山东聊城市儿童眼外伤流行病学研究  

Epidemiological study of children＇ s ocular trauma in Liaocheng City

作　　者：刘永华[1] 张劭茹[1] 国庆峰 费文轩 汪鑫[1] 

机构地区：[1]聊城市人民医院眼科,山东252000 [2]聊城市莘县樱桃园眼科医院 [3]聊城市东昌府区妇幼保健院

出　　处：《中华眼外伤职业眼病杂志》2014年第3期196-199,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的调查分析山东省聊城市儿童眼外伤的流行病学特征。方法收集2010年6月至2012年6月聊城市三家医院共617份儿童眼外伤住院病例，进行回顾性研究。结果617例儿童眼外伤中男女之比为4．77：1。三家医院儿童眼外伤住院病例占同期眼外伤住院患者的百分比分别为17．13％、20．12％、23．45％，平均为20．23％；占同期眼科住院儿童的41．23％。发病场所以家庭所占比例最小。常见的致伤原因以烟花爆竹、玩具枪、气枪最多。外伤性质以眼球穿孔伤为主，其次为眼球挫伤。发病季节以1月份和2月份发病率最高。外伤并发症及后遗症中外伤性白内障、玻璃体积血和视网膜脱离位于前三位。手术治疗以玻璃体视网膜手术最多，其次为白内障摘出人工晶体植入术。视功能恢复不理想，脱盲率低。结论儿童眼外伤发病率高，并发症及后遗症多，因此坚持预防为主原则，积极开展多方位的宣传教育，采取各种预防措施，从而减少儿童眼外伤发生是必要的。Objective To investigate the clinical characteristics and epidemiology of children＇ s ocular trauma in Liaocheng City. Methods This retrospective study used data from 617 children hospital- ized for ocular trauma in 3 hospitals of Liaocheng City from June 2010 to June 2012. Results The gender ratio in the 617 patients was 4.77 ： 1 with more boys than girls. The constituent ratios of children in the total eye trauma patients were 17.13%, 20.12% and 23.45% in 3 hospital respectively ,mean 20.23%. The ra- tio to the whole children patients was 41.23%. The most common traumatic causes were fireworks and fire- crackers, peashooter, popgun. The most common types were perforating injuries, followed by eye contusion. Trauma happened mostly during January to February. Traumatic cataract, vitreous hemorrhage and retinal detachment were the most common complications after trauma. As for surgery, vitreo-retinal surgery was the most most common one, followed by cataract extraction and intraocular lens implantation. The prognosis for children eye trauma was not so satisfactory and many children were blind at last. Conclusion Eye trauma in children is a common disease and has many complications. So it is very important to provide more educa- tion about preventing eye trauma in children.

关 键 词：儿童 眼外伤 流行病学 

分 类 号：R779.1[医药卫生—眼科]