壮族近视人群角膜中央厚度临床研究.docVIP

壮族近视人群角膜中央厚度临床研究 　　摘要： 目的：了解广西壮族近视人群角膜中央厚度、眼压、角膜曲率等特征，并与同一地区汉族近 视人群进行比较，了解壮族、汉族人群眼部数据有无差异。方法：连续记录测量499例99 0眼壮族及772例1538眼汉族近视眼患者角膜中央厚度、眼压、角膜曲率、屈光度及年龄 、性别，并进行分析。结果：壮族人群平均角膜中央厚度（CCT）为(533.23±29.63)μm， 男性 为(537.04±29.33)μm，女性为(529.56±29.66)μm；平均眼压值（IOP）(15.86±2.45)mm Hg，男 女分别为(15.94±2.67)mmHg和(15.71±2.45)mmHg；平均角膜曲率（keratometry）为(43.3 5±1.16)D， 男、女性分别为(42.99±1.30)D和(43.91±1.38)D。男性CCT明显较女性厚，父母亲均为 壮族者 角膜中央厚度较父母亲一方为壮族者要薄。与汉族人群相比，壮族人群CCT较汉族人群薄约1 0μm（t=5.893,P=0.000）。结论：壮族近视人群 角膜中央厚度和眼压测量值较汉族人低，临床诊治和行角膜屈光手术时应予注意。 　　关键词：近视;角膜中央厚度;壮族 　　中图分类号： R772.2 文献标识码： A 文章编号： 1008-2409(2008)05-0916-04 　　 　　Clinical study on central corneal thickness ofmyopia patient in Zhuang Ethnic/ZHU Liang-yong, HE Zi-li, YUAN Mu-zhi，et a l.∥Department o f Ophthalmology, The Fourth Affiliated Hospital of Guangxi Medical University, L iuzhou 545005, China 　　Abstract: Objective:To study central corneal thickness (CCT), refractive stat us, keratometry and intraocular pressure (IOP) measurements on Myopia patientsof Zhuang Ethnic people and to search for possible associations between CCT andpatient’s Ethnic, age, sex, and comparison with Han Ethnic people. Methods: 49 9 cases(990 eyes) of Zhuang and 772 cases (1538 eyes) of Han patients with myopia wereincluded in the study. Patient’s age, sex, CCT, refractive status, keratometry,and IOP were obtained together with Ethnic of the patients and their parents. M ain outcome measures were CCT measurements and relationship between CCT and pati ent抯 Ethnic. Results: The CCTe，IOP，keratometry of Zhuang Ethnic were (533.23 ±2 9.63)μm，(15.86±2.45)mmHg and (43.35±1.16)D.Patients of Zhuang Ethnic had sta tisti cally significantly thinner corneas than patients of Han Ethnic (533.23±29.63) μ m vs (544.53±32.58)μm(t=5.893，P=0.000). Patients of Zhuang Ethnic had s tatisti cally significantly lower IOP than patients of Han Ethnic (P=0.016). No diff erences were found when comparing age, sex, refractive status, and keratometry.Conclusions: This is the first work i