北京地区某医院收治儿童眼外伤的流行病学特征  

Epidemiological characteristics of eye trauma in children treated in a hospital in Beijing

作　　者：张连新[1] 漆雅[1] 薛京蒙 续旭 Zhang Lian-xin;Qi Ya;Xue Jing-meng(Department of Ophthalmology,Beijing Children's Hospital,Capital medecal University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]首都医科大学附属北京儿童医院眼科、国家儿童医学中心,100045

出　　处：《中国斜视与小儿眼科杂志》2023年第3期43-43,I0015,I0016,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的对儿童眼外伤患者的流行病学特征分析总结。方法回顾性研究。收集2019年1月至2022年6月北京儿童医院眼科急诊入院接受全麻手术治疗的儿童眼外伤患者临床资料,统计分析。结果共71例(72眼)纳入研究,男46例(65%),女25例(35%);单眼70例,双眼1例。年龄最小10个月,最大13岁9个月。男童和女童年龄构成无显著差异(P=0.115),但随年龄增长,收治人数均呈下降趋势。儿童居住地与医院距离远近对伤后就诊时间有显著影响(P<0.001),距离越远,就诊时间越晚。致伤原因以锐器伤居多,共55例(77%)。受伤地点绝大多数在学校以外(96%)。眼外伤多发季节为4~7月。72眼均为机械性眼外伤,其中闭合性眼外伤39眼,开放性眼外伤33眼。结论男童和婴幼儿期儿童是儿童眼外伤的重点关注人群,要加强意外伤害教育和监管力度,尤其是在校外。Objective To analyze and summarize the epidemiological characteristics of children with eye trauma treated in Beijing Children's Hospital.Methods Retrospective study.Clinical data of children with eye trauma admitted to Beijing Children's Hospital for emergency ophthalmic surgery under general anesthesia from January 2019 to June 2022 were collected.Results A total of 71 patients and 72 eyes were included in the study.Among them,46 cases(65%)were male and 25 cases(35%)were female.There were 70 monocular cases and 1 binocular case.The age of the children ranged from 10 months to 13 years and 9 months.There was no significant difference in age composition between boys and girls(P=0.115),but the number of case decreased with age.The distance between the children's residence and the hospital had significant influence on the visit time after injury(P<0.001),and the longer the distance,the later the time to see a doctor.Sharp instrument injury was the most common cause,55 cases(77%).The vast majority of injuries occurred outside of school(96%).The frequent time for children eye trauma was from April to July.All the cases were mechanical eye trauma,including 39 closed globe injuries and 33 open globe injuries.Conclusion Boys and infants are the groups we should pay more attention,and accidental injury education and supervision should be strengthened for them,especially outside school.

关 键 词：儿童 眼外伤 流行病学特征 

分 类 号：R779.1[医药卫生—眼科] R181.3[医药卫生—临床医学]