摘要
目的探讨单纯性结膜下出血患者与颈动脉内膜中层（IMT）厚度之间的关系。方法对2011年1月至2012年12月在上海市徐汇区大华医院眼科就诊的患者，选择单纯性结膜下出血者245例（245只眼）为出血组，208名（208只眼）健康体检者作为对照组，同时作颈动脉超声检查。结果单纯性结膜下出血患者IMT〈0．9mm68例，0．9mm≤IMT〈1．2mm98例，IMT≥1．2mm或颈动脉血管段存在突人管腔的回声，表面不光滑为颈动脉硬化斑块79例，根据IMT分布结果，所有人组对象中IMT≥0．9mm组（177／260，68．08％）结膜下出血发病率明显高于IMT〈0．9mm组（68／193，35．23％），差异有统计学意义（P〈O．01）。Logistic回归显示IMT是单纯性结膜下出血的主要危险因素（P〈0．05）。结论单纯性结膜下出血与颈动脉内膜中层增厚有一定相关性，提示临床上对单纯性结膜下出血患者应重视颈动脉IMT的检测。
Objective To explore the relation between patients with spontaneous subconjunctival hemorrhage and their carotid artery intima-media thickness （IMT）. Methods 245 patients （245 eyes） who were diagnosed subconjunctival hemorrhage and 208 cases of general health check-up persons were collected. The age,gender, blood pressure,carotid Ultrasonography and site of subconjunctival hemorrhage were detected for all subjects.the correlation between subconjunctival hemorrhage and IMT were analyzed. Results 68 patients with simple subconjunctival hemorrhage of IMT〈0.9 mm, 98 cases of 0.9mm≤IMT〈l.2mm, 79 cases of IMT ≥1.2 mm or carotid arterial blood section is the echo of the lumen, and the surface is not smooth and of carotid atherosclerosis plaque.IMT≥ 0.9mm group（177/260,68.08%）was significantly higher than IMT〈0.gmm group （68/193,35.23%） in in- cidence rate of subconjunctival hemorrhage （P 〈0.01）, Logistic regression shows that IMT is a ma- jor risk factor for simple subconjunctival hemorrhage （P 〈0.05）. Conclusion there is some correla- tion of simple subconjunctival hemorrhage and thickening of the carotid artery intima-media, patients with simple subconjunctival hemorrhage should clinically pay attention to detection of carotid IMT.
出处
《中国实用眼科杂志》
CSCD
北大核心
2014年第2期217-219,共3页
Chinese Journal of Practical Ophthalmology
关键词
单纯性结膜下出血
颈动脉内膜-中层
Spontaneous subconjunctival hemorrhage
Carotid artery intima-media
