三级医疗中心高血压患者的高血压视网膜病变：一项描述性横断面研究。
Hypertensive Retinopathy among Hypertensive Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
作者信息
Basnet Anjila, Rai Nilshan, Sahani Shambhu Kumar, Pathak Anil, Nepali Bishal
机构信息
Department of Ophthalmology, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2024 Sep;62(277):597-601. doi: 10.31729/jnma.8761. Epub 2024 Sep 30.
INTRODUCTION
Hypertension manifests in the eyes as retinopathy, choroidopathy, and optic neuropathy of which retinopathy can be used as a predictor for systemic morbidities and mortalities. The study aims to determine the prevalence of hypertensive retinopathy among hypertensive patients visiting the outpatient Department of Ophthalmology in a tertiary care center.
METHODS
A descriptive cross-sectional study was conducted among hypertensive patients from 4 April to 19 November 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: 2079/80/96). A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
RESULTS
Among 161 hypertensive patients, hypertensive retinopathy was present in 70 (43.48%) (35.82-51.14, 95% Confidence Interval). Grade I hypertensive retinopathy accounted for 35 (50%) followed by Grade II Hypertensive Retinopathy in 17 (24.29%), Grade III Hypertensive Retinopathy in 14 (20%) and Grade IV Hypertensive Retinopathy in 4 (5.71%) in the study participants.
CONCLUSIONS
The prevalence of hypertensive retinopathy was found to be higher than other studies done in similar settings.
引言
高血压在眼部表现为视网膜病变、脉络膜病变和视神经病变，其中视网膜病变可作为全身发病和死亡的预测指标。本研究旨在确定在一家三级护理中心眼科门诊就诊的高血压患者中高血压性视网膜病变的患病率。
方法
在获得机构审查委员会的伦理批准（参考编号：2079/80/96）后，于2023年4月4日至11月19日对高血压患者进行了描述性横断面研究。采用便利抽样方法。在95%置信区间计算点估计值。
结果
在161例高血压患者中，70例（43.48%）（35.82 - 51.14，95%置信区间）存在高血压性视网膜病变。研究参与者中，I级高血压性视网膜病变占35例（50%），其次是II级高血压性视网膜病变17例（24.29%），III级高血压性视网膜病变14例（20%），IV级高血压性视网膜病变4例（5.71%）。
结论
发现高血压性视网膜病变的患病率高于在类似环境中进行的其他研究。
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