医学研究杂志
醫學研究雜誌
의학연구잡지
Journal of Medical Research
2015年
10期
83-85
,共3页
韩辉%黄佼%张险峰%张楚
韓輝%黃佼%張險峰%張楚
한휘%황교%장험봉%장초
Graves眼病%眼压%治疗
Graves眼病%眼壓%治療
Graves안병%안압%치료
Graves′ophthalmopathy%Intraocular pressure%Treatment
目的 观察和分析Graves眼病( GO)患者眼压的临床特点及影响因素. 方法 分析2012~2013年间内分泌科门诊随访的66例GO患者的临床资料,探讨GO患者眼压升高与年龄、性别、病程、家族史、吸烟史、甲状腺功能、CAS评分及病情严重度评估、眼压情况、治疗情况等的关系. 结果 本组GO患者眼压升高的发生率为45.5%. 与正常眼压组比较,高眼压组的患者年龄偏大,突眼程度更重,甲状腺功能异常. 但性别、吸烟史、家族史、病程、病情严重度评估及病情活动度评估两组差异无统计学意义. 通过积极的治疗,大部分高眼压患者眼压可恢复正常. 结论 GO眼压升高有其独特的临床特点,临床需要关注GO患者的眼压问题. 积极有效的GO治疗可使绝大部分患者的眼压控制在正常范围.
目的 觀察和分析Graves眼病( GO)患者眼壓的臨床特點及影響因素. 方法 分析2012~2013年間內分泌科門診隨訪的66例GO患者的臨床資料,探討GO患者眼壓升高與年齡、性彆、病程、傢族史、吸煙史、甲狀腺功能、CAS評分及病情嚴重度評估、眼壓情況、治療情況等的關繫. 結果 本組GO患者眼壓升高的髮生率為45.5%. 與正常眼壓組比較,高眼壓組的患者年齡偏大,突眼程度更重,甲狀腺功能異常. 但性彆、吸煙史、傢族史、病程、病情嚴重度評估及病情活動度評估兩組差異無統計學意義. 通過積極的治療,大部分高眼壓患者眼壓可恢複正常. 結論 GO眼壓升高有其獨特的臨床特點,臨床需要關註GO患者的眼壓問題. 積極有效的GO治療可使絕大部分患者的眼壓控製在正常範圍.
목적 관찰화분석Graves안병( GO)환자안압적림상특점급영향인소. 방법 분석2012~2013년간내분비과문진수방적66례GO환자적림상자료,탐토GO환자안압승고여년령、성별、병정、가족사、흡연사、갑상선공능、CAS평분급병정엄중도평고、안압정황、치료정황등적관계. 결과 본조GO환자안압승고적발생솔위45.5%. 여정상안압조비교,고안압조적환자년령편대,돌안정도경중,갑상선공능이상. 단성별、흡연사、가족사、병정、병정엄중도평고급병정활동도평고량조차이무통계학의의. 통과적겁적치료,대부분고안압환자안압가회복정상. 결론 GO안압승고유기독특적림상특점,림상수요관주GO환자적안압문제. 적겁유효적GO치료가사절대부분환자적안압공제재정상범위.
Objective To observe and analyze the clinical manifestations and the influencing factors of intraocular pressure in Graves′ophthalmopathy (GO).Methods The clinical data of 66 cases(108eyes)of GO from 2012 to 2013 in outpatient service of Depart-ment of Endocrinology&Metabolism were retrospectively analyzed to discuss the relationship between ocular hypertension and age ,sex, course of the disease,family history,smoking history,thyroid function,CAS score and severity degree,intraocular pressure situation,treat-ment and so on.Results It was shown that the incidence of elevated intraocular pressure was 45.5%.Compared with normal intraocular pressure group ,the patients of high intraocular pressure group were older ,the exophthalmos degree in high intraocular pressure group was heavier,and thyroid function was abnormal .However,gender,smoking history,family history,course of disease,illness severity assessment and CAS score had no significant difference .After treatment ,high intraocular pressure in GO patients can be restored to normal .Conclu-sion High intraocular pressure in GO patients has its clinical characteristics .It needed to focus on the intraocular pressure of GO pa-tients.Through positive and effective treatment ,the most of high intraocular pressure in GO patients can be controlled in the normal range .