陕西及其周边地区眼外伤流行病学分析  

Epidemiological analysis of ocular trauma in Shaanxi and surrounding areas

作　　者：杨文 戴鹏飞 薛大喜 常花蕾 陈涛 Wen Yang;Peng-Fei Dai;Da-Xi Xue;Hua-Lei Chang;Tao Chen(Department of Ophthalmology, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an 710004, Shaanxi Province, China)

机构地区：[1]中国陕西省西安市人民医院(西安市第四医院)眼科,710004

出　　处：《国际眼科杂志》2022年第2期352-356,共5页International Eye Science

摘　　要：目的:分析陕西及其周边地区眼外伤流行病学及临床特征,为眼外伤防治措施的制定提供研究支持。方法:回顾性研究。收集2018-01/2020-04前来本院急诊就诊,并收住入院的单眼眼外伤患者1723例1723眼一般资料及临床资料并建立眼外伤数据库,对陕西及周边地区眼外伤流行病学特征进行总结分析。结果:在1723眼外伤中,以中青年患者(20~59岁)居多(1149眼,66.69%),男性患者为主(1392眼,80.79%),绝大多数患者来自农村(1270眼,73.71%),从事体力劳动(1288眼,74.75%);眼外伤的主要致伤因素有钝器(511眼,29.66%)、锐器(423眼,24.55%)、飞溅金属异物(非金属)(299眼,17.35%)、摔倒(183眼,10.62%),其主要致伤场所有工作单位(633眼,36.74%)、农耕场所(474眼,27.51%)、住宅家庭(302眼,17.53%)、公共场所(248眼,14.39%),其主要类型为开放性眼外伤(1311眼,76.09%),主要治疗措施是手术治疗(1638眼,95.07%);Logistic分析显示年龄、伤后就诊时间、眼外伤类型、眼外伤并发症、眼外伤史均是影响眼外伤预后的重要因素(P<0.05)。结论:陕西及周边地区眼外伤发生情况具有年龄、性别、居住地及职业聚集性。针对特殊职业、特殊人群需及时采取针对性健康宣教和防治措施以降低眼外伤发生率,此外眼外伤患者的及时就诊有助于改善预后。AIM:To analysis the epidemiological and clinical characteristics of ocular trauma in Shaanxi and surrounding areas,and provide research support for the formulation of prevention and treatment measures for ocular trauma.METHODS:Retrospective study.The general data and clinical data of 1723 unilateral ocular trauma patients(1723 eyes)admitted to our hospital from January 2018 to April 2020 were collected to establish the ocular trauma database and analyzed.RESULTS:Among the 1723 cases(1723 eyes)of ocular trauma patients,young and middle-aged patients(20-59 years old)accounted for the majority(1149 eyes,66.69%)and mainly were male patients(1392 eyes,80.79%),and the vast majority of patients came from rural areas(1270 eyes,73.71%)and engaged in manual labor(1288 eyes,74.75%).The main causes of ocular trauma were blunt tools(511 eyes,29.66%),sharp objects(423 eyes,24.55%),splashing metal(non-metal)foreign bodies(299 eyes,17.35%),falling(183 eyes,10.62%),etc.The main places of injury were workplaces(633 eyes,36.74%),farming places(474 eyes,27.51%),residential homes(302 eyes,17.53%),public places(248 eyes,14.39%),etc.The main type of ocular trauma was open globe injury(1311 eyes,76.09%),and the main therapy was surgical treatment(1638 eyes,95.07%).Logistic analysis found that age,post-injury visit time,types of ocular trauma,complications of ocular trauma,history of ocular trauma were all important factors influencing prognosis of ocular trauma patients(P<0.05).CONCLUSION:Ocular trauma in Shaanxi and surrounding areas has characteristics of age,sex,place of residence,and occupation.For special occupations and special populations,timely targeted health education and prevention measures should be taken to reduce the incidence of ocular trauma.In addition,the timely treatment of ocular trauma can help improve the prognosis of patients.

关 键 词：眼外伤 致伤原因 流行病学 防治措施 

分 类 号：R779.1[医药卫生—眼科]