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尼日利亚三级眼科护理中心眼科住院患者会诊评估

Evaluation of Ophthalmology Inpatients Consultation in a Nigerian Tertiary Eye Care Centre.

作者信息

Kayoma D H, Ukponmwan C U, Ese-Onakewhor J N

机构信息

Department of Ophthalmology, University of Benin Teaching Hospital, Benin City, Nigeria.

出版信息

West Afr J Med. 2020 Jul-Aug;37(3):221-224.

PMID:32476114
Abstract

BACKGROUND

Ophthalmology consultations are more thorough on outpatient basis, but inpatient evaluation cannot be over looked especially in terms of care of patients admitted in other specialties.

OBJECTIVES

This is to assess the profile of inpatient consultation and eye problems evaluated and managed by the ophthalmology department of the University of Benin Teaching Hospital, Benin City, Nigeria.

METHODS

All consecutive inpatients who had ophthalmic consultations requested for by various departments in the hospital between July 2018 and June 2019.

RESULTS

A total of 227 inpatient consultations with 217 diagnoses were seen. Most of the patients were between the ages of 20-39 years. The highest number of consults (50.7%) were received from the medical wards. The most common reasons for ophthalmic inpatient consultations were reduction in vision (26.7%), eye pain (19.9%) and ocular screening which was ocular examination for patients with raised intracranial pressure, hypertension, diabetes and glaucoma (15.4%). Based on subspecialties, anterior segment and cornea unit received the highest number of consults (41.9%) while retina/ uveitis received the highest (58.7%) number of screening consultation.

CONCLUSION

Inpatient consultations is very useful to the patient and managing physician. Although a better knowledge in the identification of common ophthalmic conditions can help to reduce the number of inpatient consults from other medical specialties.

摘要

背景

眼科门诊会诊更为全面,但住院评估也不容忽视,尤其是对于其他专科收治患者的护理方面。

目的

评估尼日利亚贝宁城贝宁大学教学医院眼科进行的住院会诊情况以及所评估和处理的眼部问题。

方法

选取2018年7月至2019年6月期间医院各科室请求进行眼科会诊的所有连续住院患者。

结果

共进行了227例住院会诊,有217个诊断。大多数患者年龄在20 - 39岁之间。会诊请求最多的是内科病房(50.7%)。眼科住院会诊最常见的原因是视力下降(26.7%)、眼痛(19.9%)以及眼部筛查(针对颅内压升高、高血压、糖尿病和青光眼患者进行的眼部检查,占15.4%)。按亚专业划分,眼前段和角膜单元收到的会诊请求最多(41.9%),而视网膜/葡萄膜炎收到的筛查会诊请求最多(58.7%)。

结论

住院会诊对患者和主治医生非常有用。尽管更好地了解常见眼科疾病的识别方法有助于减少其他医学专科的住院会诊数量。

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