医院影像学科医师视功能损伤的调察  

Investigation on the visual function damage in doctors of department of image in hospital

作　　者：冀向宁[1] 韩风梅[1] 王志学[1] 王文英[1] 张习[1] 王永森[2] Ji Xiangning;Han Fengmei;Wang Zhixue;Wang Wenying;Zhang Xi;Wang Yongsen(Department of Ophthalmology,Cangzhou Central Hospital,Cangzhou,Hebei 061001,China;Medical Examination Center)

机构地区：[1]沧州市中心医院眼科,河北061001 [2]沧州市中心医院体检中心,河北061001

出　　处：《中华眼外伤职业眼病杂志》2018年第8期616-619,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 调察医院影像学科医师的视功能损伤情况.方法 采用横断面调查分析方法,医师组以从业10年以上的青中年影像学科医师45例,对照组健康体检者50例.观察两组人员眼部症状,并做视觉对比敏感度（CS）、闪光视网膜电图（F-ERG）及光学相干断层扫描（OCT）检查,对其结果作对比分析.结果 医师组有眼疲劳综合征者占84.4％,明显高于对照组（P〈0.01）.医师组在CS检查中的中频（6c/d）及高频（12c/d、18c/d）的检测值均明显低于对照组（P〈0.01）;F-ERG检查中的暗适应0.03反应、明适应3.0反应、闪光反应等3个检查段的a-波振幅和b-波振幅医师组均明显低于对照组（P〈0.05）.CS检查的低频段（1.5c/d、3c/d）检测值,F-ERG检查的暗适应0.01反应、震荡电位的检测值和OCT扫查的黄斑区中心区厚度、立方体体积、立方体平均厚度两组间差异均无统计学意义（P＞0.05）.结论 工作10年以上的医院中青年影像学科医师存在明显的视疲劳综合征,而且在视功能和视觉电生理方面均表现出不同程度的损伤.Objective To investigate the visual function damage in physicians of imaging department in hospital.Methods Cross-sectional survey.The doctor group,45 middle-young aged physicians,worked in imaging department of hospital more than 10 years,and the control group included 50 healthy persons.The ocular symptoms,visual contrast sensitivity （CS）,flash electroretinogram （F-ERG） and optical coherence tomography （OCT） were performed in the two groups.Results The asthenopia syndrome occupied 84.4% in doctor group,which was significantly higher than that of control group （P 〈 0.01）.The numerical results in intermediate frequency （6c/d）,high frequency （12c/d,18c/d） with CS of the doctor group were lower than those of the control group （all P 〈 0.01）.The levels of a-wave amplitude and b-wave amplitude in scotopic 0.03 ERG,photopic 3.0 ERG,photopic 3.0 flicker,were significantly lower than those in the control group （all P 〈 0.05）.The difference was not significant between the two groups in low frequency （1.5c/d,3c/d） CS,scotopic 0.01 ERG,scotopic 3.0Ops and all the testing data with OCT scan （all P 〉 0.05）.Conclusion The middle-young aged physicians suffer from not only obvious asthenopia syndrome,but also different degrees of damage in terms of visual function and visual electrophysiology,who worked in imaging department of hospital more than 10 years.

关 键 词：影像学科医师 医院 综合征 眼疲劳 视觉对比敏感度 视网膜电图 闪光 光学相干 断层扫描 

分 类 号：R77[医药卫生—眼科]