间接视神经损伤患者视力预后的影响因素

摘要

Objective To analyze the influence factors of visual prognosis for patients with indirect injury of optic nerve (ON) and provide the scientific basis of improvements of curative effects and visual prognosis.Methods 127 patients with indi‐rect injury of optic nerve treated from January 2011 to January 2014 were selected.According to the clinical data ,the multiple influence factors of visual prognosis were analyzed and the independent risk factors were observed.Results According to the e‐valuation standards of visual improvements ,the total effective rate of visual improvements was 37.9% ;based on the single fac‐tor analysis ,the eyesight ,fractures of ON ,swelling of ON and the stressful locations had a significant impact on the visual im‐provements (P<0.05);gender ,age ,surgery and time of visual changes had no significant impact on the visual prognosis(P>0.05);based on the multiple‐factor analysis and Logistic regression analysis ,the eyesight and fracture of ON had the signifi‐cant impact on the visual prognosis(P<0.05).Conclusion The research indicates that the visual prognosis for patients with in‐direct injury of optic nerve has a close correlation with the injury scales of optic nerve and fracture of ON.%目的：分析间接视神经损伤患者视力预后的影响因素。方法入选2011‐01—2014‐01于我院就诊的间接视神经损伤患者127例，回顾性分析患者的临床资料，对影响视力预后的多项因素进行分析，探讨其独立危险因素。结果根据视力改善评价标准，本组患者视力改善总有效率为37.9％；经单因素分析显示，视力分级、视神经管骨折、视神经肿胀和受力部位对患者视力改善有显著影响（P＜0.05）；而性别、年龄、手术情况和视力改变时间均与视力预后无显著关系（P＞0.05）；选取单因素分析中有统计学意义的因素，经 Logistic回归分析显示，视力分级和视神经管骨折与视力预后有显著相关性（ P＜0.05）。结论间接性视神经损伤患者视力预后与视神经损伤分级和视神经管骨折与否有密切关系。