青光眼患者的用药依从性及干预措施探讨

The durg compliance of glaucoma and corresponding invention measures

目的 探讨青光眼患者用药依从性与青光眼病情进展的关系,并分析相关干预措施。方法 随访我院门诊青光眼患者78例136眼,根据治疗依从分成3组,监测患者眼压及视野变化,了解各组患者青光眼的控制情况。结果 在78例患者中眼压平稳（10-21 mmHg）的57例102眼,眼压波动（10-29 mmHg）的16例28眼,眼压升高急性发作的5例6眼。视野变化范围0°-55°。结论 临床医生必须了解青光眼患者局部用药依从性的影响因素,以便采取有效干预措施。

Objective To explore relationship between drug compliance and glaucoma progression, and to discuss correspond- ing intervention measures. Methods Seventy-eight medical follow-up outpatients （ 136 eyes） with glaucoma were divided into 3 groups in accordance with drug compliance, and intraocular pressure and visual field were detected to evaluate glaucoma progression. Results Intraocular pressure showed steady （10 -21 mmHg） in 57 cases （102 eyes）, fluctuant （22 -29 mmHg） in 16 cases （28 eyes）. Five cases （6 eyes） rad acute onset of elevated intraocular pressure. Vision field of these patients ranged in 0° -55 °. Conclusion It was important to understand the influencing factors of drug compliance of glaucoma patients, so as to take effective intervention measures.