免散瞳数字眼底照相在筛查老年性黄斑病变中的优势分析
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摘要
目的对比分析免散瞳眼底数码照相法和散瞳后直接用眼底镜检查法在筛查老年性黄斑病变的优势,为老年性黄斑病变早期防治提供可靠而简便易行的筛检方法。方法对2016年8月—2018年8月在该院就诊的356例老年患者进行免散瞳眼底照相和普通眼底镜检查法检查眼底后,对比两者在老年性黄斑病变检出率差异。结果通过免散瞳眼底照相(观察组)和普通眼底镜检查法(对照组)检查后,对两种检查方法的检查时间和检查准确率、误诊率以及漏诊率进行比较,观察组的检查时间明显低于对照组的检查时间,比较差异有统计学意义(P<0.05);观察组和对照组的检查准确率、误诊率及漏诊率进行比较发现,观察组检出患者数164例(92.13%),误诊数6例(3.37%),漏诊数8例(4.49%);对照组检出患者数113例(63.48%),误诊数17例(9.55%),漏诊数48例(26.97%),对照组的准确率明显的低于观察组,而误诊率和漏诊率又显著的高于观察组,比较差异有统计学意义(χ~2=7.23,P<0.05)。结论免散瞳眼底数码照相法和传统散瞳后眼底镜检查法相比在筛查老年性黄斑病变效果好,有着简便易行、省时省力和检查结果可保存的优点,对患者进行定期监测对比和指导治疗都有着重要意义。
Objective To compare the advantages of diazepam-free fundus digital photography and direct ophthalmoscopy after screening for age-related macular degeneration, and to provide a reliable and simple screening method for early prevention and treatment of age-related macular degeneration. Methods A total of 356 elderly patients who were admitted to the hospital from August 2016 to Au-gust 2018 were examined for the difference in the detection rate of senile macular degeneration after the fundus examination and common ophthalmoscopy were performed. Results After examination of the fundus-free fundus photography(observation group) and common ophthalmoscopy(control group), the examination time, examination accuracy, misdiagnosis rate and missed diagnosis rate of the two examination methods were compared. The examination time was significantly lower than that of the control group, which was statistically significant(P<0.05). The comparison of the examination accuracy, misdiagnosis rate and missed diagnosis rate between the observation group and the control group showed that the observation group had 164 cases(92.13%). There were 6 cases of misdiagno-sis(3.37%) and 8 cases of missed diagnosis(4.49%); 113 cases(63.48%) were detected in the control group, 17 cases(9.55%) were misdiagnosed, and 48 cases(26.97%) were missed. The accuracy of the control group was significantly lower than that of the observa-tion group, and the rate of misdiagnosis and missed diagnosis was significantly higher than that of the observation group, which was statistically significant(χ~2=7.23,P <0.05). Conclusion Compared with traditional mydriatic ophthalmoscopy, the digital photographic method is effective in screening senile macular degeneration. It has the advantages of simplicity, time and effort, and preservation of the results. Regular monitoring and comparison of patients and guiding treatment are of great significance.
Objective To compare the advantages of diazepam-free fundus digital photography and direct ophthalmoscopy after screening for age-related macular degeneration, and to provide a reliable and simple screening method for early prevention and treatment of age-related macular degeneration. Methods A total of 356 elderly patients who were admitted to the hospital from August 2016 to Au-gust 2018 were examined for the difference in the detection rate of senile macular degeneration after the fundus examination and common ophthalmoscopy were performed. Results After examination of the fundus-free fundus photography(observation group) and common ophthalmoscopy(control group), the examination time, examination accuracy, misdiagnosis rate and missed diagnosis rate of the two examination methods were compared. The examination time was significantly lower than that of the control group, which was statistically significant(P<0.05). The comparison of the examination accuracy, misdiagnosis rate and missed diagnosis rate between the observation group and the control group showed that the observation group had 164 cases(92.13%). There were 6 cases of misdiagno-sis(3.37%) and 8 cases of missed diagnosis(4.49%); 113 cases(63.48%) were detected in the control group, 17 cases(9.55%) were misdiagnosed, and 48 cases(26.97%) were missed. The accuracy of the control group was significantly lower than that of the observa-tion group, and the rate of misdiagnosis and missed diagnosis was significantly higher than that of the observation group, which was statistically significant(χ~2=7.23,P <0.05). Conclusion Compared with traditional mydriatic ophthalmoscopy, the digital photographic method is effective in screening senile macular degeneration. It has the advantages of simplicity, time and effort, and preservation of the results. Regular monitoring and comparison of patients and guiding treatment are of great significance.
引文
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[10]肖建彪,石岩.免散瞳眼底照相在社区老年人健康管理中的应用[J].数理医药学杂志,2017,30(6):947-948.
[2]张云贵.老年黄斑变性高危患者预防性治疗的临床应用[J].中国卫生标准管理,2015,6(16):48-49.
[3]曹曦,袁明霞,信中,等.北京市昌平区自然人群黄斑病变情况调查及分析[J].首都医科大学学报,2015,36(6):853-856.
[4]太鸿梅,崔莲,申圣爱.探析免散瞳眼底照相用于糖尿病视网膜病变筛查中的临床效果[J].中国继续医学教育,2016,8(11):125-126.
[5]张季瑾,徐凤.老年黄斑变性的临床治疗研究新进展[J].医学综述,2016,22(12):2352-2355.
[6]廖燕,崔红,陈超丽,等.免散瞳眼底照相筛查糖尿病视网膜病变的临床观察[J].现代诊断与治疗,2016,27(18):3405-3406.
[7]黄辉,李昌明.直接检眼镜、免散瞳眼底照相在眼科检查中的应用比较[J].长江大学学报:自科版,2016,13(36):42-44.
[8]岳建中,龚一波.免散瞳数码眼底照相在老年眼底病中的筛查价值[J].实用医院临床杂志,2018,15(1):123-126.
[9]陈力,郝晓军,李飞,等.免散瞳和散瞳眼底数码照相在眼底病筛查中的优势分析[J].国际眼科杂志,2018,18(3):524-527.
[10]肖建彪,石岩.免散瞳眼底照相在社区老年人健康管理中的应用[J].数理医药学杂志,2017,30(6):947-948.