中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2014年
7期
441-445
,共5页
参考值范围%眼生物学参数%广东%西藏%新疆%白内障
參攷值範圍%眼生物學參數%廣東%西藏%新疆%白內障
삼고치범위%안생물학삼수%엄동%서장%신강%백내장
Normative data%Ocular biometry%Guangdong%Tibet%Xinjiang%Cataract
目的 建立西藏、新疆及广东3个区域白内障患者的物学参数的参考值范围,并分析比较不同地区白内障患者眼轴及角膜相关的生物学参数,为不同地区的白内障患者的治疗提供参考数据.方法 横断面研究.收集2007-2008年健康快车在西藏、新疆及广东地区实施白内障手术的50岁以上患者1944例,其中西藏患者249例,新疆患者615例,广东患者1080例.对每例患者选择1眼用A超测量眼轴长度(AL)、前房深度(ACD)、晶状体厚度(LT)、玻璃体腔深度(VH),自动验光仪测量水平角膜曲率(HK)、水平角膜曲率半径(HR)、垂直角膜曲率(VK)、垂直角膜曲率半径(VR).比较三地白内障患者的眼生物学参数的差异,建立三地的眼生物学参数参考值范围.采用多元方差分析或HotellingT2检验分析数据.结果 西藏、新疆、广东地区女性的AL分别为(22.52±0.79)mm,(22.63±0.68)mm和(22.80±0.84) mm,ACD分别为(2.63±0.43)mm,(2.81±0.42)mm和(2.74±0.41)mm,LT分别为(3.95±0.45) mm,(4.16±0.54)mm和(4.11±0.52)mm.三地男性的AL分别为(22.97±0.80)mm,(23.19±0.70)mm和(23.23±0.77)mm,ACD分别为(2.81 ±0.49)mm,(2.95±0.43)mm和(2.78±0.44)mm,LT分别为(3.98±0.48)mm,(4.19±0.54)mm和(4.22±0.55)mm.三地的AL(男性F=4.781,P＜0.01;女性F=7.324,P＜0.01),ACD(男性F=8.914,P＜0.01;女性F=5.903,P＜0.01)和LT(男性F=8.835,P＜0.01;女性F=8.446,P＜0.01)比较差异均有统计学意义.其中广东及新疆地区男性患者的AL和LT值均较西藏大(P均＜0.05),而西藏及广东地区的ACD较新疆浅(P均＜0.05).在女性患者方面,西藏及新疆地区的AL均较广东短(P均＜0.05),广东及新疆的ACD及LT值均较西藏大(P均＜0.05).角膜曲率广东大于西藏,西藏大于新疆(P均＜0.05).结论 本研究建立了西藏、新疆及广东3个地区白内障患者的生物学参数的参考值范围,3个地区的眼生物学参数分性别比较存在区别.
目的 建立西藏、新疆及廣東3箇區域白內障患者的物學參數的參攷值範圍,併分析比較不同地區白內障患者眼軸及角膜相關的生物學參數,為不同地區的白內障患者的治療提供參攷數據.方法 橫斷麵研究.收集2007-2008年健康快車在西藏、新疆及廣東地區實施白內障手術的50歲以上患者1944例,其中西藏患者249例,新疆患者615例,廣東患者1080例.對每例患者選擇1眼用A超測量眼軸長度(AL)、前房深度(ACD)、晶狀體厚度(LT)、玻璃體腔深度(VH),自動驗光儀測量水平角膜麯率(HK)、水平角膜麯率半徑(HR)、垂直角膜麯率(VK)、垂直角膜麯率半徑(VR).比較三地白內障患者的眼生物學參數的差異,建立三地的眼生物學參數參攷值範圍.採用多元方差分析或HotellingT2檢驗分析數據.結果 西藏、新疆、廣東地區女性的AL分彆為(22.52±0.79)mm,(22.63±0.68)mm和(22.80±0.84) mm,ACD分彆為(2.63±0.43)mm,(2.81±0.42)mm和(2.74±0.41)mm,LT分彆為(3.95±0.45) mm,(4.16±0.54)mm和(4.11±0.52)mm.三地男性的AL分彆為(22.97±0.80)mm,(23.19±0.70)mm和(23.23±0.77)mm,ACD分彆為(2.81 ±0.49)mm,(2.95±0.43)mm和(2.78±0.44)mm,LT分彆為(3.98±0.48)mm,(4.19±0.54)mm和(4.22±0.55)mm.三地的AL(男性F=4.781,P＜0.01;女性F=7.324,P＜0.01),ACD(男性F=8.914,P＜0.01;女性F=5.903,P＜0.01)和LT(男性F=8.835,P＜0.01;女性F=8.446,P＜0.01)比較差異均有統計學意義.其中廣東及新疆地區男性患者的AL和LT值均較西藏大(P均＜0.05),而西藏及廣東地區的ACD較新疆淺(P均＜0.05).在女性患者方麵,西藏及新疆地區的AL均較廣東短(P均＜0.05),廣東及新疆的ACD及LT值均較西藏大(P均＜0.05).角膜麯率廣東大于西藏,西藏大于新疆(P均＜0.05).結論 本研究建立瞭西藏、新疆及廣東3箇地區白內障患者的生物學參數的參攷值範圍,3箇地區的眼生物學參數分性彆比較存在區彆.
