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目的了解何种原因使得原发性青光眼患者到医院就诊,最终青光眼得以诊断。设计以医院为基础的问卷调查。研究对象 287例已确诊为原发性青光眼的连续患者。方法设计一组问题,对本组青光眼患者进行以医院为基础的问卷调查,问卷内容主要包括患者首次被诊断青光眼的医院;患者到眼科寻医的原因;患者求治的主要症状;以及其青光眼被诊断的主要依据。主要指标统计分析患者寻医的主要原因和症状,以及患者所了解的主要诊断依据。结果视力下降(87．7％),眼痛 (80．8％)和眼红是急性闭角型青光眼患者求医的原因。在慢性闭角型青光眼和开角型青光眼,分别有39．7％和46．2％的病例主诉有视力问题,部分患者主诉有眼部症状,但这些症状多与青光眼无关,约25％的患者没有任何症状。71％(205／287)的患者认为眼压升高对青光眼诊断最为关键。在慢性闭角型青光眼和开角型青光眼中,75％的病例在确诊时,至少有1眼已属于青光眼中晚期。结论急性闭角型青光眼因症状明显,常引导患者主动就诊。慢性闭角型青光眼和开角型青光眼早期多无症状,他们得以诊断的原因是因为其他非青光眼症状,或有青光眼家族史而到医院检查,或常规体检发现了青光眼。
Objectives To understand what causes primary glaucoma patients to the hospital for treatment and eventually glaucoma to be diagnosed. Design a hospital-based questionnaire. The study included 287 consecutive patients who had been diagnosed with primary glaucoma. Methods A set of questions was designed to conduct a hospital-based questionnaire for patients with glaucoma in this group. The questionnaire consisted mainly of the hospital where the patient was diagnosed with glaucoma for the first time, the reasons why the patient sought ophthalmology, the main symptoms of the patient and the diagnosis of glaucoma The main basis. The main indicators of statistical analysis of the main reasons for seeking medical treatment and symptoms, as well as patients understand the main diagnostic basis. Results The decreased visual acuity (87.7%), eye pain (80.8%) and redness were the reasons for seeking treatment in patients with acute angle-closure glaucoma. In chronic angle-closure glaucoma and open-angle glaucoma, 39.7% and 46.2% of cases complained of visual acuity. Some patients complained of ocular symptoms. However, these symptoms were mostly unrelated to glaucoma. About 25% The patient has no symptoms. 71% (205/287) of the patients that the intraocular pressure is the most critical for the diagnosis of glaucoma. In chronic angle-closure glaucoma and open-angle glaucoma, 75% of cases are diagnosed and at least one is already in the advanced stage of glaucoma. Conclusion Acute angle-closure glaucoma due to obvious symptoms, often lead the patient active treatment. Chronic angle-closure glaucoma and open-angle glaucoma are asymptomatic early, and they are diagnosed because of other non-glaucoma symptoms or a family history of glaucoma, hospital visits, or glaucoma found in routine physical examinations.