我院原发性急性闭角型青光眼患者的临床随访现状调查分析

Investigation and analysis of clinical follow-up status of primary acute angle-closure glaucoma patients of our hospital

目的探讨我院原发性急性闭角型青光眼患者的临床随访调查现状,为其随诊治疗奠定流行病学基础。方法回顾性分析2008年1月至2015年12月于我院住院的348例原发性急性闭角型青光眼患者的临床资料。设计问卷调查表,从中选取26名患者,通过电话回访的方式对患者出院后的随诊情况进行调查。将问卷调查结果录入Excel表中,对数据进行整理,采用Stata14.0软件进行统计学分析。结果通过电话回访的患者共26例(52眼),其中男性5例(10眼),女性21例(42眼)。26例患者均知道自己有青光眼,15例患者出院时医生护士有告知什么时候随诊,3例患者出院后到末次随访间均未曾随诊,23例患者坚持随诊,其中12例患者无规律随诊,11例患者坚持规律随诊,随诊间隔时间从1周到1年不等。不能规律随诊的原因有:没有觉得不适,自认为不用随诊的患者占75.00%;因为边远地区交通不便,限制其定期随诊的患者占8.33%;患者本人愿意来检查,但行动不便,无人陪伴的占8.33%;离其他医院较近,选择其他医院随诊的患者占8.33%。结论我院原发性闭角型青光眼患者出院后随诊现状不容乐观,不规律随诊可能导致眼压控制的不稳定,视功能的进一步下降,从而影响患者的生存质量。

Objective To investigate the clinical follow-up investigation status of primary acute angle-closure glaucoma patients of our hospital,and to establish the epidemiological basis for the follow-up treatment of primary acute angle-closure glaucoma.Methods The clinical data of 348 patients with primary acute angle-closure glaucoma who hospitalized in our hospital from January 2008 to December 2015 were analyzed retrospectively.A questionnaire was designed,and 26 patients were selected,the follow up of the patients after discharge were investigated by telephone follow-up method.The questionnaire results were entered into Excel table,the data were sorted out,and Stata14.0 software was used for statistical analysis.Results A total of 26 patients(52 eyes)were followed up by telephone,including 5 males(10 eyes)and 21 females(42 eyes).All 26 patients knew they had glaucoma.When 15 patients discharged from hospital,doctors and nurses had told when to follow-up,3 patients no followed up from discharge to the last follow-up,23 patients insisted on follow-up,including 12 patients with irregular follow-up and 11 patients with regular follow-up,the follow-up interval ranged from 1 week to 1 year.The reasons for the failure of regular follow-up included:75.00%of the patients did not feel unwell and did not think they needed follow-up;8.33%of the patients were limited to regular follow-up because of the inconvenient transportation in remote areas;8.33%of the patients were willing to come for examination,but were not accompanied by others;those who were close to other hospitals and chose other hospitals for follow-up accounted for 8.33%.Conclusion The follow-up status of primary angle closure glaucoma patients in our hospital after discharge is not optimistic.Irregular follow-up may lead to instability of intraocular pressure control and further decline of visual function,thus affecting the quality of life of patients.