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回弹式眼压计与非接触眼压计眼压测量的临床对比研究

Comparison between Intraocular Pressureeasured with ICARE Rebound Tonometer and NCT Tonometer

【作者】 吴兰君

【导师】 陈雪艺;

【作者基本信息】 新疆医科大学 , 眼科学, 2011, 硕士

【摘要】 目的:研究回弹式眼压计与非接触眼压计在眼压测量中的一致性,评价回弹式眼压计的准确性。方法:选取2011年1月至2月就诊于新疆医科大学附属第一附属医院的患共65例130眼。同时用ICARE回弹式眼压计和NCT眼压计进行眼压测量,对比分析两种眼压计的测量结果及两者的相关情况;观察ICARE(?)眼压计对特殊病例测量的结果。结果:ICARE眼压计和NCT眼压计测得的眼压均值分别为15.45±8.54mmHg和16.60±7.54mmHg,两者无显著差别。两种眼压计测量值显著相关,相关系数为0.729;ICARE眼眼压计可较好地完成角膜病变和无固视能力等病例的眼压测量。分组后的结果:10-21mmHg组的RT和NCT结果为16.254±2.95mmHg和16.98±4.36mmHg;21~25mmHg组RT和NCT结果为23.34±4.34mmHg和24.28±5.70mmHg;>25mmHg组RT和NCT结果为46.71±9.84mmHg和50.66±10.44mmHg,三组的结果均为P>0.05,两者测量值无显著差异。两种眼压计测量值均数差值极小,虽然NCT的测量值较ICARE的高,但无显著的统计学意义(表2)。结论:65例130眼用ICARE回弹式眼压计和NCT同时完成了眼压测量,结果表明两种眼压计测量值的统计分析没有明显差异。两者具有良好的一致性。ICARE回弹式眼压计在临床上的应用有其优势,对青光眼早期诊断、青光眼筛查具有一定鉴别有意义,其准确性和可重复性有待进一步研究。

【Abstract】 Objective: To evaluate the clinical performance of icare rebond t onometer by (RBT) comparing the intraocular pressure (IOP) values measured by RBT, an d noncontact tonometer, (NCT). Methods: the January 2011 February in xinjiang medical university hospital affiliated first affiliated hospital of a total of 65 patients with 130 eye. Meanwhile ICARE rebound type intraocular pressure plan with NCT intraocular pressure tester and measuring intraocular pressure, the contrast analysis of two millions of intraocular pressure measurement result and both related situation; Observation ICARE program to special cases intraocular pressure measurement results.Results:ICARE NCT iop plan and measurement of intraocular pressure iop plan for 16. The mean respectively 15.45±8.54mmHg and 16.60±7.54 mmHg. No significant difference..two kinds of intraocular pressure plan significantly associated with measured values, correlation coefficient is 0.729; ICARE intraocular pressure plan can better finish corneal abnormalities and no solid depending on the ability of intraocular pressure measurement cases. The result: grouped 21 mmHg group of RT 10~16.25 NCT results for 16.25±2.95mmHg and 16.98±4.36mmHg;21 to 25mmHg group results for 23.34±4. 34mmHg and 24.28±5.70mmHg;> 25mmHg group results for 46.71±9.84mmHg and 50.66±10.44mmHg, three groups has the results for P> 0.05, no significant differences between measured value. Two kinds of intraocular pressure measurement values mean difference value is project of tiny, although more NCT measurements of high, but no significant statistically significant (table 2).. Conclusions: Conclusion: 65 cases ICARE rebound type 130 eye ophthalmic NCT iop plan and also completed the intraocular pressure measurement, the results showed that the two kinds of intraocular pressure plan a statistical analysis of the measured value without obvious difference. Both have good consistency. ICARE rebound type intraocular pressure in clinical application of project has its advantages, to glaucoma early diagnosis and differential screening has certain glaucoma, its accuracy and meaningful research further repeatability.

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