住院青光眼2744例临床资料调查分析

Clinical data analysis of 2744 hospitalized patients with glaucoma

目的分析近5年青光眼住院病人的类型，年龄、性别分布。了解近年来青光眼住院病人构成比例，为青光眼的预防、临床治疗以及科研工作提供参考。方法统计分析2007年1月1日至2011年12月31日住院的青光眼病人的临床资料。结果青光眼入院病人共2744例，其中原发性青光眼占58．67％，男女比率为1：1．45。其中POAG占15．38％，男女比率为1：0．41，平均年龄，男性为（54．0±16．0）岁，女性为（49．7±17．1）岁；aPACG占15.2％，男女比率为l：2．97，平均年龄，男性为（66．6±10．6）岁，女性为（64．7±9．2）岁；cPACG占26．93％，男女比率为1：1．41，平均年龄，男性为（65．3±10．0）岁，女性为（64．6±9．7）岁。继发性青光眼（SG）占32．18％，男女比率为1：0．70，平均年龄，男性为：（49．2±17．6）岁，女性为：（56．0±17．5）岁。结论原发性青光眼仍是住院病人中的主要类型，但所占比例明显下降，SG以及其它难治性青光眼，比例明显增加，PACG在原发性青光眼中所占比重略有下降，仍是原发性青光眼中的主要类型，POAG所占比重呈上升趋势。aPACG患者中，老年女性仍为高危人群。POAG中，中年男性系该病主体人群，SG、新生血管性青光眼，男性患者多于女性。

Objective To analyze the glaucoma types, age, sex distribution of 5 years hospital- ized patients in our hospital, to understand the proportion of hospitalized patients with glaucoma in recent years, and to provide a reference for future prevention of glaucoma in clinical treatment and research work. Methods This retrospective consecutive analyzed the clinical data of hospitalized pa- tients in our hospital with glaucoma from Januaryl, 2007 to December 31, 2011. Results The total glaucoma inpatients was 2744, of which Primary Glaucoma （PG） accounted for 58.67% with male to female （m/f） ratio levels at 1：1.45. Among this population, POAG took account of 15.38% with m/f ratioh0.41, average age ranged for men and women were 54.0± 16.0 and 49.7 ± 17.1 respectively; aPACG accounted for 15.2% and with m/f ratio 1：2.97 with average age ranged for men and wom- en of 66.6 ± 10.6 and 64.7 ± 9.2. cPACG was proportioned to 26.93%, m/f ratio was 1：1.41 aver- age age ranged for men was 65.3 ± 10 while that for women was 64.6±9.7. Secondary Glaucoma （SG） accounted for 32.18% with m/f ratio at 1：0.70. With respect to the averaged ages, men were at 49.2±17.6 and women at 56.0±17.5. Conclusions Primary glaucoma inpatients still accounts the majority while the proportion has dramatic decreased, the proportion of SG and other refractory. Glaucoma has increases significantly. The proportion of PACG in PG slide down but being still the main type. The POAG proportion is in an upward trend. Within the aPACG patients, the high-risk group is contributed by female seniors. For POAG, the middle-aged men are the main crowd. In terms of SG and Neovascular Glaucoma, there are more male patients than female ones.