河南地区真菌性角膜炎病因学及流行病学分析  

Epidemiology and aetiological diagnosis of fungal keratitis

作　　者：王丽娅[1] 杨子建[2] 张月琴[1] 赵丽娜[3] 

机构地区：[1]河南省眼科研究所,河南省角膜病重点实验室,郑州450003 [2]郑州大学 [3]上海中医药大学

出　　处：《中国实用眼科杂志》2006年第3期331-333,共3页Chinese Journal of Practical Ophthalmology

基　　金：2003年河南省杰出人才创新基金(0321002000);;河南省医学科技创新人才工程计划项目(20001102)

摘　　要：目的调查报告真菌性角膜炎病人的流行病学特征及易患因素。方法对确诊为真菌性角膜炎的1074例病人进行回顾性分析,评估流行病学特征及患病的危险因素。结果真菌性角膜炎的发病呈上升趋势,635例(59.1%)的患者为男性,21-60岁是发病集中年龄,911例(85%)患者的职业是农民,448例(41.7%)患者有明确的外伤史,就诊史明确的患者中731例(97%)在一周内就诊于各级医疗机构而被诊断为真菌性角膜炎的仅为22%。结论真菌性角膜炎是严重的致盲性眼病,其发病率呈上升趋势。应提高对该病的认识和诊断水平,对具有患病危险因素的患者应进行积极的抗真菌治疗。Objective To determine the epidemiological characteristics and risk factors predisposing to fungal keratitis. Methods 1074 fungal keratitis cases were evaluated and demographic data were recorded, including age, gender, occupation and whether or not they have a history of trauma or contact lens use. Result The cases of fungal keratitis were increased year after year. 635 patients（59.1%） were male, 911 （85%） were agriculture worker, most patients were 21-60 years old, a history of trauma was present in 448 patients （41.7%） and about 97% presented for examination during the first week of their illness but only 22% patients were diagnosed as fungal keratitis. Conclusions Fungal keratitis is a grave disease that caused blindness. It was significantly to improve the diagnosis level and give perfectly treatment.

关 键 词：真菌性角膜炎 病因学 流行病学 

分 类 号：R772.21[医药卫生—眼科] R511.1[医药卫生—临床医学]