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)為觀察對象。采用匹茲堡睡眠質(zhì)量指數(shù)量表(Pittsburgh sleep quality index,PSQI)對患者的睡眠質(zhì)量進(jìn)行測評。PSQI由24個評分條目組成,自評條目有19個,他評條目有5個。其中第19個條目和5個他評條目不參與計分,剩余的18個自評條目組成7個成份參與計分,每個成份有0~3個等級,分別對應(yīng)0~3分,7個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。由一個醫(yī)師使用統(tǒng)一的指導(dǎo)語,按量表評定要求進(jìn)行指導(dǎo),被測試者獨立完成問卷。問卷采用無記名的方式,當(dāng)場收回。計量資料采用獨立樣本t檢驗或者秩和檢驗進(jìn)行分析,計數(shù)資料采用卡方檢驗進(jìn)行分析。結(jié)果:20例PAACG患者、15例PCACG患者和24例正常人均獨立完成測試,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之間差異沒有統(tǒng)計學(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沒有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:PAACG和PCACG患者的睡眠質(zhì)量較健康對照組差;PAACG和PCACG患者的PPSD較健康對照組高;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)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R775

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 趙歡;馬玉乾;安楷;胡佳希;才源;鮑進(jìn);薛天;;非成像視覺的光信號轉(zhuǎn)導(dǎo)與環(huán)路結(jié)構(gòu)功能[J];中國科學(xué):生命科學(xué);2017年01期

2 呂海燕;王娜娜;張月;朱紅玲;;護(hù)理干預(yù)對急性閉角型青光眼患者心理狀態(tài)及睡眠質(zhì)量的影響[J];湖北醫(yī)藥學(xué)院學(xué)報;2014年01期

3 路桃影;李艷;夏萍;張廣清;吳大嶸;;匹茲堡睡眠質(zhì)量指數(shù)的信度及效度分析[J];重慶醫(yī)學(xué);2014年03期

4 王懷洲;王寧利;;近日節(jié)律與眼生理、病理的研究進(jìn)展[J];中華眼科醫(yī)學(xué)雜志(電子版);2013年06期

5 汪俊;崔巍;;我國原發(fā)性青光眼流行病學(xué)研究進(jìn)展[J];國際眼科雜志;2012年04期

6 曾強;何士剛;;視網(wǎng)膜中的自主感光神經(jīng)節(jié)細(xì)胞[J];生物物理學(xué)報;2011年05期

7 徐月娥;;護(hù)理干預(yù)對原發(fā)性閉角型青光眼手術(shù)患者睡眠質(zhì)量的影響[J];現(xiàn)代臨床護(hù)理;2010年04期

8 王靜;段宣初;;青光眼與睡眠[J];國際眼科雜志;2007年06期

9 李燕;曾勇;陳壯飛;張秀R，

本文編號：1833967