摘要
118例狼疮性肾炎眼底检查结果:有改变者66例,占56.0%;正常者52例,占44.0%。其中并发高血压的眼底改变的发生率为89.1%,血压正常者眼底改变发生率为33.1%(P<0.01)。肾活检病理分型以弥漫增殖型的高血压发生率最高(49.1%),但血压正常,并非眼底正常。眼底微细血管的形态改变,常能预示血压的变化及病变的严重程度。眼底检查可作为狼疮性肾炎患者及时控制血压、改善预后的重要辅助手段。
Background This article collected 118 cas- es from 1986 to 1994,who recieved eye- ground examinations in Department of Nephrology of Jinling Hospital.Lupus nephritis(LN)was diognosed after kidney biopsy. Experimental design All 118 patients of LN recieved their eyeground examinations by ophtholmoscape y2-6B Type.Special at- tention were paid to the changes of their blood capillary and detechment of the retina according to Barker catalogue. Results Eyeground examinations:66 cases (56%)had change.52 cases(44%)were normal in which the rate of complicated hy- pertension eyeground change was 89%.The rate of normal blood pressures eyeground change was 33.1%(P<0.01).The inci- dence of the hypertension of spread hyper- plasis in kidney biopsy pathology was 49.1% at most. Conclusions Normoension does not neces- sarily indicate that eyeground is normal. The change in eyeground capillary form of- ten predicts the changes of blood pressure and severity of pathological changes,which makes eyeground check an important indica- tor for controling blood pressure in time and improving prognosis of lupus nephritis in future.
出处
《肾脏病与透析肾移植杂志》
CAS
CSCD
1996年第2期38-39,共2页
Chinese Journal of Nephrology,Dialysis & Transplantation
