阳江市五金刀剪从业人员角膜异物伤调查分析  

Investigation and analysis of corneal foreign body injury of knife/scissor manufacturers in Yangjiang city

作　　者：陈尽好 韦柳红 周小玲 黄进雄 刘丽萍 曾丽云 Chen Jinhao;Wei Liuhong;Zhou Xiaoling;Huang Jinxiong;Liu Liping;Zeng Liyun.(Yangjiang TCM Hospital, Yangjiang , Guangdong 529500, Chin)

机构地区：[1]广东省阳江市中医医院,529500

出　　处：《临床眼科杂志》2018年第2期166-169,共4页Journal of Clinical Ophthalmology

基　　金：2016年度广东省医学科研基金粤卫函﹝2016﹞568号B2016037

摘　　要：目的了解阳江市五金刀剪从业人员角膜异物伤的分布特点,为进一步开展临床防治提供依据。方法统计2016年8月至2017年7月在阳江市中医医院眼科门诊就诊的阳江市五金刀剪从业人员角膜异物伤患者,进行有效问卷调查和眼部检查。包括:(1)基本情况包括:姓名、性别、年龄、学历。(2)工作情况包括:有无安全防护措施、有无岗前培训。(3)受伤后初次就诊时间、采取处理方法方式等。结果角膜异物伤患者65例(65只眼)中,男性64例,女性1例,多发年龄段在31~50岁;文化程度以初中学历为主,占64.6%;61.5%过去工作中曾有过角膜异物伤;61.5%患者工作中从未采取安全防护措施,27.7%患者工作中有时采取安全防护措施;92.3%患者工作上岗前没有接受过相关眼部知识安全培训;初次就诊时间以受伤后1~3 d为主,占38.4%;受伤时间以下午为主,占53.8%;受伤后采取处理方法方式,41.5%未治疗,44.6%自购滴眼液滴眼;84.61%因出现眼红痛、异物感才来我院就诊;异物的性质以铁屑为主,占84.6%;合并角膜感染的55例,占84.6%。结论阳江市五金刀剪从业人员角膜异物伤的患者以男性、中青年、初中文化、下午时间受伤、铁屑异物为主,在工人上岗前要进行相关眼部知识安全培训,工作中要主动采取安全防护措施,受伤后要及时来医院眼科就诊,避免合并角膜感染。Objective T understand the characteristics of corneal foreign body injury in Yangjiang City and to provide basis for further clinical control. Methods Corneal foreign body injury patients who are knife/scissor manufacturers presented to hour hospital between August 2016 and July 2017 were enrolled in this study. Questionnaire and ophthalmic examinations were given to the patients. Information like name,sex,age,educational background,working conditions,security measures,pre-job training,time frame of treatment after injury and treatment method were collected. Results In 65 cases of corneal foreign body injury,64 were men and 1 was woman. Ages ranged from 31 to 50. Most patients had junior school education level（64. 6%）. 61. 5% of the patients have had corneal injury in the past. 61. 5% of the patients have never taken safety measures in their work and 27. 7% of the patients sometimes took safety precautions. 92. 30% of the patients had no prior knowledge of safety or training before work. Initial treatment was given in 1-3 days after injury in 38. 4%of the patients. Time of the accident in the day was mainly in afternoon（53. 46%）. After injury,41. 5% of the patients did not seek medical attention and left it untreated,and 44. 6% obtained OTC eye drops for symptoms. 84. 6% of the patients came to hospital because of redness,pain and foreign sensation in the eye. The properties of foreign bodies were mainly iron filings,accounting for 84. 6%. 55 patients（ 84. 61%） developed corneal infection. Conclusions Corneal foreign body injury is common among knife/scissor manufacturers in Yangjiang who are middle-aged and young males,having junior school education level,working in the afternoons,and most common type of the foreign body is iron dust. The workers must be educated with eye safety knowledge prior to begin their jobs and be encouraged to take the precaution measures. If injury happened they are encouraged to go to hospital in time in order to reduce the chance of infection.

关 键 词：五金刀剪从业人员 角膜异物伤 流行病学特征 

分 类 号：R779.1[医药卫生—眼科]