住院成年眼外伤患者临床流行病学特征  

Epidemiological characteristics of adult in-patients with ocular trauma

作　　者：刘永慧[1] 魏淑芳[1] 郑晓丽[1] 高建鲁[1] 

机构地区：[1]聊城市人民医院眼科,山东聊城252000

出　　处：《中华眼外伤职业眼病杂志》2011年第2期81-84,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨现阶段成年住院眼外伤患者的流行病学特征。方法对2006年聊城市人民医院眼科收治的199例（223眼）成人（18岁及以上）眼外伤患者进行分析。结果本组患者男女性别比为4．85：1，中位年龄35岁（18～65岁）。患者以体力工作者为主（83．90％）。左眼91例（45．73％），有眼84例（42．21％），双眼24例（12．06％）。发生地点最常见为工作场所（40．70％），高于其他各组（P〈0．01），次之为公共场所（26．60％）、道路（21．60％）、而家庭（11．10％）所占构成比最低，低于其他各组（P〈0．01）。致伤原因中，职业伤（35．70％）、殴打伤（30．70％）所占构成比较高，高于其他各组（P〈0．01）。眼外伤类别以挫伤最常见（62．80％）。77．96％的患者在伤后ld内就诊。出院视力中位为0．8，高于中位人院视力0．12（Wileoxon检验，Z=-7．6211，P〈0．001）。结论成人眼外伤患者以体力工作者常见，以中青年男性为主，眼外伤发生与职业关系最密切，殴打伤较多，外伤类别以挫伤最多，多数患者能够得到及时有效的诊治。Objective To discuss the epidemiological characteristics of adult in-patients of ocular trauma. Methods One hundred and ninety-nine in-patients （223 eyes） of ocular trauma from January 2006 to December 2006 were analyzed retrospectively. The patients aged 18 years or older. Results The ratio of male to female was 4.85： 1. The median age was 35 years （ 18 - 65 years）. The majority of patients were blue collar workers（83.90% ）. There were 91 cases with ocular trauma in left eye （45.73%） , 84 cases in right eye（42.21% ）,24 cases in bilateral eyes（ 12.06% ）. The most common spot occurring ocular trauma was workplace（40.70% ）. It was higher than any other group （P 〈 0.05 ）. Followed by public place （26.60%） and road （ 21.60% ）. Home was the spot of lowest occurance rate （ 11.10% ） ,which was lower than any oth- er group（P 〈 0. 05）. Thirty five point seven percent of all patients were injured due to occupational activi- ties, and 30.70% of all cases were injured due to beating. Those two reasons were higher than other reasons （P 〈 0. 05 ）. Ther most common pattern of ocular trauma was contusion （62.80%）. The majority of patients （77.90%） were hospitalized in one day. The median visual acuity on discharge day was 0.8, which was higher than that on admission day （0.12） （ Wileoxon test, Z = -7. 6211, P 〈 0. 001 ）. Conclusion The a- dult in-patients of ocular trauma were composed mainly of male blue collar workers of young middle age. Most of them were occupation-related. Beating was another reason leading to ocular trauma. Contusion was the most common pattern of ocular trauma. Majority of patients could receive timely and effective treatment.

关 键 词：眼损伤 住院患者 流行病学 

分 类 号：R779.12[医药卫生—眼科] R779.13[医药卫生—临床医学]