老年人伴眼部症状的缺血性卒中45例临床分析  

A 45-case Analysis of Eye Symptom Complicating Ischemic Stroke in Elderly

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：《广州医学院学报》2006年第1期50-52,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:通过分析45例老年人伴眼部症状的缺血性卒中患者OCSP临床分型(英国牛津郡社区脑卒中项目,Oxford Commun ity Stroke Project,OCSP)、视力、视野、眼底改变,以找出其发病特点。方法:45例病人均来源于广州医学院第二附属医院神经内科经住院最后确诊者,全部行视力、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:高血压视网膜病变、萎缩型老年性黄斑变性,糖尿病视网膜病变为老年人主要眼病,对本组缺血性卒中患者早期发现这些眼部病变,采取相应干预措施是十分重要的。Objective：To characterize the senile ischemic stroke complicated with eye symptoms in terms of OCSP （Oxford Community Stroke Project） classification, changes in vision, visual field and fundus in 45 patients. Methods： The changes in vision, visual field and fundus in confirmed cases admitted to Department of Neurology, Second Affiliated Hospital, Guangzhou Medical College, were recorded in details. Results： Ischemic stroke of posterior circulation （64.4%） was predominant in all patients. The rate of hypopsia was 69.7% and visual field defects involved oculus unitas. HR, SMD and DR were 63.6%, 40.9% and 27.2% respectively in the changes of fundus. Conclusion： It is suggested that for patients with eye symptoms, even those with normal visual acuity, a close observation including examination of ophthalmology should be made. Early identification and intervention of eye conditions in senile ischemic stroke would be of highly importance.

关 键 词：老年人 眼部症状 缺血性卒中 

分 类 号：R771.3[医药卫生—眼科]