18 self-assessment items are composed of 7 components, each of which has 0-3 grades. The cumulative score of the seven components is that the highest total score of PSQI is 21. The higher the total score of PSQI is, the worse the sleep quality is, and the higher the total score is, the more the total score is, the higher the total score is. The questionnaire was completed independently by a physician who used a uniform guidance language and conducted the questionnaire according to the requirements of the scale. The questionnaire was collected on the spot by secret ballot. The measurement data were analyzed by independent sample t test or rank sum test, and the counting data were analyzed by chi-square test. Results 15 cases of PCACG and 24 cases of normal controls completed the test independently in 20 cases of PAACG. All of them were included in the analysis of results. The basic information was as follows: there were more women than men in acute group, but there was no significant gender difference between chronic group and normal group. The age of acute group was 50-85 years old, the average age was 71.15 鹵9.09 years old, the age of chronic group was 51-89 years old, the average age was 66.20 鹵12.73 years old, and that of normal group was 22-85 years old. Mean age 67.88 鹵6.44 yrs) Sleep quality: the total score of PSQI in the acute group was significantly higher than that in the normal group, and significantly higher than that in the chronic group, and the total score of PSQI in the chronic group was significantly higher than that in the normal group, and the total score of PSQI in the acute group and the chronic group was significantly higher than that in the normal group. There was no significant difference in PPSD between acute group and chronic group. The comparison of PPSD in patients with different degree of visual field defect in chronic group: after grouping according to the degree of visual field defect in chronic group, there was no significant difference in PPSD between acute group and chronic group. There was no significant difference in PPSD between subgroups (P 0.05). Conclusion there is no correlation between PPSD and visual field defect in the patients with PCACG and the patients with PCACG. The sleep quality of the patients with PCACG is lower than that of the patients with PAACG and PCACG in the healthy control group, and the PPSD of the patients with PCACG is higher than that of the patients with PCACG in the healthy control group.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R775

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