【摘要】 目的了解高血压患者视网膜病变的发生率和严重程度,并分析与其他靶器官损害(TOD)及靶器官临床事件的相关性。方法调查天津市社区经筛查出的成人高血压患者1 540名,均进行眼底镜检查,检测其他高血压相关指标,进行相关统计分析。结果视网膜病变检出率为92.6%,其中重度视网膜病变(Ⅲ级和Ⅳ级)为0.97%,视网膜病变与高血压TOD及靶器官临床事件无相关性。结论社区高血压患者轻度视网膜病变发生率高,重度视网膜病变发生率低,与TOD及靶器官临床事件无相关性,不推荐对高血压患者常规进行眼底镜检查。更多还原

【Abstract】 Objective To understand the prevalence and severity of hypertensive retinopathy,and to analyze the relation of it with other target organ damage(TOD) and the clinical events.Methods 1 540 hypertensive patients screened out from communities in Tianjin were surveyed.All of them received ophthalmoscopy and other related examination.Results The detectable rate of hypersentive retinopathy was 92.6%,in which severe retinopathy(grade Ⅲ and Ⅳ) was 0.97%,and hypertensive retinopathy had no significant correlation with TOD and its clinical events.Conclusion There is high detectable rate of mild retinopathy and low detectable rate of severe retinopathy in community hypertension patients.There is no significant correlation between hypertensive retinopathy and target organ damage,and routine ophthalmoscopy examination is not recommended for hypertensive patients.更多还原