无明显视力下降的妊娠高血压综合征患者黄斑中心OCT分析  

OCT analysis of central macular region in patients with pregnancy induced hypertension syndrome and without significant vision loss

作　　者：鲁静[1] 赵越[1] 陈光[1] 李丹[1] 

机构地区：[1]河北大学附属医院眼科,河北省保定市071000

出　　处：《中国实用眼科杂志》2016年第8期829-831,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨无明显视力下降的妊娠高血压综合征患者黄斑中心厚度和黄斑中心容积的变化。方法临床病例回顾性研究。对2014年3月至2015年3月在河北大学附属医院眼科就诊的无明显视力下降的妊娠高血压综合征患者38例，行黄斑区光学相干断层扫描，记录黄斑中心厚度和中心容积，取两眼平均值，并与正常妊娠者的黄斑中心厚度和黄斑中心容积进行比较。结果妊娠高血压综合征组的黄斑中心厚度和黄斑中心容积均大于正常妊娠组，差异具有统计学意义（P〈0．05）。结论妊娠高血压综合征患者即使无明显视力损害，也已经存在轻微的眼底形态学的改变，应用频域光学相干断层扫描可以早发现妊高征患者的眼底改变，为其早期临床干预治疗提供依据。Objective To investigate central macular thickness and central macular volume changes in patients with pregnancy induced hypertension syndrome and without significant vision loss. Methods Thirty-eight patients with pregnancy induced hypertension syndrome and without significant vision loss received OCT scan in macular region, recording central macular thickness and central macular volume, then compared with normal pregnancies. Results Both of the value of central macular thickness and central macular volume were higher than that of the normal pregnancy group and differences between the two groups had statistical significance （P 〈0.05）. Conclusions There are mild retinal morphological changes in patients with pregnancy induced hypertension syndrome and without significant vision loss. Retinopathy of pregnancy induced hypertension syndrome with OCT can be detected early and it provides basis and support for clinical intervention.

关 键 词：妊娠性高血压综合征 视网膜病变 光学相干断层扫描 

分 类 号：R714.246[医药卫生—妇产科学]