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编号:11023913
80岁以上老年人视力状况调查及影响因素分析
http://www.100md.com 《实用老年医学》 2006年第2期
屈光不正,1对象及方法,2结果,3讨论,参考文献
     【摘要】 目的 调查458例≥80岁老年人的视力状况并分析其影响因素。 方法 常规检查≥80岁老人日常生活视力及眼部情况,对合作者验光矫正屈光不正,对疑似眼病采用相应的辅助检查;统计老年人视力并比较验光矫正前后的视力;分析影响视力及致盲和低视力的原因。 结果 ≥80岁老年人的日常生活视力平均057±044,盲和低视力患病率分别为39%和55%;矫正屈光不正后平均视力072±043,较验光前提高,差异有显著性;≥80岁老人平均患有2种眼病,最常见眼病是白内障,严重影响视力的眼病主要是老年性黄斑病变,其次为青光眼和各种类型的视神经萎缩。 结论 ≥80岁老人视力下降既有眼病因素,也有屈光不正和生理老化因素。为改善老年人的视力,除积极治疗相关眼病外,还应重视屈光不正的矫正。

    【主题词】 屈光不正; 视力,低; 盲; 老年人

    The visual acuity and related factors in elderly people aged over 80 years XIA Qun, WANG Zheng, ZHANG Wei, ZHANG Yaozhen. Department of Ophthalmology,Beijing Hospital, Beijing 100730 China

    【Abstract】 Objective To evaluate the visual acuity and related factors in elderly people aged 80 and over. Methods The visual acuity of daily life was checked in elderly people and then a thorough ocular examination was performed. The vision was corrected if there was any refractive error in cooperated patients. Other necessary examinations were performed if any ocular disease was suspected. The mean value of visual acuity before and after refractive correction was analyzed.The risk factors which caused the visual acuity decline, low vision and blindness were analysed by Logistic regression. Results The mean value of visual acuity of daily life in people aged 80 and over was 057±044.The incidence of blindness and low vision among them was 393% and 546% respectively.The mean value of corrected visual acuity was 072 ± 043, with significant difference with uncorrected value.There were averagely 2 ocular diseases in each elderly people.Cataract was the most common one ......

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