慢性病晚期儿童的眼科变化:一项医院研究
Amit Kumar Datta1, Afroza Begum1, Ranjit Ranjan Roy1
1Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
BMJ paediatrics open
|November 20, 2024
概括
患有慢性病 (CKD) 的儿童往往会出现显著的眼部并发症. 定期的眼科检查对于儿童慢性病患者的视觉威胁的早期检测和管理至关重要.
科学领域:
- 儿科脏病学 儿科脏病学
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 慢性病 (CKD) 可以导致由于尿血,生化失衡,高血压和失足透析的眼部并发症.
- 这些视觉威胁在CKD晚期特别令人担忧.
研究的目的:
- 识别和比较晚期CKD儿童的眼科变化.
- 评估潜在的视觉威胁及其与CKD进展和治疗的相关性.
主要方法:
- 在92名患有晚期CKD的儿童 (5-18岁) 的横截面研究中.
- 包括病史,体检和详细的眼科评估.
- 从2020年1月到2021年7月的数据分析.
主要成果:
- 在29名患者中观察到视力敏度下降;眼皮胀和结膜白与CKD阶段有显著的相关性 (p<0.001).
- 在9.8%的透析患者中观察到眼睛干燥 (p=0.003);高血压视网膜病变在16.3%,主要在血液透析患者中 (93%).
- 与高血清酸盐和酸盐产物相关的结膜堵塞和视网膜病变 (p<0.001).
结论:
- 显著的眼部并发症在儿科CKD患者中很普遍.
- 在患有CKD的儿童中,迫切需要定期进行眼科查.
- 早期发现和管理视力障碍是必不可少的.
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