海军入伍新兵眼部屈光手术情况调查分析  

Investigation and analysis of refraction surgery in Navy recruits

作　　者：杜改萍 李珍 宋明霞 刘雪春[2] 黄一飞[3] Du Gaiping Li Zhen Song Mingxia Liu Xuechun Huang Yifei(Department of Ophthalmology, No. 401 Hospital, CPLA, Qingdao 266071, China)

机构地区：[1]解放军第四0一医院眼科,山东省青岛266071 [2]海军潜艇学院门诊部 [3]解放军总医院

出　　处：《中华航海医学与高气压医学杂志》2017年第2期97-99,126,共4页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：国家重点基础研究发展计划资助（2013CB967001）;国家自然基金面上项目（81670830）

摘　　要：目的对海军某部入伍新兵眼部屈光手术情况进行调查，为制订应征入伍者眼部体检标准提供参考。方法对2014－2015年4 190名男性新兵，在进行眼部体检时先发放调查问卷，包括所行屈光手术方式、入伍距离手术时间、术后不适感等进行评分，并对数据进行统计学分析。结果在调查的4 190人中，行过近视激光手术的650人，占15.5%。所采取的屈光手术方式中，基质切削最多，为87.6%;表层切削为12.4%。有术后不适感的285例，占43.8%。具体不适包括：术后有阅读疲劳感80例，占12.3%；夜视力下降43例，占6.6%；眩光30例，占4.6%；重影10例，占1.5%；干眼122例，占18.8%。结论建议对现行的眼部体检标准进行相应的调整，既可以适应现代高科技水平下对军人知识和体格的要求，又能够排除一些具有潜在眼部疾患和手术并发症的应征者。ObjectiveTo investigate refraction surgery in Navy recruits from 2014 to 2015, so as to provide reference for the development of visual examination standards in navy recruitment.MethodsA total of 4 190 Navy recruits were enrolled for the study. Before visual examination, a questionnaire survey was made on such medical indexes as modes of refraction surgery, the time of surgery, discomfort after surgery, etc. Scores were evaluated and statistical analysis of the obtained data was made.ResultsThe 4 190 recruits who took part in the survey were from 12 provinces and municipalities directly under the Central Government. In the 4 190 recruits, 650 once received refraction surgery before they entered the service, accounting for 15.5%. In the refraction surgery they received, most surgical procedures involved corneal stroma （87.6%） and corneal surface （12.4%）. There were 285 cases that experienced discomfort after surgery, accounting for 43.8%. The types of discomfort were： sense of fatigue after reading （80 cases, accounting for 12.3%）, decrease of night vision （43 cases, accounting for 6.6%）, and glare （30 cases, accounting for 4.6%）, double imaging （10 cases, accounting for 1.5%）, and dry eye （122 cases, accounting for 18.8%）. ConclusionsProper revision of the present visual examination standards could not only satisfy the demands on the knowledge and physics of military personnel under modern high-tech scenario, but exclude those prospective recruits with potential visual disorders and surgical complications from navy barracks.

关 键 词：新兵 屈光手术 

分 类 号：R828.7[医药卫生—临床医学]