摘要
目的分析河北省眼科医院收治青光眼患者的疾病分类构成变化。方法利用国际疾病分类ICD-10疾病诊断名称检索2004年6月至2009年5月(2004年组)及2013年11月至2018年10月(2013年组)以青光眼为治疗目的住院患者,统计分析疾病类型构成、性别、入院年龄等,不同组间年龄差异采用秩和检验,各类型青光眼构成比、性别构成比等组间差异采用卡方检验。结果共检索数据12606例(2004年5058例,2014年组7548例)。两组年龄差异不具有统计学意义(z^0.68,P=0.50),男性比例从43.63%(2207/5058)下降至42.90%(3238/7548)(χ^2=23.73,P<O.05)。原发性闭角型青光眼是最主要类型(6256/12606,49.63%),但两组比较占比由53.74%(2718/5058)下降至46.87%(3538/7548)(χ^2=21.99,P<10.01);其次为继发性青光眼,占33.33%(4201/12606),其中外伤性青光眼由18.83%(289/1535)下降至17.97%(479/2666)(χ^2=24.11,P<0.201),综合征相关性青光眼由4.89%(75/1535)上升至6.11%(163/2666)(χ^2=10.39,P<0.301)。先天性青光眼占比由3.24%(164/5058)下降至1.38%(104/47548)(χ^2=39.04,P<0.01)。结论lO年间住院青光眼患者疾病谱产生了变化,但原发性闭角型青光眼仍是临床青光眼防治的重点。
Objective To analyze the changes of disease composition among inpatients with glaucoma treated in the Hebei Eye Hospital.Methods Using the disease diagnosis names defined in the International Classification of Diseases 10 th Revision(ICD-10) to retrieve inpatients treated for glaucoma admitted from June 2004 to May 2009(named as 2004 group) and from November 2013 to October 2018(named as 2013 group). Statistical analyses were performed in terms of disease composition, gender and age. The difference of age between the two groups was tested by the rank sum test,while the difference of composition ratios of various types of glaucoma and gender between the two groups were tested by the chi-squared test.Results A total of 12,606 cases(5,058 cases in the 2004 group,7,548 cases in the 2013 group) were retrieved. The age difference between two groups was not statistically significant(z=0.68,P=0.50). The proportion of male decreased from 43.63%(2207/5058) in the 2004 group to 42.90%(3238/7548) in the 2013 group(χ^2=23.73,P<0.05). The primary angle-closure glaucoma was the most common type of glaucoma(6256/12606, 49.63%), and the proportion decreased from 53.74%(2718/5058) in the 2004 group to 46.87%(3538/7548) in the 2013 group(χ^2=21.99,P<0.01).The secondary glaucoma was the second most common type, accounting for 33.33%(4201/12606), among which the proportion of the traumatic glaucoma decreased from 18.83%(289/1535) in the 2004 group to 17.97%(479/2666) in the 2013 group(χ^2=24.11,P<<0.01),the syndrome-associated glaucoma increased from 4.89%(75/1535) to 6.11%(163/2666)(χ^2=10.39,P<0.01).The proportion of the congenital glaucoma decreased from 3.24%(164/5058) in the 2004 group to 1.38%(104/7548) in the 2013 group(χ^2=39.04,P<0.01).Conclusions The disease spectrum of inpatients with glaucoma has changed in l0 years. The primary angle-closure glaucoma is still the focus of clinical prevention and treatment of glaucoma.
作者
赵克鹏
韩冬
袁立飞
吕建华
Zhao Kepeng;Han Dong;Yuan Lifei;Lv Jianhua(Hebei Eye Hospital,Xingtai,Hebei 054000,Chian)
出处
《临床眼科杂志》
2019年第6期504-508,共5页
Journal of Clinical Ophthalmology
关键词
青光眼
国际疾病分类法
疾病构成变化
Glaucoma
International classification of diseases
Change in disease composition
