45例老年人伴眼部症状的缺血性卒中临床分析  

Clinical analysis of 45 patients with ocular symptom in ischemic stroke of the aged

作　　者：吴兴萍[1] 郭露萍[1] 黄娟[1] 陈振谦[1] 

机构地区：[1]广州医学院第二附属医院眼科,广东广州510260

出　　处：《现代医药卫生》2006年第12期1761-1763,共3页Journal of Modern Medicine & Health

摘　　要：目的:分析45例老年人伴眼部症状的缺血性卒中患者的(英国牛津群社区脑卒中项目,OxfordCommunityStrokeProject,OCSP)OCSP临床分型、视力、视野、眼底改变,以探讨出其发病特点。方法:患者均行视力、视野、眼底检查并作详细记录。结果:本组患者中OCSP分型以后循环卒中居多,占64.4%,视力减退为69.7%,视野缺损为双眼视野改变,眼底病变中高血压视网膜病变、萎缩型老年性黄斑变性,糖尿病视网膜病变分别为63.6%、40.9%和27.2%。结论:视力减退的原因由眼底病变造成,而非脑卒中病灶所致,无论眼部症状如何,即便是视力正常的眼,均应全面进行相应的眼科检查,早期发现这些眼部病变,对其防治和预后十分重要。Objective：In order to find the characteristic of ocular symptom in ischemic stroke of the aged,the changes of vision,visual field and fundus in 45 patients were analysed. Methods：The examination of vision,visual Field and fundus was carefully recorded. Results：Ischemic stroke of posterior circulation （64.4%） was dominant in all patients. The rate of visual impairment was 69.7% and visual field defects were in oculus unitas,HR,SMD and DR were 63.6% ,40.9% and 27.2% respectively in the changes of fundus. Conclusion： The cause of the visual impairment was the changes of fundus,but not ischemic stroke. It is suggested that for the patients with ocular symptom, especially those with normalilty of visual acuity, a close observation including examination of ophthalmology should be made. It was significant value for the prevention, treatment and prognosis that the ocular changes could be discovered eadily.

关 键 词：老年人 眼部症状 缺血性卒中 

分 类 号：R77[医药卫生—眼科]