목적 건립서장、신강급엄동3개구역백내장환자적물학삼수적삼고치범위,병분석비교불동지구백내장환자안축급각막상관적생물학삼수,위불동지구적백내장환자적치료제공삼고수거.방법 횡단면연구.수집2007-2008년건강쾌차재서장、신강급엄동지구실시백내장수술적50세이상환자1944례,기중서장환자249례,신강환자615례,엄동환자1080례.대매례환자선택1안용A초측량안축장도(AL)、전방심도(ACD)、정상체후도(LT)、파리체강심도(VH),자동험광의측량수평각막곡솔(HK)、수평각막곡솔반경(HR)、수직각막곡솔(VK)、수직각막곡솔반경(VR).비교삼지백내장환자적안생물학삼수적차이,건립삼지적안생물학삼수삼고치범위.채용다원방차분석혹HotellingT2검험분석수거.결과 서장、신강、엄동지구녀성적AL분별위(22.52±0.79)mm,(22.63±0.68)mm화(22.80±0.84) mm,ACD분별위(2.63±0.43)mm,(2.81±0.42)mm화(2.74±0.41)mm,LT분별위(3.95±0.45) mm,(4.16±0.54)mm화(4.11±0.52)mm.삼지남성적AL분별위(22.97±0.80)mm,(23.19±0.70)mm화(23.23±0.77)mm,ACD분별위(2.81 ±0.49)mm,(2.95±0.43)mm화(2.78±0.44)mm,LT분별위(3.98±0.48)mm,(4.19±0.54)mm화(4.22±0.55)mm.삼지적AL(남성F=4.781,P＜0.01;녀성F=7.324,P＜0.01),ACD(남성F=8.914,P＜0.01;녀성F=5.903,P＜0.01)화LT(남성F=8.835,P＜0.01;녀성F=8.446,P＜0.01)비교차이균유통계학의의.기중엄동급신강지구남성환자적AL화LT치균교서장대(P균＜0.05),이서장급엄동지구적ACD교신강천(P균＜0.05).재녀성환자방면,서장급신강지구적AL균교엄동단(P균＜0.05),엄동급신강적ACD급LT치균교서장대(P균＜0.05).각막곡솔엄동대우서장,서장대우신강(P균＜0.05).결론 본연구건립료서장、신강급엄동3개지구백내장환자적생물학삼수적삼고치범위,3개지구적안생물학삼수분성별비교존재구별.
Objective To compare the ocular biometry and build up the normative database in cataract patients older than 50 years from Tibet,Xinjiang and Guangdong.To provide reference data for cataract patient in different areas.Methods This study nonrandomly selected one thousand nine hundred ninty four eyes from 1 994 subjects aged ＞50 years.Subjects from Tibet,Xinjiang and Guangdong were 249,615 and 1 080 respectively.All subjects received cataract surgeries on Lifeline Express from 2007 to 2008.A-scan ultrasound and auto keratometer were used to measure axial length (AL),anterior chamber depth (ACD),lens thickness (LT),vitreous cavity depth (VH),vertical and horizontal keratometry,vertical and horizontal radius of corneal curvature.Normative data of all measured ocular biometry were determined and compared for the three areas.ANOVA and Hotelling T2 test was used for data analysis.Results For female subjects form Tibet,Xinjiang and Guangdong,the mean AL were 22.52±0.79 mm,22.63±0.68 mm and 22.80±0.84 mm,the mean ACD were 2.63±0.43 mm,2.81±0.42 mm and 2.74±0.41 mm,the mean LT were 3.95±0.45 mm,4.16±0.54 mm and 4.11±0.52 mm respectively.For male subjects,the mean AL were 22.97±0.80 mm,23.19±0.70 mm and 23.23±0.77 mm,the mean ACD were 2.81±0.49 mm,2.95±0.43 mm and 2.78± 0.44 mm,the mean LT were 3.98±0.48 mm,4.19±0.54 mm and 4.22±0.55 mm respectively.Significant difference was found for AL (male F=4.781,P＜0.01,female F=7.324,P＜0.01),LT (male F=8.835,P＜0.01,female F=8.446,P＜0.01) and ACD (male F=8.914,P＜0.01,female F=5.903,P＜ 0.01) among three areas.For male patients,AL and LT of Guangdong and Xinjiang were larger than Tibet (all P＜0.05).ACD of Tibet and Guangdong was larger than Xinjiang (all P＜0.05).For female patients,AL of Tibet and Xinjiang was smaller than Guangdong (all P＜0.05).ACD and LT of Guangdong and Xinjiang were larger than Tibet (all P＜0.05).Keratometry was largest in Guangdong and smallest in Xinjiang (all P＜0.05).Conclusion This study built up the normative database of ocular biometry in three areas and found biometry was different with sex and areas.Ocular biometry is different among areas with different races and environmental factors.Cautions should be exercise in clinical practice in these areas.
