中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2012年
6期
524-529
,共6页
易敬林%罗荣%赵家良%谢晖%白永泉%杨海军%Leon B.Ellwei%赖平红%李岚%黄亮%杜红岩%王羽%高学成%陆宏
易敬林%囉榮%趙傢良%謝暉%白永泉%楊海軍%Leon B.Ellwei%賴平紅%李嵐%黃亮%杜紅巖%王羽%高學成%陸宏
역경림%라영%조가량%사휘%백영천%양해군%Leon B.Ellwei%뢰평홍%리람%황량%두홍암%왕우%고학성%륙굉
患病率%视觉障碍%白内障%中年人%老年人
患病率%視覺障礙%白內障%中年人%老年人
환병솔%시각장애%백내장%중년인%노년인
Prevalence%Vision disorders%Cataract%Middle aged%Aged
目的 调查江西省吉安县50岁及以上人群盲和中、重度视力损伤的患病率.方法 以人群为基础的横断面调查.2006年9至11月对江西省吉安县50岁及以上人群进行视力和眼部检查.采用整群随机抽样方法抽取28个调查点,正式现场调查之前进行预试验,并进行保证调查质量的重复性检验.根据村户口本逐户检录调查对象,对受检人群进行视力和眼部检查.按年龄、性别、受教育程度分别计算盲和中、重度视力损伤的患病率.各检测数据间的比较采用x2检验、趋势x2检验和优势比.结果 在检录的5402人中,5010人接受并完成了检查,受检率为92.74％.以世界卫生组织1973年视力损伤分类标准和最佳矫正视力计算,盲78例,患病率为1.56％;中、重度视力损伤265人,患病率为5.29％.以世界卫生组织1973年视力损伤分类标准和日常生活视力计算,盲94例,患病率为1.88％;中、重度视力损伤726人,患病率为14.50％.以最佳矫正视力计算,高龄(趋势x2 =970.15,P=0.000)、女性(x2=89.81,P=0.000)和文盲(趋势x2=241.85,P=0.000)人群的盲和中、重度视力损伤的患病率增高.白内障是盲和中、重度视力损伤的首要原因,眼底病、角膜混浊及青光眼是致盲的重要原因,屈光不正是中、重度视力损伤的重要原因.结论 江西省吉安县应特别关注高龄、女性及受教育程度较低人群的盲和中、重度视力损伤的防治,重视白内障、眼底病、角膜病、屈光不正及青光眼的防治.
目的 調查江西省吉安縣50歲及以上人群盲和中、重度視力損傷的患病率.方法 以人群為基礎的橫斷麵調查.2006年9至11月對江西省吉安縣50歲及以上人群進行視力和眼部檢查.採用整群隨機抽樣方法抽取28箇調查點,正式現場調查之前進行預試驗,併進行保證調查質量的重複性檢驗.根據村戶口本逐戶檢錄調查對象,對受檢人群進行視力和眼部檢查.按年齡、性彆、受教育程度分彆計算盲和中、重度視力損傷的患病率.各檢測數據間的比較採用x2檢驗、趨勢x2檢驗和優勢比.結果 在檢錄的5402人中,5010人接受併完成瞭檢查,受檢率為92.74％.以世界衛生組織1973年視力損傷分類標準和最佳矯正視力計算,盲78例,患病率為1.56％;中、重度視力損傷265人,患病率為5.29％.以世界衛生組織1973年視力損傷分類標準和日常生活視力計算,盲94例,患病率為1.88％;中、重度視力損傷726人,患病率為14.50％.以最佳矯正視力計算,高齡(趨勢x2 =970.15,P=0.000)、女性(x2=89.81,P=0.000)和文盲(趨勢x2=241.85,P=0.000)人群的盲和中、重度視力損傷的患病率增高.白內障是盲和中、重度視力損傷的首要原因,眼底病、角膜混濁及青光眼是緻盲的重要原因,屈光不正是中、重度視力損傷的重要原因.結論 江西省吉安縣應特彆關註高齡、女性及受教育程度較低人群的盲和中、重度視力損傷的防治,重視白內障、眼底病、角膜病、屈光不正及青光眼的防治.
목적 조사강서성길안현50세급이상인군맹화중、중도시력손상적환병솔.방법 이인군위기출적횡단면조사.2006년9지11월대강서성길안현50세급이상인군진행시력화안부검사.채용정군수궤추양방법추취28개조사점,정식현장조사지전진행예시험,병진행보증조사질량적중복성검험.근거촌호구본축호검록조사대상,대수검인군진행시력화안부검사.안년령、성별、수교육정도분별계산맹화중、중도시력손상적환병솔.각검측수거간적비교채용x2검험、추세x2검험화우세비.결과 재검록적5402인중,5010인접수병완성료검사,수검솔위92.74％.이세계위생조직1973년시력손상분류표준화최가교정시력계산,맹78례,환병솔위1.56％;중、중도시력손상265인,환병솔위5.29％.이세계위생조직1973년시력손상분류표준화일상생활시력계산,맹94례,환병솔위1.88％;중、중도시력손상726인,환병솔위14.50％.이최가교정시력계산,고령(추세x2 =970.15,P=0.000)、녀성(x2=89.81,P=0.000)화문맹(추세x2=241.85,P=0.000)인군적맹화중、중도시력손상적환병솔증고.백내장시맹화중、중도시력손상적수요원인,안저병、각막혼탁급청광안시치맹적중요원인,굴광불정시중、중도시력손상적중요원인.결론 강서성길안현응특별관주고령、녀성급수교육정도교저인군적맹화중、중도시력손상적방치,중시백내장、안저병、각막병、굴광불정급청광안적방치.
Objective To investigate the prevalence of blindness and moderate and severe visual impairment among adults aged 50 years or above in Ji'an county of Jiangxi province,China.Methods It was a population-based cross-scction study.Geographically defined cluster sampling was used in 5402 randomly selected individuals aged ≥50 years in 28 clusters in Ji'an from September to November 2006.The survey was preceded by a pilot study where operational methods were refined and quality assurance evaluation was carried out.All participants were enumerated through village registers followed door-to-door visits.Eligible individuals were invited to receive visual acuity measurement and eye examination.Statistical analyses were performed using Stata/SE Statistical Software,release 9.0.Chi-square test was used to investigate the association of age,gender and education with presenting and best corrected visual acuity.Results Five thousands four hundreds and two individuals were enumerated and 5010 persons were examined,the response rate was 92.74％.Based on the criteria of World Health Organization visual impairment classification in 1973,78 persons were diagnosed as blindness,265 persons were diagnosed as moderate and severe visual impairment defined as best corrected visual acuity,the prevalence of blindness and moderate and severe visual impairment were 1.56％ and 5.29％ respectively.Ninety-four persons were diagnosed as blindness,726 persons were diagnosed as moderate and severe visual impairment defined as presenting visual acuity,the prevalence of blindness and moderate and severe visual impairment defined as presenting visual acuity was 1.88％ and 14.50％ respectively.The prevalence of blindness and moderate and severe visual impairment was higher in aged ( trend x2 =970.15,P =0.000),female ( x2 =89.81,P =0.000),and illiterate persons (trend x2 =241.85,P =0.000).Cataract was still the first leading cause of blindness and visual impairment,the retinal diseases was the second.Un-corrected refractive error also was the main cause of visual impairment.Conclusions The prevalence of blindness and moderate and severe visual impairment was higher than other district in China.The first leading cause of blindness and visual impairment is still cataract.
