招飞体检中对视网膜出血标准掌握的探讨

目的 通过对1987-2006年20年间招飞体检中发现的视网膜出血受检者的出血部位、形态进行统计分类及分析,探讨招飞体检中视网膜出血标准掌握的原则. 方法 对参加招飞体检的37 446人按地区分组进行散瞳、检查眼底,对217例视网膜出血眼进行分析、追踪检查.并对其中34例进行了凝血象检查. 结果 37 446人视网膜出血217眼,发生率为0.29%,地区间比较差异无统计学意义.出血眼中单纯性圆点状视网膜出血和火焰状出血占73.27%.伴有视网膜血管改变及其他眼底病变占17.51%,形态不规则出血占9.22%,出血形态组间比较差异有统计学意义(χ2=10.553,P<0.05).出血部位在视网膜后极部占49.77%,视网膜周边及赤道部占31.80%;视乳头旁及黄斑区占18.43%,出血部位组间比较差异有统计学意义(χ2=11.858,P<0.05).217眼中结论 合格159眼,占73.27%;不合格58眼,占26.73%. 结论 招飞体检中单纯性视网膜出血能在较短时间内完全吸收,无后遗症.除伴有先天性血管变异、多发性及眼底有其他异常的视网膜出血者外,原则上视网膜出血予以保留. Abstract： Objective To investigate and discuss the evaluation criterion of retinal hemorrhage by analyzing its location and morphology those were collected in pilot recruiting from 1987 to 2006.Methods Ocular fundus of 37 446 candidates',who were grouped by area (Shandong and Northeast region).were examined after mydriasis and 217 eyes of retinal hemorrhage were picked and tracked for analysis.Among these cases 34 were tested by coagulogram examination. Results The incidence of retinaI hemorrhage was 0.29% for 37 446 candidates (74 892 eyes) and no regional difference was found.In morphologic statistic,73.27%retinal hemorrhages were dot-shaped or flame-shaped while 9.22% were irregular-shaped.17.51%retinal hemorrhages were found with retinal vascular changes or other ocular fundus affections.There was significant difference between groups in morphologic analysis (χ2=10.553,P<0.05).For hemorrhage location,49.77% were at posterior pole,31.80% were at peripheral or equatorial area of retina and 18.43%were beside papilla optica or at macular area.The location of hemorrhage also showed significant difference between groups (χ2=11.858,P<0.05).159 of 217 eyes (73.27%) were finally assessed as eligible. Conclusions Simple retinal hemorrhage.that were found in pilot recruiting,could be recovered and no sequela resulted.Qualification could be issued to those candidates with simple retinal hemorrhage but with innate vascular variation or multiple ocular fundus abnormality.

Discussion on the evaluation criterion of retinal hemorrhage for pilot recruiting

Objective To investigate and discuss the evaluation criterion of retinal hemorrhage by analyzing its location and morphology those were collected in pilot recruiting from 1987 to 2006.Methods Ocular fundus of 37 446 candidates',who were grouped by area (Shandong and Northeast region).were examined after mydriasis and 217 eyes of retinal hemorrhage were picked and tracked for analysis.Among these cases 34 were tested by coagulogram examination. Results The incidence of retinaI hemorrhage was 0.29% for 37 446 candidates (74 892 eyes) and no regional difference was found.In morphologic statistic,73.27%retinal hemorrhages were dot-shaped or flame-shaped while 9.22% were irregular-shaped.17.51%retinal hemorrhages were found with retinal vascular changes or other ocular fundus affections.There was significant difference between groups in morphologic analysis (χ2=10.553,P<0.05).For hemorrhage location,49.77% were at posterior pole,31.80% were at peripheral or equatorial area of retina and 18.43%were beside papilla optica or at macular area.The location of hemorrhage also showed significant difference between groups (χ2=11.858,P<0.05).159 of 217 eyes (73.27%) were finally assessed as eligible. Conclusions Simple retinal hemorrhage.that were found in pilot recruiting,could be recovered and no sequela resulted.Qualification could be issued to those candidates with simple retinal hemorrhage but with innate vascular variation or multiple ocular fundus abnormality.