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[摘要]
目的:了解我院近7a住院军人青光眼患者的构成比、年龄、性别、职级、治疗方案及视功能情况。分析军人青光眼住院患者的患病特点。
方法:对我院2004-01/2010-12所有的军人青光眼住院病历资料进行分析。
结果:军人青光眼住院患者69例125眼中,原发性青光眼110眼(88.0%),继发性青光眼15眼(12.0%)。其中原发性闭角型青光眼56眼(44.8%),原发性开角型青光眼54眼(43.2%)。住院年龄及发病年龄均高发于61~70岁年龄段。男性比例(92.8%)远远高于女性(7.2%)。师职干部最多,为40.6%,战士仅占17.4%。治疗涉及手术干预60眼(48.0%)。双眼致盲率11.6%,单眼致盲率16.0%。
结论:军人青光眼住院患者中原发性开角型青光眼比例接近原发性闭角型青光眼,多为中老年,治疗方案个体化,致盲率高。与军队征兵体检制度、医疗保障水平等因素相关,呈现一定的军队特色。
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[Abstract]
AIM: To investigate the proportion of different types, ages, distribution of genders, different ranks, treatments as well as visual function in military inpatients with glaucoma in recent 7 years.
METHODS: All military inpatients with glaucoma in our hospital from January 2004 to December 2010 were studied.
RESULTS: In all 69 cases 125 eyes, 110 eyes with primary glaucoma and 15 eyes with secondary glaucoma accounted for 88.0% and 12.0% respectively. 56 eyes with primary angle-closure glaucoma(PACG)accounted for 44.8% and 54 eyes with primary open angle glaucoma(POAG)accounted for 43.2%. It's most common in ages from 61-70. The male accounted for 92.8%. The army division-level cadre patients accounted for 40.6% and the solider patients only accounted for 17.4%. 60 eyes with surgical treatment accounted for 48.0%. The binocular and monocular blindness rate was 11.6% and 16.0% respectively.
CONCLUSION: The military inpatients with POAG were close to inpatients with PACG. Most of the inpatients were the middle-aged and elderly patients. The treatment was individual and it had a high blindness rate. It may relate to military cultural conditions.
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