535例门诊青光眼患者流行病学资料分析

Characteristics of 535 cases of glaucoma in out-patient department

目的探讨门诊青光眼的疾病构成与年龄、性别等特点。方法对2012年1月至12月到山东省立医院就诊的535例门诊青光眼患者的临床资料进行统计分析,并将分析结果与1955年江西医学院附属医院的门诊青光眼的调查资料进行比较。结果 535例青光眼患者中,原发性闭角型青光眼(PACG)、开角型青光眼(POAG)、继发性青光眼(SG)、先天性青光眼(CG)分别占51.21%、20.19%、17.39%、11.21%;其男、女比例分别为1∶1.88、3.5∶1、2.44∶1、1∶1.07;PACG、POAG发病年龄均集中在40岁以上;PACG致盲率为6.20%,SG单眼盲+双眼盲的致盲率34.40%。性别和年龄因素对不同类型青光眼发病构成统计学关联。结论 PACG为门诊青光眼患者的主要类型,且多为老年女性,致盲率高;POAG和CG的比例呈上升趋势。

Objective To investigate the proportion and distribution features of glaucoma patients in out-patient depart ment. Methods The clinical data of 535 cases of glaucoma in out-patient department in our hospital from January 2012 to December 2012 were analyzed, which were compared with the clinical data in Jiangxi Medical College Affiliated Hospital out-patient department in 1955. Results Of the 535 cases, primary-angle-closure glaucoma（ PACG）, open- angle glaucoma （ POAG）, secondary glaucoma （SG） , and congenital glaucoma （CG） accounted for 51. 21% , 20.19%, 17.39% and ll. 21% respectively; the male and female ratio of 4 types of glaucoma was l： 1.88, 3.5： 1, 2.44：1 and 1：1.07 respectively. The blindness rate of open-angle glaucoma was the lowest, which was only 3.7%. The blindness rate of primary-angle-closure glaucoma was 6.20% and of the SG binocular blindness and monocular blindness was 34.40%. The age over 40 showed a high incidence of primary-angle-closure glaucoma and open-angle glaucoma. Gender and age were related to glaucoma. Conclusion PACG is with high blindness rate and mostly seen in elderly females. The proportion of POAG and CG is rising.