摘要
目的 了解最近 5年住院青光眼患者的病型构成、年龄、性别、职业分布及致盲率 ,分析致盲原因 ,探讨防治措施。方法 对 1997～ 2 0 0 1年入院的青光眼患者 5 39例病历资料进行调查、统计、分析。结果 5 39例住院青光眼患者中原发性青光眼 4 2 0例 ,占 77 92 % ;继发性青光眼 87例 ,占 16 14 % ;先天性青光眼 32例 ,占 5 94 %。原发性青光眼中 ,急性闭角型青光眼 2 6 0例 ,慢性闭角型青光眼 139例 ,开角型青光眼 2 1例 ,分别占原发性青光眼 6 1 90 %、33 10 %、5 0 0 %。 5 39例患者中男 2 36例 ,女 30 3例。其中急性闭角型青光眼中女性最多 ,占急性闭角型青光眼6 5 0 0 % (16 9/ 2 6 0 )。年龄分布 :急性闭角型青光眼平均年龄 6 1 4± 10 0岁 ,慢性闭角型青光眼 5 7 3± 9 4岁 ,开角型青光眼 4 6 9± 12 4岁 ,先天性青光眼 2 1± 0 5岁。职业分布 :工人、农民 379例 ,占 74 4 6 %。致盲率 (双眼盲 )16 2 7% ,单眼盲 38 92 %。结论 近 5年青光眼患者主要是原发性闭角型青光眼 ,多为老年 ,女性偏多 ,工人、农民占70 %以上 ,视功能损伤严重 ,致盲率高。必须加强青光眼防治知识的宣传和普及 ,做到早期诊断。
Objective To comprehend the type constitution,the distribution of age,sex and occupation and the blindness incidence of the hospitalized glaucoma patients in recent 5 years and to disscuss the treatment correspondingly.Methods The investigation,statistics and analysis were undertaken according to the medical records of 539 glaucoma patients who were hospitalized during 1997-2001.Results Among the 539 hospitalized glaucoma patients,patients with primary glaucoma were 420(77.92%);secondary glaucoma were 87(16.14%);congenital glaucoma were 32(5.94%).Acute angle-closure glaucoma(acute ACG) were 260,chronic angle-closure glaucoma(chronic ACG)were 139,open angle glaucoma(OAG) were 29,and respectively they were 61.90%,33.10%,5.00% in the primary glaucoma patients.There were 236 men and 303 women among all 539 patients.Most of the acute ACG patients were female(65.00%,169/260).Age distribution:The average age of actute ACG patients was 61.4±10.0 years;chronic ACG was 57.3±9.4 years;OAG was 46.9±12.4 years;congenital glaucoma was 2.1±0 5 years.occupation distribution:of all patients,workers and farmers were 379 cases(74.46%).blindness incidence:bilateral blindness was 16.27%,and unilateral blindness was 38.92%.Conclusion Among the hopitalized glaucoma patients in recent 5 years,the major type was primary ACG.Most of the patients were aged,female,workers and farmers(the latter two kinds were over 70%) with severe loss of visual function and high blindness incidence.Thus,we should made great efforts to publicize and spread the knowledge of the preventation and treatment of glaucoma,to make the early diagnoses,and to treat the patients properly.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2002年第11期1348-1349,共2页
Chinese Journal of Public Health
关键词
致盲率
青光眼
防盲
治盲
流行病学
glaucoma
prevention and treatment of blindness
epidemiological survey
