武汉市某三甲医院2019年-2023年眼外伤患者流行病学特征分析  

Analysis of Epidemiological Characteristics of Patients with Ocular Trauma in a Tertiary Hospital in Wuhan from 2019 to 2023

作　　者：袁欣 蔡子璇 张丽华 梁晓明 Yuan Xin;Cai Zixuan;Zhang Lihua;Liang Xiaoming(General Hospital of Central Theater Command,Wuhan 430000,Hubei Province,China;不详)

机构地区：[1]中部战区总医院,湖北省武汉市430000 [2]湖北科技学院口腔与眼视光医学院,湖北省咸宁市437000

出　　处：《中国病案》2024年第11期75-78,共4页Chinese Medical Record

摘　　要：目的回顾性分析某三甲医院眼外伤住院患者的流行病学特征,为眼外伤的有效预防提供参考。方法提取2019年1月1日-2023年12月31日因眼外伤入院的402例患者的电子病历,根据性别、年龄、职业、致伤原因、眼外伤类型、治疗情况等进行综合分析。结果患者男性占比(83.08%)明显高于女性(16.92%);40岁~59岁年龄组例数最多(39.55%);工人受伤占比最高(36.39%),不同的年龄、职业与受伤类型有显著性差异。眼外伤分类中钝挫伤例数最多(37.83%);按ICD-10主要诊断排名,眼撕裂伤不伴有眼内组织脱出或缺失(S05.3)例数最多(32.61%),按ICD-9-CM-3手术排名,角膜裂伤缝合术(11.51)最多(17.23%)。患者的治愈好转率61.45%,致盲率32.53%。就诊时间与视力盲目分级之间有显著性差异。结论眼外伤患者以中青年男性为主,多因工作中的意外导致,老年患者的占比有所增长,不同年龄和职业在受伤类型上有差异。及时就诊可挽回部分视力,防止眼外伤最有效的办法是预防。Objectives This study aims to retrospectively analyze the epidemiological characteristics of inpatients with ocular trauma in a tertiary hospital to provide a reference for the effective prevention of ocular trauma.Methods The electronic medical records of 402 patients admitted to the hospital for ocular trauma from January 1,2019 to December 31,2023 were extracted.A comprehensive analysis was conducted based on gender,age,occupation,cause of injury,type of eye injury,and treatment status.Results The proportion of male patients(83.08%)was significantly higher than that of female patients(16.92%).The largest number of cases occurred in the 40-59 age group(39.55%).Workers accounted for the highest proportion of injuries(36.39%),and there were significant differences among different ages,occupations and types of injuries.Blunt trauma was the most common type of eye injury(37.83%).According to the ICD-10 main diagnosis ranking,ocular laceration without intraocular tissue loss or absence(S05.3)had the largest number of cases(32.61%),and corneal laceration suture(11.51)was the most(17.23%)according to ICD-9-CM-3.The cure rate of patients was 61.45%,and the blindness rate was 32.53%.There was a significant difference between the time of consultation and visual blindness grade.Conclusions Patients with eye injuries are mainly young and middle-aged men,and most of them are caused by accidents at work.The proportion of elderly patients has increased,and there are differences in injury types among different ages and occupations.Timely treatment can recover part of the vision,the most effective way to prevent eye trauma is prevention.

关 键 词：眼外伤 住院患者 回顾性 流行病 

分 类 号：R779.6[医药卫生—眼科] R181.3[医药卫生—临床医学]