眼底检查在脑卒中患者诊断中的应用

Application of fundus examination in the diagnosis of stroke patients

目的探讨眼底检查在脑卒中患者诊断中的应用。方法选取2018年1月~2019年1月我院收治的100例脑卒中患者作为研究组,选取同期100例非脑卒中患者作为对照组。对两组进行眼底检查。比较两组的眼底指标、眼部症状和视力减退情况。结果研究组的视盘病变、视网膜出血、视网膜棉絮斑、视网膜神经纤维层缺损、视网膜静脉扩张、视网膜动脉管径变窄发生率高于对照组,差异有统计学意义(P<0.05)。研究组的复视、视物模糊、一过性黑曚发生率高于对照组,差异有统计学意义(P<0.05)。研究组的视力减退率高于对照组,差异有统计学意义(P<0.05)。结论眼底指标、眼部症状、视力减退对脑卒中的发病具有重要的警示作用,患者眼部出现任何症状,都应该尽早进行全面的检查,早期发现眼部病变对疾病的治疗非常重要。

Objective To explore the application of fundus examination in the diagnosis of stroke patients. Methods A total of 100 stroke patients admitted to our hospital from January 2018 to January 2019 were selected as the study group, and 100 non-stroke patients during the same period were selected as the control group. Fundus examination was performed on both groups. Fundus indicators, eye symptom and vision loss were compared between the two groups. Results The optic disc mutation, retinal hemorrhage, retinal cotton batting, retinal nerve fiber layer defect, retinal vein dilatation and retinal artery diameter narrowing in the study group were higher than those in the control group, with statistically significant differences(P<0.05). The incidence of diplopia, blurred vision, and transient cyanosis in the study group were higher than those in the control group, and the differences were statistically significant(P<0.05). The rate of vision loss in the study group were higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion Fundus indicators, eye symptoms, and vision loss have important warning effects on the onset of stroke. No matter what symptoms appear in the patients′ eyes, a comprehensive examination should be performed as soon as possible. Early detection of eye diseases is very important for the treatment of the disease.