青光眼住院病人的构成及变化  

The analysis in proportion of hospitalized patients with glaucoma

作　　者：林明楷[1] 葛坚[1] 陈慧怡[1] 余克明[1] 

机构地区：[1]中山大学中山眼科中心,510060

出　　处：《中国实用眼科杂志》2003年第12期937-939,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :了解青光眼住院病人的内部构成比变化 ,为青光眼的防治研究提供新的流行病学资料。方法 :1996 7～ 2 0 0 2 6期间在本院住院的青光眼患者 5 2 2 2例 ,按出院诊断、性别、年龄分组 ,分析其内部构成及变化趋势。结果 :原发性闭角型青光眼、原发性开角型青光眼、皮质类固醇性青光眼、先天性青光眼、继发性青光眼各占青光眼总数的5 4 42 %、 2 1 73 %、 3 3 5 %、 6 3 2 %和 14 17%。急性闭角型青光眼的构成比 ( 2 2 5 4% )逐年下降 ,原发性开角型青光眼的构成比则逐年升高 (P <0 0 5 ) ;在原发性青光眼患者 (包括GIG)中 ,年龄大于 40岁的占 80 97% ,其中闭角型青光眼占82 0 9% ,年龄小于 40岁的 ,开角型青光眼占 89 62 %。闭角型青光眼患者男∶女 =1∶1 5 3 ,开角型青光眼患者男∶女 =2 5 5∶1;皮质类因醇性青光眼患者的年龄主要集中在 10～ 3 0岁 ,占 77 71%。结论 :闭角型青光眼仍然是我国青光眼的主要类型 ,但开角型青光眼的防治研究不能忽视 ,40岁以上的女性人群应特别注意闭角型青光眼的筛查 ,40岁以下的男性群体则是开角型青光眼防治的重点。Objective:To investigate the changes in proportion of the hospitalized patients with glaucoma. 5222 cases in our hospital from 1996 to 2002 were classified by their diagnosis,sex,and age.The proportion was calculated and the feature of changes in proportion was analyzed. Results:54.42% of the cases were primary angle closure glaucoma(PACG),while 21.73%,3.35%,6.32% and 14.17% of them were primary open angle glaucoma(POAG),glycocorticoid induced glaucoma(GIG),congenital glaucoma(CG) and secondary glaucoma(SG),respectively.The proportion of acute PACG trended to decrease while that of POAG to increase(P<0.05).Among the patients over 40 years old,82.09% of them suffered from PACG,While less than 40 years old,89.62% from POAG.In patients with POAG,male:female=2.55∶1,and in those with PACG,male∶female=1∶1.53. Conclusions:PACG is still the main part of hospitalized patients with glaucoma. However,the prevention and treatment of POAG is also important.In women over 40 years,PACG must be screened,while in men less than 40 years,POAG must be realized.

关 键 词：青光眼 疾病构成 原发性闭角型青光眼 原发性开角型青光眼 皮质类固醇性青光眼 先天性青光眼、继发性青光眼 

分 类 号：R775[医药卫生—眼科]