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目的探讨老年性黄斑变性(ARM D患者的呼吸功能特点和心理改变。方法从广州市区一个老年人(55～80岁)大样本流行病学调查中筛选检出ARM D患者30例;抽取年龄和性别匹配的30人作为正常对照组。应用调查问卷和临床检测的方法进行对比分析。调查问卷包括一般资料和精神心理状况(自我感觉和认知两部分)。临床检测包括眼科检查、生理指标测定、血常规和生化检验及肺功能测定。结果ARM D患者的体力活动以平地慢走为主。其收缩期血压、红细胞压积、红细胞平均体积、红细胞平均血红蛋白含量、血小板计数、平均血小板体积、肌酸磷酸激酶和高密度脂蛋白胆固醇水平低于对照组。而胆红素、最大呼气中期流速、用力呼气50%、75%时瞬间流速大于对照组。精神心理方面,ARM D患者更多倾向于自己能成功地解决生活上的烦恼;能有效地应付生活上的重要变化;更相信自己有能力去处理个人问题;自我感觉事情往往如己所愿;更多地想起要做而未能完成的事情。结论ARM D病因复杂,需进一步研究。
Objective To investigate the respiratory characteristics and psychological changes in patients with age-related macular degeneration (AMD) .Methods Thirty patients with ARM D were screened from a large sample epidemiological survey of an elderly (55-80 years old) And sex matched 30 as normal control group.The questionnaire and clinical examination method were used for comparative analysis.The questionnaire includes general information and mental state (self-perception and cognition) .The clinical tests include ophthalmology examination, physiological index Blood routine, biochemical test and pulmonary function test.Results The physical activity of ARM D patients was dominated by flat walking.Its systolic blood pressure, hematocrit, average volume of erythrocytes, average hemoglobin content of erythrocytes, platelet count, average platelet volume , Creatine phosphokinase and high-density lipoprotein cholesterol levels lower than the control group.The bilirubin, the maximum mid-expiratory flow rate, forced expiratory 50%, 75% instantaneous flow rate was greater than the control group.Mental and psychological aspects, ARM D patients More inclined to be able to successfully solve their life’s troubles; can effectively deal with important changes in life; more phase Believing that I have the ability to deal with personal problems, I feel things tend to be as I like, and I think more about what I have to do and not accomplish it.Conclusion The causes of ARMD are complex and require further study.