摘要
目的评价狼疮性肾炎（ＬＮ）眼底改变与血压改变的相关性。方法对１１８例狼疮性肾炎眼底检查结果进行分析。结果发现有改变者６６例占５６．０％，正常者５２例占４４．０％。其中并发高血压的眼底改变发生率为８９．１％，血压正常者眼底改变发生率为３３．１％（Ｐ＜０．０１）。肾活检病理分型以弥漫增殖型高血压发生率最高，达４９．１％，但血压正常，并非眼底正常。结论眼底微细血管的形态改变，常能预示血压的变化及病变的严重程度，使眼底检查成为狼疮性肾炎患者及时控制血压、改善预后的重要辅助手段。
bjectiveTo evaluate the relationship between the changes of eyeground and blood pressure of patients with lupus nephritis.Methods118 cases of lupus nephritis eyeground examination results were analysed.ResultsEyeground changes were found in 66 cases (56%),others were normal.In the 66 cases,the rate of hypertension with eyeground change was 89.1% .The rate of normal blood pressure with eyeground change was 33.1%(P<0.01).The kidney biopsy pathology,the most type of hypertension was that of spread hyperplasia,which was 49.1%.But even the blood pressure was normal,the eyeground may be abormal.ConclusionIn lupus nephritis,the fundus vascular change can predict blood pressure change and the seriousness of the disease,so,fundus examination can be an important additional means for controlling blood pressure in time and improving prognosis for lupus nephritis patients.
出处
《眼科研究》
CSCD
1997年第1期49-50,共2页
Chinese Ophthalmic Research
