影響外傷性視神經病變視力預后的相關因素分析.pdf

1、中南大學碩士學位論文影響外傷性視神經病變視力預后的相關因素分析姓名：彭昌福申請學位級別：碩士專業(yè)：眼科學指導教師：唐羅生20060501碩士學位論文英文摘要AnalysisofrelevantfactorsaffectingthevisualprognosisoftraumaticopticneuropathyABSTRACTobjectiveToinvestigateapossiblecorrelationbetweenvisuala

2、cuityrecoveryoftraumaticopticneuropathyandsomerelevantfactorsMethods40casesoftraumaticopticneuropathywereanalysedretrospectivelyUnivariateanalysis(Chi—squaretest)andlogisticregressionwereperformedtofiltertheriskfactorsto

3、thevisualprognosisoftraumaticopticneuropathy8variablesweretested，includingcorticosteriodtreatmentin2daysaftertrauma，nolightperception，frontalortempletrauma，orbitalhemorrhageand／orfracture，disturbanceofconsciousness，age，o

4、theroculartraumaandpresenceofbloodwithinthesphenoidalorethmoidalsinusResults23of40caseswereinvalidaftermegadosagecorticosteroidtreatmentThreevariablesshowedasignificantlyincreasedriskfornecoveryofvisualacuity：nolightperc

5、eption(P=0002RR=2333，95％CI1348～4039)；disturbanceofconsciousness(P20030RR=I795，95％CI1120～2889)；presenceofbloodwithinthesphenoidalorethmoidalsinus(P=0001RR=2537，95％CI1412～4558)Thethreefactorsabovewerealsoprovedtobesignific