开放性眼外伤预后影响因素分析及应对策略探讨  

Analysis of Prognostic Factors of Patients with Open Eye Trauma and Discussion on Coping Strategies

作　　者：王方[1] 罗瑞 卜战云 WANG Fang;LUO Rui;BU Zhan-yun(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州大学第一附属医院眼科,河南郑州450000

出　　处：《罕少疾病杂志》2024年第7期7-9,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析开放性眼外伤患者预后的影响因素,为制定改善患者预后应对策略提供理论依据。方法回顾性分析2020年1月至2023年10月郑大一附院收治的125例单只眼开放性眼外伤患者的临床资料,依据预后视力(末次随访时最佳矫正视力)情况分为预后良好组(预后视力≥0.05,51例)、预后不佳组(预后视力<0.05,74例)。对开放性眼外伤患者的临床资料进行单因素、多因素Logistic回归分析,筛选开放性眼外伤患者预后不佳的危险因素。结果以单因素及多因素Logistic回归分析最终筛选出影响开放性眼外伤患者预后不佳的独立危险因素有就诊时间>24 h、眼内炎、破裂伤、入院视力<0.05、玻璃体积血、视网膜脱离、晶体损伤和(或)脱位、再次入院、损伤分区为Ⅲ区(OR=2.192、2.217、2.121、2.147、2.162、2.188、2.149、2.201、2.138,P<0.05)。结论影响开放性眼外伤患者预后不佳的独立危险因素有就诊时间>24 h、眼内炎、破裂伤、入院视力<0.05、玻璃体积血、视网膜脱离、晶体损伤和(或)脱位、再次入院、损伤分区为Ⅲ区,临床可据此制定预防措施,进而改善患者预后。Objective To analyze the factors influencing the prognosis of patients with open eye trauma,and to provide theoretical basis for formulating coping strategies to improve the prognosis of patients.Methods The clinical data of 125 patients with open ocular trauma in one eye admitted to the Zhengda First Affiliated Hospital from January 2020 to October 2023 were analyzed retrospectively.According to the prognosis visual acuity(the best corrected visual acuity at the last follow-up),they were divided into the good prognosis group(51 cases with prognosis visual acuity≥0.05)and the poor prognosis group(74 cases with prognosis visual acuity<0.05).The clinical data of patients with open eye trauma were analyzed by univariate and multivariate Logistic regression,and the risk factors of poor prognosis of patients with open eye trauma were screened.Results The independent risk factors affecting the poor prognosis of patients with open eye injury were finally screened out by Univariate and multivariate Logistic regression analysis,including the medical treatment time>24 h,endophthalmitis,rupture injury,admission vision<0.05,vitreous hemorrhage,retinal detachment,lens injury and/or dislocation,readmission to hospital,and injury zone III(OR=2.192,2.217,2.121,2.147,2.162,2.188,2.149,2.201,2.138,P<0.05).Conclusion The independent risk factors affecting the poor prognosis of patients with open eye trauma are treatment time>24 h,endophthalmitis,rupture injury,admission visual acuity<0.05,vitreous hemorrhage,retinal detachment,lens injury and/or dislocation,readmission,and the injury zone III,so the clinic can formulate preventive measures accordingly to improve the prognosis of patients.

关 键 词：开放性眼外伤 预后 影响因素 策略 

分 类 号：R779.1[医药卫生—眼科]