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目的了解青光眼住院患者的类型构成、性别、年龄分布、变化特点及相关因素。设计回顾性病例系列。研究对象住院的青光眼患者5058例。方法对邢台眼科医院2004年6月-2009年5月间住院的青光眼患者5058例进行统计学分析。主要指标青光眼的类型、年龄、性别及所占的百分比。结果5058例青光眼住院患者中,原发性青光眼、继发性青光眼和先天性青光眼各占青光眼总数的59.07%、37.92%和3.01%,其中原发性闭角型青光眼占原发性青光眼的88.65%,原发性开角型青光眼占11.35%。在原发性闭角型青光眼中,急性闭角青光眼占53.15%,慢性闭角型青光眼占46.85%;其中40岁以上女性占69.54%,男性26.95%。而原发性开角型青光眼患者中,40岁以上女性28.02%,男性占44.5%。2004年6月-2005年5月原发性青光眼住院患者中原发性开角型青光眼占11.32%,而于2008年6月-2009年5月间原发性开角型青光眼占12.44%,统计学检验无显著性差异。结论中原地区青光眼住院患者构成仍以原发性闭角型青光眼为主要类型,原发性开角型青光眼的构成仍然较低,可能与地域经济文化状况有关。
Objective To investigate the type constitution, sex, age distribution, change characteristics and related factors of inpatients with glaucoma. Design retrospective case series. 5058 cases of glaucoma hospitalized patients. Methods 5058 cases of glaucoma hospitalized in Xingtai Eye Hospital from June 2004 to May 2009 were analyzed statistically. Main Indicators Glaucoma Type, Age, Sex and Percentage. Results 5058 cases of glaucoma inpatients, primary glaucoma, secondary glaucoma and congenital glaucoma accounted for 59.07%, 37.92% and 3.01% of the total number of glaucoma, of which primary angle-closure glaucoma accounted for 88.65% of primary glaucoma %, Primary open angle glaucoma accounted for 11.35%. In primary angle-closure glaucoma, 53.15% of patients with acute angle-closure glaucoma and 46.85% of patients with chronic angle-closure glaucoma, of which 69.54% were women over the age of 40 and 26.95% were males. The primary open-angle glaucoma patients, 28.02% of women over the age of 40, 44.5% of men. From June 2004 to May 2005, primary open-angle glaucoma in primary glaucoma patients accounted for 11.32%, while in June 2008-May 2009, primary open-angle glaucoma accounted for 12.44% Statistical tests showed no significant difference. Conclusions The inpatients with glaucoma in Central Plains still constitute primary angle-closure glaucoma. The composition of primary open-angle glaucoma is still low, which may be related to the regional economic and cultural conditions.