新冠疫情对眼科急诊疾病构成的影响  

Influence of COVID-19 epidemic on the composition of ophthalmic emergency diseases

作　　者：乔春艳 张慧 李健 王倩 张举 侯芳 章征 桑景荭 牟大鹏 刘克高 曹凯 尤慕西 田玮 魏文斌 王宁利 Qiao Chunyan;Zhang Hui;Li Jian;Wang Qian;Zhang Ju;Hou Fang;Zhang Zheng;Sang Jinghong;Mou Dapeng;Liu Kegao;Cao Kai;You Muxi;Tian Wei;Wei Wenbin;Wang Ningli(Beijing Institute of Ophthalmology,Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Ophthalmology and Visual Science Key Laboratory,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心北京市眼科研究所,眼科学与视觉科学北京市重点实验室,100730

出　　处：《眼科》2022年第1期45-50,共6页Ophthalmology in China

基　　金：国家自然科学基金(81570837)。

摘　　要：目的调查2020年新冠疫情严格管控初期(1月23日~2月23日)及缓解期(10月1~31日)眼科急诊疾病谱特征。设计横断面调查。研究对象新冠疫情严格管控初期及缓解期北京同仁医院(崇文门及亦庄院区)眼科急诊连续就诊的病例7741例。方法通过医院信息系统收集与分析患者人口学信息、疾病诊断、就诊时间。主要指标疾病构成比。结果缓解期接诊5704例,是初期的2.8倍。30~39岁就诊者最多,占21.8%(初期占22.6%,缓解期占21.5%)。初期与缓解期患者平均年龄分别为(43.0±20.1)岁、(39.6±21.2)岁(P<0.001),18岁以下者初期与缓解期分别占12.3%、19.7%(P<0.001)。7741例中眼表疾病占43.0%,(初期41.4%、缓解期43.6%),眼外伤占29.5%(初期28.9%、缓解期29.7%,其中初期及缓解期电光性眼炎分别占3.5%、0.7%,P<0.001;眼球穿通伤分别占2.7%、1.7%,P<0.05;眼异物伤分别占2.7%、6.2%,P<0.05),眼睑泪器疾病占10.3%(初期9.0%、缓解期10.9%)、青光眼占5.8%(初期7.8%、缓解期5.0%,P<0.001)、玻璃体视网膜疾病占4.0%(初期4.9%、缓解期3.6%)、自身免疫性疾病占3.0%(初期4.1%、缓解期2.6%)。结论新冠疫情造成眼科急诊就诊人数减少尤其是18岁以下患者。疫情期间电光性眼炎明显增多,眼异物伤明显减少。Objective To investigate the diseases composition characteristics of ophthalmic emergency in the strict-controlled initial period(January 23,2020 to February 23,2020)and the remission period(October 1,2020 to October 31,2020)of COVID-19.Design cross-sectional survey.Participants Consecutive 7741 cases of ophthalmic emergency visits in Beijing Tongren Hospital(including Chongwenmen and Yizhuang District branch)during the strict-controlled initial period and remission period of COVID-19.Methods Collect demographic information,emergency diagnosis,and time of visit from the Hospital Information System(HIS)of Beijing Tongren Hospital.Main Outcome Measures Disease composition ratio.Results In 7741 ophthalmic emergency cases,5704 cases from the remission period were 2.8 times of the initial period.The majority of cases was 30-39 years old(overall 21.8%,initial 22.6%,remission 21.5%).The patient from remission period were younger(initial 43.0±20.1 years,remission 39.6±21.2 years,P<0.001).This was due to a significant increase in the proportion of patients under 18(initial 12.3%,remission 19.7%,P<0.001).Ocular surface diseases were the most(overall 43.0%,initial 41.4%,remission 43.6%).The others in order were ocular trauma(overall 29.5%,initial 28.9%,remission 29.7%),eyelid and lacrimal disease(overall 10.3%,initial 9.0%,remission 10.9%),glaucoma(overall 5.8%,initial 7.8%,remission 5.0%,P<0.001),vitreo-retinal diseases(overall 4.0%,initial 4.9%,remission 3.6%),autoimmune disease(overall 3.0%,initial 4.1%,remission 2.6%).Compared with the remission period,electric ophthalmitis(3.5%vs.0.7%,P<0.001)and perforating injuries(2.7%vs.1.7%,P<0.05)were significantly more,and foreign body injury was significantly less(2.7%vs.6.2%,P<0.05,)in the initial period.Conclusion The outbreak of COVID-19 resulted in a significant decrease in the number of ophthalmic emergency visits.In particular,the visit of children under 18 decreased significantly.Electric ophthalmitis increased,while foreign body injuries reduced during COVID-19 epidem

关 键 词：眼科急诊 新型冠状病毒肺炎 疾病构成比 

分 类 号：R77[医药卫生—眼科]