吸烟对甲状腺相关眼病患者斜视手术影响  

Effect of smoking on strabismus surgery in patients with thyroid eye disease

作　　者：胡佳丽[1] 许义新[1] 魏锐利[1] 

机构地区：[1]上海长征医院眼科,上海200003

出　　处：《中国实用眼科杂志》2013年第9期1128-1130,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨不同吸烟状态对甲状腺相关眼病患者斜视手术的影响。方法对2000年1月至2009年12月在上海长征医院眼科住院的甲状腺相关眼病患者进行随访，比较不同吸烟状态患者的基本资料、临床数据及术后二次手术情况。结果在208例接受斜视手术的甲状腺相关眼病患者中，55例为不吸烟者，40例为被动吸烟者，21例为曾吸烟者，81例为吸烟者，未记录者11例。264例吸烟患者中81例接受了斜视手术。而338例不吸烟患者中仅55例接受了斜视手术（P=0．038）。曾吸烟患者对比不吸烟患者，其风险比为1．121；被动吸烟患者对比不吸烟患者，其风险比为1．595，差异均没有统计学意义。性别及甲状腺功能状态对斜视的影响差异无统计学意义。结论吸烟增加甲状腺相关眼病患者接受斜视手术的几率，同时会增加二次手术的概率。Objective To investigate the relationship between smoking status and the use of stra-bismus surgery in the management of patients with thyroid eye disease. Methods All patients with thyroid eye disease hospitalized form January 2000 to December 2009 were followed-up. Basic infor-mation and frequency of strabismus surgery were compared between different smoking status. Re-suits Of 208 patients seen during the study period, 55 were nonsmokers, 40 were passive smokers, 21 were ever-smokers and 81 were smokers. Of the smokers, 81 of 264 underwent strabismus sur- gery, compared with only 55 of 338 nonsmokers at presentation. The hazards ratio of having strabis-mus surgery during management for ever-smokers versus nonsmokers was 1.121. Compared passive smokers with nonsmokers, the hazard ratio were 1.59. Conclusions There is an increased use of stra- bismus surgery in active smokers at presentation than in nonsmokers.

关 键 词：吸烟 甲状腺相关眼病 斜视 

分 类 号：R446.6[医药卫生—诊断学]