【摘要】： 目的:探討可疑青光眼住院患者的性別,年齡,有無家族史,主要癥狀,初測眼壓,C/D比值,青光眼性視野改變,24小時眼壓波動,部分激發(fā)實(shí)驗(yàn)及近視情況與出院診斷間的相關(guān)性,以期明確青光眼診斷中影響較大的因素,指導(dǎo)青光眼的早期診斷方向,同時為疑似青光眼患者診斷提供新的流行病學(xué)資料。方法:對1991年至2010年我院臨床上以可疑青光眼收治入院的63例病例資料進(jìn)行統(tǒng)計,分析其性別,年齡,有無家族史,主要癥狀,最高眼壓,C/D比值,青光眼性視野改變,24小時眼壓波動,部分激發(fā)實(shí)驗(yàn)及近視情況與出院診斷的組成特征。結(jié)果:63例可疑青光眼住院病例中,70.31%為女性病例;年齡最多分布在31～60歲間,占77.78% ;51例(81%)患者以眼脹痛為主要癥狀,視物模糊者占到19例(30.6%),頭痛者為18例(28.6%)為主要癥狀,以上癥狀有部分重疊;所有病例房角均功能開放;最高壓眼壓≥22 mmHg者34例(54%);出現(xiàn)青光眼性視野改變9例(14.3%);24小時眼壓波動陽性者13例(20.6%);11例(17.5%)的病例C/D比值異常;飲水實(shí)驗(yàn)陽性者3例(4.8%);24例( 38.1%)的病例有近視;在出院診斷中,13例(20.6%)的病例確診為青光眼,36例(57.1%)的病例排除了青光眼,14例(22.2%)的病例仍為可疑青光眼。行單因素卡方檢驗(yàn),其中P 0.05的包括:年齡,最高眼壓,青光眼性視野改變,24小時眼壓波動,表明組間差異有統(tǒng)計學(xué)意義。結(jié)論:在青光眼待排病例的診療中應(yīng)重視年齡,最高眼壓,青光眼性視野改變,24小時眼壓波動的監(jiān)測,對于高危人群加強(qiáng)普及青光眼的防治知識,定期體檢,綜合檢查,有助于早期診斷、早期治療。
[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，

本文編號：2188471