视盘出血对高眼压症转归的临床意义分析  

The analysis of clinical significance of optic disc hemorrhage on the prognosis of ocular hypertension

作　　者：张红兵 孙乃学[2] 梁厚成[2] 

机构地区：[1]西安市眼科医院,710002 [2]西安交通大学第二附属医院眼科,西安710051

出　　处：《中国实用眼科杂志》2009年第5期510-512,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨高眼压症中容易进展为青光眼的临床特点，为早期确诊这类青光眼提供帮助。方法回顾性分析自2002年1月至2007年3月门诊随访的有完整资料的312例高眼压症病人中，发生视盘出血和未发生视盘出血两组病例中进展为青光眼的情况。结果312例病人中，42例（13．46％）发生视盘出血，其中12例（28．57％）确诊为青光眼，无视盘出血的270例（86．54％）病人中33例（12．22％）确诊为青光眼，两组之间差异显著有统计学意义（Pearson chi2=7．8711，Pr=0．005）。对各组间眼压进行比较，确诊为青光眼的视盘出血组和视盘未出血组间差异有统计学意义（t=-2．2911，P=0．0269），而视盘出血两组间、视盘未出血两组间和未确诊为青光眼的视盘出血组和视盘未出血组间差异无统计学意义（t=1．8493．P=0．0718；t=0．5915，P=0．5547；t=0．7039，P=0．4821）。结论视盘出血是高眼压症进展为青光眼的一个危险因素，视盘出血且眼压偏高者更容易进展为青光眼。Objective To study the clinical characteristics of ocular hypertension which can easily exacerbate to glaucoma,and give help to early diagnosis of this kind of glaucoma.Methods The data of 312 out-patient cases from January 2002 to March 2007,which were divided into two groups of with optic disc hemorrhage and without optic disc hemorrhage, was analyzed retrospectively.Results In 312 cases, optic disc hemorrhage had happened in 42 cases （13.46%）,and among them, 12 cases were diagnosed as glaucoma （28.57%）, In no optic disc hemorrhage cases （86.54%）, 33 cases were diagnosed as glaucoma（ 12.22% ）, and the difference between two groups has statistic significance （Pearson chi2=7.8711, Pr = 0.005）.With further study, the difference between group with optic disc hemorrhage and group without optic disc hemorrhage has statistic significance （t =-2.2911, P = 0.0269 ）, while no difference, among two groups with optic disc hemorrhage, two groups without optic disc hemorrhage, or two groups which have not been diagnosed as glaucoma, has statistic significance （ t = 1.8493, P = 0.0718; t = 0.5915, P = 0.5547; t = 0.7039, P = 0.4821 ）.Conclusion Optic disc hemorrhage is a risk factor for ocular hypertension which can easily evolved to glaucoma, and this status is worsened in higher ocular hypertension case.

关 键 词：高眼压症 青光眼 出血 视盘 

分 类 号：R775[医药卫生—眼科] R563.1[医药卫生—临床医学]