眼眶爆裂性骨折患者视功能鉴定方法探讨
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摘要
为分析眼眶爆裂性骨折患者的视功能鉴定方法,着重探讨循证医学方法识别伪视力的应用价值,本文选择眼眶爆裂性骨折患者36例作为研究对象,探讨眼眶爆裂性骨折患者视功能的鉴定方法,并得出结论:对鉴定眼眶爆裂性骨折伤者,如无可见眼球组织结构损害,则为好视力可能性较大;如视功能与体征不符,应排除伪视力、伪复视、伪视野、伪视觉诱发电位(VEP),应用循证医学方法有助于鉴定。
In order to discuss visual function identification methods for patients with orbital blowout fracture and emphasize the application value of the identification of pseudo vision with evidence-based medicine, in this paper, 36 patients with orbital blowout fracture were chosen.In the identification of patients with orbital blowout fracture, if there is no visible eyeball structure damage, it is more likely to be good-eyesighted; If visual function is inconsistent with physical signs, pseudo vision,pseudo diplopia, pseudo vision field, and the false visual evoked potential(VEP) should be eliminated, and evidence-based medicine should be helpful in the identification.
In order to discuss visual function identification methods for patients with orbital blowout fracture and emphasize the application value of the identification of pseudo vision with evidence-based medicine, in this paper, 36 patients with orbital blowout fracture were chosen.In the identification of patients with orbital blowout fracture, if there is no visible eyeball structure damage, it is more likely to be good-eyesighted; If visual function is inconsistent with physical signs, pseudo vision,pseudo diplopia, pseudo vision field, and the false visual evoked potential(VEP) should be eliminated, and evidence-based medicine should be helpful in the identification.
引文
[1][4]李伦昊,肖彩雯,范先群.钛合金材料在眼眶骨缺损修复中的应用[J].中国实用眼科杂志,2011,29(5):432-434.
[2]Sackett DL,Straus SE,Richardson WS.etcl.How to practice and teach EBM[M].Edinburgh:Churchill Livingstone,2000.
[3]杨鲁民.循证医学的生命伦理学观[J].医学与哲学,2012,33(1):9-11.
[5]王幼生,等,现代视光学[M].广东:广东科技出版社,2004:58-59.
[2]Sackett DL,Straus SE,Richardson WS.etcl.How to practice and teach EBM[M].Edinburgh:Churchill Livingstone,2000.
[3]杨鲁民.循证医学的生命伦理学观[J].医学与哲学,2012,33(1):9-11.
[5]王幼生,等,现代视光学[M].广东:广东科技出版社,2004:58-59.