两种结膜松弛症诊断与分级标准对老年人群患病率的调查  

The use of two different diagnostic standards to investigate the prevalence of conjunctivochalasis in people over 60 years age

作　　者：韩竹梅[1] 张兴儒[1] 周欢明[1] 刘斌[1] 李青松[1] 邹海东[2] 张振永[1] 项敏泓[1] 王晗敏[1] 

机构地区：[1]上海中医药大学附属普陀医院眼科,200062 [2]上海交通大学附属上海市第一人民医院眼科,200080

出　　处：《中华眼视光学与视觉科学杂志》2012年第8期494-498,共5页Chinese Journal Of Optometry Ophthalmology And Visual Science

基　　金：上海市普陀区卫生系统自主创新科研基金（2011PTKWB-112）

摘　　要：目的研究两种结膜松弛症（CCh）诊断与分级标准对老年人群患病率诊断的差异。方法横断面调查研究。采用随机抽样方法在上海市曹杨新村街道抽取桂杨园居委会为调查点．对其中≥60岁老年人进行调查，询问病史，采用裂隙灯显微镜进行眼部检查，分别根据Hoh和Zhang的两种不同诊断和分级标准进行诊断并确立CCh的等级．正式调查前先进行预试验，并保证调查质量。采用独立样本t检验和卡方检验完成统计分析。结果本研究拟调查250人，实际调查246人．受检率为98．4％。其中，根据Hbh的标准确诊为CCh193例（377眼），患病率78．4％，各年龄段CCh患病眼数比例：60-65岁69.3％，66—70岁72．1％，71—75岁76．0％．76～80岁82．1％，81～85岁89.3％，≥86岁100％。根据Zhang的标准确诊为CCh96例（191眼），患病率39．0％，各年龄段CCh患病眼数比例：60～65岁31．6％，66～70岁36．5％，71～75岁42-3％，76—80岁42．9％，81-85岁44．6％。两种CCh诊断与分级标准所得患病率比较，差异有统计学意义（X^2=78．91，P〈0．01）。两组患病率均随着年龄增大而增高。结论分别采用Hoh和Zhang的CCh诊断与分级标准调查发现，Hoh所得患病率明显高于Zhang的患病率。Hoh的结膜松弛症诊断与分级标准过于宽泛，Zhang的CCh诊断与分级标准更贴近临床应用。Objective To study the difference in the prevalence of conjunctivochalasis （CCh） when using two different diagnostic and inclusion standards. Methods It was a cross-sectional study. The prevalence of CCh based on the diagnostic standards of Hoh and Zhang was conducted in people over 60 years of age in Shanghai＇s CaoYangXinCun community. The people underwent interview and ocular examination. Pretest was maded before formal investigation, and the quality of investigations was guaranteed. Data were analyzed using an independent samples t test and a chi-square test. Results Two hundred and forty-six people （492 eyes） were included in this study. One hundred and ninety-three cases （377 eyes） （78.4%） were diagnosed with CCh using the H6h＇s standard, whereas 96 cases （191 eyes） （39.0%） were diagnosed using the Zhang standard. When they were subdivided into different age groups, 60-65, 66-70, 71-75, 76-80, and over 80 years of age, the respective prevalences of CCh with Hoh＇s standard were 69.3%, 72.1%, 76.0%, 82.1%, 89.3% and 100% while respective prevalences were 31.6%, 36.5%, 42.3%, 42.9% and 44.6% with Zhang＇s standard. There was a statistical ditferenee in the prevalence of CCh with the two standards （X^2=78.91, P〈0.01）. Despite the differenee, the prevalence of CCh with both standards increased with age. Conclusion The prevalence of CCh with Hoh＇s standard is higher than that with Zhang＇s yet it is also reasonable to use Zhang＇s standard to diagnose CCh.

关 键 词：结膜松弛症 小地区分析 数据收集 患病率 

分 类 号：R777.3[医药卫生—眼科]