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目的探讨视网膜静脉阻塞致病因素及影响预后视力的相关因素,为视网膜静脉阻塞患者的临床治疗提供参考。方法收集2014年5月至2015年5月镇安县医院治疗并确诊为视网膜静脉阻塞患者170例,依据患者病灶部位,将其分为总干阻塞(n=47)、半侧阻塞(n=68)及分支阻塞(n=55)。对患者的临床资料进行回顾性分析。结果视网膜静脉阻塞致病原因Logistic回归分析数据显示,高血压(OR:4.161;95%CI:2.234~7.749)和高密度脂蛋白(HDL)降低(OR:12.308;95%CI:5.945~25.478)与视网膜静脉阻塞发病呈正相关(P=0.000)。而糖尿病、高脂血症、高TG、高Tc及青光眼与视网膜静脉阻塞的发病差异无统计学意义(P>0.05)。长期吸烟可能为视网膜静脉阻塞的保护因素。治疗后,与初诊视力相比,三种类型视网膜阻塞患者预后视力均有明显提高,差异有统计学意义(P<0.05);视网膜静脉阻塞患者初诊视力对预后视力影响很大,患者初诊视力越高,其预后视力效果越好,差异有统计学意义(P<0.05)。结论缺血型视网膜静脉阻塞是影响患者视力预后的主要因素;患者视力预后与其初诊水平有很大关系。
Objective To investigate the causative factors of retinal vein occlusion and related factors that affect the prognosis of vision and provide reference for the clinical treatment of patients with retinal vein occlusion. Methods One hundred and seventy patients with retinal vein occlusion diagnosed and treated in Zhen’an County hospital from May 2014 to May 2015 were divided into two groups: total dry obstruction (n = 47), partial obstruction ) And branch obstruction (n = 55). The clinical data of patients were retrospectively analyzed. Results Logistic regression analysis of the causes of retinal vein occlusion showed that hypertension (OR: 4.161; 95% CI: 2.234-7.749) and high density lipoprotein (HDL) decreased And the incidence of retinal vein occlusion was positively correlated (P = 0.000). There was no significant difference in the incidence of diabetes mellitus, hyperlipidemia, high TG, high Tc, glaucoma and retinal vein occlusion (P> 0.05). Long-term smoking may be a protective factor of retinal vein occlusion. After treatment, compared with the newly diagnosed visual acuity, the prognosis visual acuity of the three types of retinal occlusion patients were significantly improved, the difference was statistically significant (P <0.05); retinal vein occlusion in patients with newly diagnosed visual acuity had a significant impact on prognosis of visual acuity, High, the prognosis of visual acuity better, the difference was statistically significant (P <0.05). Conclusion Ischemic retinal vein occlusion is the main factor affecting the prognosis of patients with visual acuity. The prognosis of patients with visual acuity has a great relationship with the initial diagnosis.