健康体检人群正视眼双眼眼压分布和影响因素研究

Distribution and influencing factors of intraocular pressure in emmetropia people of physical examination

摘要:

目的 分析健康体检人群正视眼双眼眼压的分布情况及相关影响因素，了解眼压的分布情况及眼压与常见内科系统性疾病的相关性。方法 收集该院健康体检人群中正视眼者的双眼眼压值，通过多元线性回归模型分析眼压与年龄、性别、血压、糖基化血红蛋白值、血脂、谷氨酰转肽酶及健康教育的相关性。结果 右眼眼压的均值为（15.53±2.71）mmHg，左眼眼压的均值为（15.66±2.73）mmHg。受检者右眼与左眼眼压测量值差异无统计学意义（t=-1.179，P >0.05），故随即选择左眼纳入统计学分析，其中年龄（β=-0.038，P <0.001）、性别(β=-0.498，P <0.05)、收缩压（β=0.029，P <0.001）、血脂异常（β=0.603，P <0.05）、谷氨酰转肽酶（β=0.003，P < 0.01）、健康教育（β=0.176，P <0.05）均与眼压独立相关。结论 正视眼体检人群中眼压的均值为15.66 mmHg，收缩压、血脂异常、健康教育、谷氨酰转肽酶是眼压的影响因素。

Abstract:

【Objective】 To analyze the distribution of intraocular pressure (IOP) of emmetropia people in physical examination and related factors so as to understand the relationship between IOP and common medical systemic diseases. 【Methods】 The IOP of emmetropia people in physical examination in our hospital was summarized. The correlations between IOP and age, gender, blood pressure, glycosylated-hemoglobin, blood lipids, glutamyl transaminase and health education were analyzed by multiple linear regression analysis. 【Results】 The mean IOP of the right eye was (15.53 ± 2.71) mmHg, that of the left eye was (15.66 ± 2.73) mm Hg. The right eye and the left eye IOP had no statistical difference (t = -1.179, P > 0.05). Then the left eye was chosen for further analysis. The age (β = -0.038, P < 0.001), gender (β = -0.498, P < 0.05), systolic blood pressure (β = 0.029, P < 0.001), dyslipidemia (β = 0.603, P < 0.05), glutamyl transaminase (β = 0.003, P < 0.01) and health education (β = 0.176, P < 0.05) were independently associated with intraocular pressure. 【Conclusion】 Mean IOP in emmetropia people is 15.66 mmHg, and is associated with the systolic blood pressure, dyslipidemia, health education and glutamyl transaminase.