某医院体检中心老年人群原发性前房角关闭的患病率研究

Prevalence of primary anterior chamber angle closure in elderly population in a medical examination center

摘要:

目的 探讨海南省第三人民医院健康体检中心老年人群原发性前房角关闭的患病状况。方法 选取2011 年2 月-2016 年1 月在该院接受健康体检的老年人5 025 例，进行原发性前房角关闭筛查，记录受检人群原发性前房角关闭患病情况及眼压。结果 共5 025 例老年人接受检，患原发性前房角关闭98 例，患病率为1.95%，患者表现为视力模糊、眼压升高、疼痛、虹视等，部分患者伴有恶心、呕吐等症状，其中明光下前房角关闭23 例，暗光下前房角关闭75 例，双眼视力≥ 0.3 的41 例，眼压为（14.73±3.02）mmHg。男性患病率为0.90%，女性患病率为2.78% ；50 ～ 59 岁患病率为0.62%，60 ～ 69 岁患病率为2.57%，≥ 70 岁患病率为3.74% ；农村地区患病率为2.53%，城市地区患病率为1.49% ；文盲患病率为3.40%，非文盲患病率为1.81%，差异有统计学意义（P <0.05）。不同性别、地区、文化程度受检人群的眼压比较，差异无统计学意义（P >0.05）。随着年龄不断增长，受检人群的眼压呈下降趋势（P <0.05）。结论 老年人群的原发性前房角关闭患病率较高，且受性别、年龄、生活地区、文化程度等多因素影响，临床上应加大筛查力度。

Abstract:

Objective To investigate the prevalence of primary anterior chamber angle closure in the elderly population in the Medical Examination Center of our hospital. Methods A total of 5,025 elderly people who had primary anterior chamber angle closure screening in our hospital during health examination between February 2011 and January 2016 were selected. The incidence of primary anterior chamber angle closure and intraocular pressure were recorded. Results Of the 5,025 elderly people, 98 cases had primary anterior chamber angle closure, the prevalence was 1.95%. The patients showed blurred vision, increased intraocular pressure, pain, iridization and so on; some patients had accompanied nausea and vomiting. Of the 98 cases, 23 had anterior chamber angle closure under bright light (23.47%), 75 cases had anterior chamber angle closure under dark light (76.53%); 41 cases had binocular vision ≥ 0.3 (41.84%), with the intraocular pressure of (14.73 ± 3.02) mmHg. The incidence of male was 0.90%, that of female was 2.78%; the incidence of 50-59 years old people was 0.62%, that of 60-69 years old people was 2.57%, that of ≥ 70 years old people was 3.74%; the prevalence rate was 2.53% in rural areas and 1.49% in urban areas; the prevalence rate of illiterate people was 3.40%, that of literate people was 1.81%; the differences were statistically significant (P < 0.05). The intraocular pressure was not significantly different between the populations with different gender, region or education level (P > 0.05). With the increase of age, intraocular pressure of the tested population showed a downward trend (P < 0.05). Conclusions The morbidity rate of primary anterior chamber angle closure is quite high in elderly population and is influenced by gender, age, living areas, education level and other factors.Clinical screening should be strengthened.