195例眼外伤住院患者的受伤原因和临床分析  

Causes of Injury and Clinical Analysis of 195 Patients with Ocular Trauma

作　　者：林树燕 吴志群 吴庆伟 蔡隆生 曾炎 LIN Shu-yan;WU Zhi-qun;WU Qing-wei;CAI Long-sheng;ZENG Yan Longchuan(County People's Hospital,Heyuan City,Guangdong Province,Heyuan 517300,China)

机构地区：[1]广东省河源市龙川县人民医院,河源517300

出　　处：《伤害医学（电子版）》2021年第3期11-14,共4页Injury Medicine(Electronic Edition)

摘　　要：目的回顾195例住院治疗的眼外伤患者的受伤原因、分布及临床治疗情况。方法收集2018年10月至2020年10月两年期间在龙川县人民医院住院并被诊断为眼外伤的195例病例资料。如年龄、性别、受伤眼别等基本信息,并调查眼外伤类型、受伤区域、致伤原因,入院视力及出院视力等进行描述及分析。结果共纳入外伤住院患者195例,206只眼。男女比例4.7∶1,年龄分布上以45~60岁年龄段为主。伤害类型以机械性损伤为主(161,82.56%),其次是非机械性损伤(34,17.44%)。金属类、农作物、跌倒/道路交通事故、生活用品、化学物品是常见的致伤原因。开放性眼外伤和闭合性眼外伤都以1区损伤最常见。出院的视力和入院视力分布的差异有统计学意义(χ^(2)=633.512,P<0.001)。眼外伤评分与入院和出院视力呈正相关(r=0.751、0.385,P均<0.001)。结论住院患者眼外伤主要发生在中年群体中,损伤原因以机械性损伤为主,眼外伤出院视力恢复情况与入院前视力有关。Objective To investigate the etiology, distribution and clinical treatment of hospitalized ocular trauma patients.Methods Information was collected from 195 cases who were hospitalized and diagnosed with ocular trauma in Longchuan County People’s Hospital during the two-year period from October 2018 to October 2020. Basic information including age,gender, and eye type of injury, and to investigate the type of ocular trauma, area of injury, cause of injury, admission visual acuity and discharge visual acuity, etc. The collected data were analyzed.. Results Among 195 patients, 206 eyes with ocular trauma were included. The male to female ratio is 4.7:1, and the age distribution is dominated by the 45 to 60 years old age group. The main classification was mechanical injury(161 cases, 82.56%), followed by chemical injuries(34 cases, 17.44%).Metals, crops, falls road traffic accidents, daily necessities, and chemicals are common causes of injuries. Zone 1 was the most common injured zone in both open globe and closed globe trauma. There was a statistically significant difference in the distribution of visual acuity at admission and discharge(χ2=633.512, P<0.001). There was a statistically significant correlation between the ocular trauma score with both visual acuity at admission and discharge(r=0.751 and 0.385 respectively, both P<0.001). Conclusions Ocular trauma in hospitalized patients occurred mainly in the middle-aged group,the cause of injury was mainly mechanical, and the recovery at discharge was related to the visual acuity before admission.

关 键 词：眼外伤 基层医院 病因 临床特征 

分 类 号：R77[医药卫生—眼科]