无锡市滨湖区50周岁及以上人群致盲和低视力因素调查  

Causes of blindness and low vision of the people over 50 years old in Binhu Area of Wuxi City

作　　者：孙尉[1,2] 傅东红[1] 朱靖[1] 殷丽[1] 谢田华[1] 禹倩倩[1] 储兆东[1] 邵珺[1] 栾兰[1] 曹葭[1] 姚勇[1] 

机构地区：[1]无锡市人民医院眼科,214023 [2]苏州市立医院北区眼科

出　　处：《中华眼底病杂志》2012年第6期602-605,共4页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的调查无锡市滨湖区50周岁及以上人群致盲和低视力的原因。方法采用分层整群随机抽样，在无锡市滨湖区抽取了28个调查点，对其中50周岁及以上人群中盲和低视力者的相关眼病进行分析。视力〈0．05者定义为盲，0．05～O．3者定义为低视力。使用SPSS17．0统计软件进行分析处理。结果最终受检6150人，检出单眼盲201例，双眼盲47例，单眼低视力214例，双眼低视力84例。201例单眼盲中，55例对侧眼为低视力。在盲的295只眼中，前三位致盲眼病分别为白内障、高度近视性黄斑变性、眼球缺失或萎缩，相关眼数分别为116、31、28只，占盲眼数的39．32％、10．51％、9．49％。在低视力的437只眼中，前三位眼病分别为白内障、高度近视性黄斑变性、老年性黄斑变性，相关眼数分别为223、41、41只，占盲眼数的51．03％、9．38％、9．38％。结论致盲和低视力的主要原因均以白内障为首位，其次为高度近视性黄斑变性、老年性黄斑变性、眼球缺失或萎缩。Objective To investigate the causes of blindness and low vision of the people over 50 years old in Binhu Area of Wuxi City. Methods Cluster sampling was used in randomly selected individuals over 50 years old in 28 villages. The oculopathy related to blindness and low vision of the people over 50 years old were analyzed. The vision acuity 〈0.05 was defined as blindness, while 0.05 - 0. 3 was defined as low vision. SPSS 17.0 software was used to analyze the data. Results Totally 6150 individuals were examined. The bilateral blindness and low vision was found in 47 and 84 individuals, unilateral blindness and low vision was found in 201 and 214 individuals. Among 201 unilateral blindness individuals, there were 55 individuals have low vision in the other eye. In the 295 blind eyes, there are 116 eyes （39.32%） with cataract, 31 eyes （10.51 %） with high myopia macular degeneration, and 28 （9.49 %） eyes with atrophy eyeballs. In the 437 low vision eyes, there are 223 eyes （51.03%） with cataract, 41 （9.38%） eyes with high myopia macular degeneration, and 41 （9.38%） eyes with agerelated macular degeneration. Conclusion Cataract is the first cause leading to blindness and low vision, followed by agerelated macular degeneration, high myopia macular degeneration and atrophy eyeballs.

关 键 词：盲 流行病学 视力 低 流行病学 

分 类 号：R77[医药卫生—眼科]