摘要
目的分析非动脉炎性前部缺血性视神经病变(NAION)的临床病因,为该病提供防治措施。方法对暨南大学医学院第四附属医院42例(46眼)确诊为NAION的患者进行全身及眼部检查、实验室检查、仪器辅助检查,分析其患病的危险因素。结果本组NAION患者中实验室检查异常的有高血压19例(45.2%)、糖尿病13例(31.0%)、高血脂20例(47.6%);颈内动脉彩色超声多普勒检查、头颅CT或MRI检查结果异常分别是7例(16.7%),9例(21.4%)。结论高血压、糖尿病、高脂血症等是NAION发病的主要危险因素。颈动脉狭窄、腔隙性脑梗死等也与此病密切相关。加强对本病病因的认识,有利于对高发人群进行预防性检查及干预性治疗。
Objective To analyze the pathogenys of nonarteritic ischemic optic neuropathy （ NAION）, and provide the guidance for prevention and treatment. Methods 42 patients （46 eyes）that were diagnosed with NAION and were treated in our hospital. Include：gen- eral examinations, eye＇s examinations, laboratory tests ,instrument assistant examinations. To analysis the risk factors of NAION. Restfits Abnormal laboratory tests patients including： 19 cases of hypertension （45.2%） , 13 cases of hyperglycemia （30. 9% ） ,20 cases of hyper- glycemia（47.6% ）. There were 7 cases（ 16. 6% ） of abnormal CDFI,9 cases（21.4% ） of abnormal CT or MRI. Conclusion Hyperten- sion, diabetes and hyperlipidemia were the main risk factors of NAION. Carotid artery stenosis, cerebral lacunar infarction was closely related with the disease. Strengthening the understanding of the cause of the disease was conducive to the high risk population for preventive and treatment.
出处
《黑龙江医学》
2015年第12期1335-1337,共3页
Heilongjiang Medical Journal
