本文關(guān)鍵詞： 視野檢查 正常策略 快速策略 比較研究　出處：《青島大學》2011年碩士論文　論文類型：學位論文

【摘要】：目的比較青光眼視野檢查程序的正常策略(Normal)和快速策略(TOP)對中晚期慢性閉角性青光眼(chronic angle-closure glaucoma chronic ACG)病人視野檢查結(jié)果的差異,為青光眼的診斷和隨診提供依據(jù)。 方法用Octopus 101自動電腦視野計對21例青光眼患者共27眼分別用青光眼檢測程序(G2)的正常策略檢查程序(Normal)檢查2次,其中一次正常策略檢查2相,獲得SF值。再用快速策略(TOP)檢查程序檢查2次,每2次之間都要休息30min,而且所有受檢眼在同一天內(nèi)完成上述檢查。將兩種方法所得視野指數(shù)及視野結(jié)果儲存進行分析比較。 結(jié)果2種策略視野檢查的3種視野指數(shù)MD、MS、LV均呈正相關(guān),平均缺損(mean defect, MD)的相關(guān)系數(shù)是0.916,P值為0.0260.05,平均光敏感度(mean sensitivity, MS)的相關(guān)系數(shù)是0.915,P值為0.0280.05,丟失方差(loss variance,LV)的相關(guān)系數(shù)是0.797,P值為0.0000.05。短期波動(SF)和平均缺損之間呈正相關(guān)其相關(guān)系數(shù)是0.623,P值為0.006.0.01。點對點閾值變異正常策略略低于快速策略,但P值為0.2140.05,差異無統(tǒng)計學意義；正常策略的SF值為2.589±0.868,快速策略的SF值為4.036±1.009,P值0.0090.05,差異有意義；正常策略程序檢測所用時間是12.23±3.15min而快速策略程序是3.98±0.55min。 結(jié)論2種視野檢查法均能有效檢測中晚期慢性閉角性青光眼的視野缺損。短期波動與平均缺損呈正相關(guān)�？焖俨呗詸z查所用時間短,患者不易疲勞,但檢查結(jié)果與正常策略間存在差異。
[Abstract]:Objective to compare the difference between normal and rapid strategy of glaucoma visual field examination (angle-closure) in patients with chronic angle-closure glaucoma chronic (ACG), and to provide evidence for the diagnosis and follow-up of glaucoma. Methods 27 eyes of 21 patients with glaucoma were examined with Octopus 101 automatic computer visual field meter. The normal strategy examination procedure of G2) was performed twice, including 2 phases of normal strategy examination. The SF value was obtained and then checked twice with the quick strategy top check procedure, with a rest of 30 minutes between each two times, and all the eyes were examined in the same day. The visual field index obtained by the two methods and the results stored in the visual field were analyzed and compared. Results there was a positive correlation between the three visual field indices (MDM MS LV) of the two kinds of strategic visual field examination. The correlation coefficient of mean defect (MD) was 0.9260.05, the mean sensitivity of light sensitivity was 0.0260.05, the correlation coefficient of MS) was 0.0280.05, the correlation coefficient of missing variance loss variation (LVV) was 0.797hp was 0.0000.05.The correlation coefficient between the short term fluctuation SFV and the average defect was positive correlation. The correlation number is 0.623 P = 0.006.0.01. The normal strategy of point to point threshold variation is slightly lower than that of fast strategy. The SF value of normal strategy was 2.589 鹵0.868, and that of fast strategy was 4.036 鹵1.009 (P 0.0090.05), the time of normal strategy test was 12.23 鹵3.15min, and that of rapid strategy procedure was 3.98 鹵0.55min. but P value was 0.2140.05, and the SF value of normal strategy was 2.589 鹵0.868, and that of fast strategy was 4.036 鹵1.009 (P = 0.0090.05). Conclusion both visual field examination methods can effectively detect the visual field defect in middle and late stage chronic closed angle glaucoma, the short-term fluctuation is positively correlated with the average defect, the time for rapid strategic examination is short, and the patient is not easy to fatigue. However, there were differences between the results of the examination and the normal strategy.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R775

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本文編號：1494302