常规体检人群眼压分布和影响因素研究  

Distribution and associations of intraocular pressure in urban subjects participating in routine physical checks

作　　者：吴婵[1] 董方田[1] 楼慧萍[2] 张华[1] 戴荣平[1] 张峣[3] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院眼科,北京100730 [2]北京协和医院健康医学部 [3]中国疾病预防控制中心

出　　处：《中国实用眼科杂志》2012年第5期537-539,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的分析健康体检人群中眼压的分布情况及相关因素。方法分析2009年11月至2010年10月间在健康体检人群中眼压的分布特点，通过多元线性回归模型分析眼压与年龄、性别、屈光性质、高血压、糖尿病及高脂血症的相关性。结果研究期间共2997名健康体检者纳入分析，眼压的均值为（13．4±3．2）mmHg，眼压随年龄的分布表现出先增加后降低的趋势。近视人群的眼压（13．8±3．3）mmHg明显高于非近视人群的眼压（13．3±3．2）mmHg，P〈0．01。年龄（β=-0．03，P〈0．001）、近视病史（β=0．49，P=O．00I）、高血压（β=0．82，P〈0．001）、高脂血症（β=0．40，P=0．004）、糖尿病（β=0．40，P〈0．001）和体重指数（β=0．11，P〈0．001）均与眼压独立相关。结论此大样本体检人群中眼压的均值为13．4mmHg，随年龄的分布表现出先增加后降低的趋势，并受到近视、高血压、糖尿病、高脂血症及体重指数等因素影响。Objective To evaluate the distribution and related factors of intraocular pressure （lOP） in population undergoing routine physical checks. Methods lOPs obtained through routine physical checks from November 2009 to October 2010 were summarized. Multivariate linear regres- sion analyses were applied to evaluate demographic and clinical factors associated with IOP. Re- suits Among 2997 people were evaluated during study period, mean IOP was 13.4±3.2mmHg. Mean IOP increased with age, and then decreased since age of 50, with a reversed ＂U＂ shape distribution. People with myopia had a significant higher IOP （13.8±3.3mmHg）, compared those without （13.3±3.2mmHg, P 〈0.01）. In linear regression models, age （β=-0.03, P 〈0.001）, myopia （β=0.49, P = 0.001）, hypertension （β =0.82, P 〈0.001）, hyperlipidemia （β =0.40, P =0.004）, diabetes （β =0.40, P 〈 0.001） and body mass index （β =0.11, P 〈0.001） were factors independent associated with IOP. Conclusions In large sample survey of urban population undergoing routine physical checks, the mean lOP is 13.4mmHg, with a reversed ＂U＂ shape distribution With aging, and is associated with factors including myopia, blood pressure, hyperlipidemia, diabetes and body mass index.

关 键 词：眼压 年龄 危险因素 健康体检 

分 类 号：R194.3[医药卫生—卫生事业管理]