目的:了解青光眼住院患者的病型构成、性别、年龄分布、族别(维吾尔族)及其变化特点,为青光眼的防治研究提供新的流行病学资料。方法:选取2005-01/2010-01在本院眼科住院的青光眼手术患者2953例,根据出院诊断分为包括急性型与慢性型闭角型青光眼(PACG),原发性开角型青光眼(POAG),先天性青光眼(CG)和继发性青光眼(SG)。统计住院患者的年龄、性别、民族分布,分析其内部构成及变化趋势。结果:PACG,POAG,CG,SG各占青光眼总数的54.6%,15.2%,2.3%,27.9%。PACG的构成比逐年(63.1%～54.1%)下降,POAG的构成比在2007-01/2008-01达高峰(21.0%),CG的构成比平稳,SG的构成比(23.9%～33.5%)逐年增高;维吾尔族患者在闭角型青光眼中所占百分比逐年增高(23.0%～35.3%),在开角型青光眼中所占百分比亦逐年增高(7.9%～26.7%),在CG中所占百分比波动较大,在SG中所占百分比平稳。<40岁的维吾尔族男性患者在闭角型、开角型青光眼中,所占百分比逐年增高,<40岁的维吾尔族女性患者开角型青光眼中,所占百分比逐年增高,在闭角型青光眼中,所占百分比有下降趋势;≥40岁的维吾尔族女性患者在闭角型青光眼中,所占百分比逐年增高。结论:闭角型青光眼仍然是我国青光眼的主要类型,SG的防治研究不容忽视,在新疆维吾尔族住院患者的青光眼构成比逐渐增加,≥40岁的维吾尔族女性人群应特别注意闭角型青光眼的筛查,但开角型青光眼的防治研究不能忽视,<40岁的维吾尔族男、女性群体均是开角型青光眼防治的重点。

AIM:To investigate the disease proportion,gender,age distribution and nationality(Uygur) and their changes in the hospitalized patients with glaucoma.METHODS:Totally 2953 cases in our hospital from January 2005 to January 2010 were classified by their diagnosis,including acute primary angle-closure glaucoma(PACG) and chornic PACG,primary open angle glaucoma(POAG),congenital glaucoma(CG) and secondary glaucoma(SG).Age,gender and nationality distribution were calculated and their proportion and feature of changes were analyzed.RESULTS:Of all the cases 54.6% were PACG,while 15.2%,2.3% and 27.9% of them were POAG,CG and SG respectively.The proportion of PACG trended to decrease(63.1%-54.1%)while that of POAG reached peak time in 2007-01/2008-01(21.0%).The proportion of SG trended to increase(23.9%-33.5%) while that of CG trended to be stable.The proportion of Uygur patients trended to increase(23.0%-35.3%) in PACG,it trended to increase(7.8%-26.7%) in POAG as well.The proportion fluctuated in CG and it was stable in SG.Among the patients less than 40 years old,the proportion of Uygur male patients trended to increase in PACG and POAG,the proportion of the Uygur female patients trended to increase in POAG,but trended to decrease in PACG.While among the patients over 40 years old,the proportion of the Uygur female patients trended to increase in PACG year by year.CONCLUSION:PACG is still the main part of hospitalized patients with glaucoma in our country.However,the prevention and treatment of SG are also important.In Xinjiang,glaucoma proportion of Uighur hospitalized patients gradually increases.For Uygur female over 40 years,PACG must be screened,while POAG can not be ignored,Uygur male,female groups under the age of 40 are prevention focus of PACG.

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