成人职业性眼外伤临床特点分析  

Analysis of clinical features of occupational ocular trauma in adults

作　　者：李玟瑾 何星宇 何欣 李颜宏 王茜[1] Li Wenjin;He Xingyu;He Xin;Li Yanhong;Wang Qian(Department of Ophthalmology,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Ophthalmology,the Third People's Hospital of Chengdu,Chengdu 610031,China)

机构地区：[1]重庆医科大学附属第二医院眼科,重庆400010 [2]成都市第三人民医院眼科,成都610031

出　　处：《中华眼外伤职业眼病杂志》2023年第5期356-361,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：重庆市医学科技计划项目(201002146);重庆市科技局项目(CANLIAN2022-09)。

摘　　要：目的分析成人职业性眼外伤临床特点。方法回顾性队列研究。分析2017年7月至2022年7月就诊于重庆医科大学附属第二医院收治的成人(≥18岁)294例(308眼)眼外伤患者临床资料。根据其受伤是否与工作相关将其分为两组:职业性眼外伤(A组,127例)及非职业性眼外伤(B组,167例)。对比分析两组患者性别、年龄、受伤时间、致伤物类型、受伤眼别、受伤部位、外伤性质、入院时视力、出院时视力、诊疗方案、诊疗效果、住院时长及住院花费等。结果本研究中A组男性占比92.91%(118/127)高于B组的74.85%(125/167),差异有统计学意义(χ^(2)=16.42,P<0.001);A组年龄(47.49±11.48)岁与B组(49.42±15.88)岁差异无统计学意义(P=0.247);成人眼外伤主要集中在11月及12月,而8月及9月受伤人数最少。A组致伤物类型主要为金属类,占46.46%(59/127),受伤性质主要为开放性眼外伤,占55.91%(71/127)。A组患者入院视力情况总体上较B组差(P=0.046);A组住院天数多于B组(P=0.031);A组住院费用多于B组(P<0.001)。结论成人职业性眼外伤患病人群主要为中年男性,常发生于11月及12月,致伤物大多为金属,多为开放性眼外伤,致伤程度重。Objective To analyze the clinical features of occupational ocular trauma.Methods This was a retrospective cohort study.A total of 294 patients with ocular trauma aged 18 years or older in the Second Affiliated Hospital of Chongqing Medical University from Jul.2017 to Jul.2022 were analyzed.Based on whether their injuries were related to work,they were divided into two groups:127 patients in group A with occupational ocular trauma,and 167 patients in group B with non-occupational ocular trauma.The gender,age,time of injury,type of injury,laterality of injured eye,site of injury,nature of injury,admission and discharge vision,treatment plan,effect of diagnosis and treatment,hospitalization duration and cost of fee between the two groups were checked through the medical record system.The differences of the above indexes between the two groups were compared and analyzed.Results In this study,the ratio of male patients in group A was 92.91%(118/127),which was higher than the 74.85%(125/167)in group B(χ^(2)=16.42,P<0.001).There was no significant difference in age(P=0.247)between group A(47.49±11.48)and group B(49.42±15.88).The ocular trauma in adults mainly occurred in November and December,with the lowest number of injuries in August and September.The type of injury in group A was mainly metal,accounting for 46.46%(59/127),and the trauma was mainly open-globe injury,accounting for 55.91%(71/127).In summary,the admission visual acuity of group A was worse than that of group B(P=0.046).The duration of hospitalization in group A was longer than that in group B(P=0.031),and the cost of fee in group A was higher than that in group populated in B(P<0.001).Conclusion The adult occupational ocular trauma is mainly populated in middle-aged males,which often occurs in November and December.The injuries are mostly open-ocular trauma and metal objects are the main causes.The degree of injury is severe.

关 键 词：成人 职业性眼外伤 临床特点 预防 

分 类 号：R779.1[医药卫生—眼科]