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目的:探讨埃塞俄比亚的青光眼的流行状况、治疗方式以及患者的心态。方法:观察埃塞俄比亚亚的斯亚贝巴的住院青光眼患者。结果:在研究的415例青光眼患者中,Gurage(33%)人群最常见的为剥脱综合征(17%),而在Amhara/Tigre(6%)人群中,慢性闭角型青光眼为5%,二者间有显著差异性(P=0.006)。患者接受平均1.4±8种药物治疗:52%的患者没有短期的不适症状,36%的患者接受了滤过手术。93%的患者相信他们的主管医师试图给予帮助,89%认为是上帝让其接受治疗,82%感到他们的配偶体谅其病情。有87%的患者注意到社区不体察其病情,这在Gurage人群中更为多见(31%,P<0.0001),而穆斯林人群中有此感受的患者为25%(P=0.01),Amhara/Tigre患者则坚信其医师更关注他们的病痛(94%,P=0.04)。结论:不同类型的青光眼在埃塞俄比亚的不同种族人群中的发病有差异,在Gurage人群以剥脱综合征多见,而慢性闭角型青光眼则在Amhara/Tigre人群中的发病较高。
Objective: To investigate the prevalence of glaucoma in Ethiopia, the treatment modalities and the patient’s psychology. Methods: In-hospital glaucoma patients were observed in Addis Ababa, Ethiopia. RESULTS: Of the 415 glaucoma patients studied, the most common form of Gurage (33%) was exfoliation syndrome (17%), whereas in Amhara / Tigre (6%), 5% There was a significant difference between the two (P = 0.006). Patients received an average of 1.4 ± 8 drug treatments: 52% had no short-term symptoms and 36% had filtration surgery. Ninety-three percent believe their supervisor is trying to help, 89% believe it is being treated by God and 82% feel that their spouse is sympathetic to their condition. 87% of patients noticed that the community was unaware of their condition, which was more common in the Gurage population (31%, P <0.0001) compared with 25% in the Muslim population (P = 0.01), Amhara / Tigre patients strongly believe their physicians are more concerned about their ailments (94%, P = 0.04). CONCLUSIONS: Different types of glaucoma differ in their incidence among ethnically diverse people in Ethiopia, more commonly seen in the Gurage population as exfoliation syndrome, and in chronic angle-closure glaucoma as being more prevalent in the Amhara / Tigre population.