CAJ | 학술논문

目的：了解高原地区1115位≥40岁藏族人群眼压的分布特点以及相关因素分析。 　　方法：曲水县≥40岁1115位藏族人群分为≥40~<50、≥50~<60、≥60~<70、≥70岁四个年龄段。所有受检人群进行眼科检查,包括视力检查、非接触眼压测定,前房深度测定,采用 SPSS 19.0统计软件进行数据分析及处理。 　　结果：藏族人群1115位(2145眼)平均眼压12.9±2.7mmHg,男性眼压平均13.2±2.8mmHg,女性眼压平均12.7±2.5mmHg。藏族人群1115位(2128眼)中周边前房1/2 CT 者占68.8%,周边前房深度与年龄之间存在线性趋势,年龄越大,周边浅前房者越多(P<0.01),随着年龄的增长,周边前房深度1/3 CT者从≥40~<50岁人群占19.3%,增加至39.2%(≥70岁人群),并且女性周边浅前房多于男性(P<0.01)。 　　结论：高原地区≥40岁藏族人群平均眼压低于平原约3mmHg,鉴于眼压偏低、前房深度等因素高原青光眼更易漏诊,建议重视高原青光眼的普查。
목적：료해고원지구1115위≥40세장족인군안압적분포특점이급상관인소분석。 　　방법：곡수현≥40세1115위장족인군분위≥40~<50、≥50~<60、≥60~<70、≥70세사개년령단。소유수검인군진행안과검사,포괄시력검사、비접촉안압측정,전방심도측정,채용 SPSS 19.0통계연건진행수거분석급처리。 　　결과：장족인군1115위(2145안)평균안압12.9±2.7mmHg,남성안압평균13.2±2.8mmHg,녀성안압평균12.7±2.5mmHg。장족인군1115위(2128안)중주변전방1/2 CT 자점68.8%,주변전방심도여년령지간존재선성추세,년령월대,주변천전방자월다(P<0.01),수착년령적증장,주변전방심도1/3 CT자종≥40~<50세인군점19.3%,증가지39.2%(≥70세인군),병차녀성주변천전방다우남성(P<0.01)。 　　결론：고원지구≥40세장족인군평균안압저우평원약3mmHg,감우안압편저、전방심도등인소고원청광안경역루진,건의중시고원청광안적보사。
AlM:To analyze of characteristic of intraocular pressure ( lOP) distribution in population of 1115 Tibetan aged 40 years old or more and its correlative factors such as ages, gender and anterior chamber depth in Tibetan plateau area. METHODS:A total of 1115 Tibetan permanent residents aged 40 years or older from the towns and villages of Qushui County were divided into four age groups: ≥40~<50 years, ≥50 ~ <60 years, ≥60 ~ <70 years, and≥70 years. All participants were carried out clinical ocular examinations including visual acuity, lOP, anterior chamber depth, ocular anterior segment and posterior segment examination. The relativity was analyzed during lOP, ages, gender and anterior chamber depth by SPSS 19. 0. RESULTS: The mean lOP of 1 115 ( 2 145 eyes ) Tibetan permanent residents aged 40 years or older was 12. 9 ± 2. 7mmHg, 13. 2±2. 8mmHg in men and 12. 7±2. 5mmHg in women. The results showed that the participants with anterior chamber depth of 1/2 corneal thickness had 68. 8% in 1 115 ( 2128 eyes ) Tibetan permanent residents and anterior chamber depth decreases significantly with age (P<0. 01), which anterior chamber depth (of 1/3 corneal thickness) was 19. 3% aged ≥40~<50 subjects to 39. 2% aged ≥70 subjects. Anterior chamber depth ( 1/3 corneal thickness ) in women was significantly shallow than that in men (P<0. 01). CONCLUSlON: The mean lOP of plateau subjects was significantly lower from that of plain subjects by approximately 3 mmHg. There are lower pressure, deeper anterior chamber depth in this population of 1115 Tibetan permanent residents. The more attention should be paid to screening for glaucoma in high plateau.