CAJ | 학술논문

目的探讨以消除白内障为目标的防盲治盲新模式.方法采用随机整群抽样的方法,组织眼科普查团于2006年10月至2011年10月在浙江温州的10个县市100多个乡镇,抽取50岁以上人群开展白内障筛检工作,将适合手术的患者接至医院,利用省级三级甲等医院先进的诊疗技术、高水平医疗服务和管理体制等方法,对白内障患者实施技术成熟的“小切口白内障囊外摘除术”.结果共筛检人数36 681人,确定需要手术者为10 090人.5年共完成手术例数为7624例.患者手术脱盲率为99.3％,脱残率为95.0％.手术并发症发生率为0.8％,并能在处理后恢复正常.结论此模式是一种适合中国国情的、大规模的,可推广复制的“高质量、低耗费、高效率、与政府及社会联动”的防盲治盲新模式.
목적 탐토이소제백내장위목표적방맹치맹신모식.방법 채용수궤정군추양적방법,조직안과보사단우2006년10월지2011년10월재절강온주적10개현시100다개향진,추취50세이상인군개전백내장사검공작,장괄합수술적환자접지의원,이용성급삼급갑등의원선진적진료기술、고수평의료복무화관리체제등방법,대백내장환자실시기술성숙적“소절구백내장낭외적제술”.결과 공사검인수36 681인,학정수요수술자위10 090인.5년공완성수술례수위7624례.환자수술탈맹솔위99.3％,탈잔솔위95.0％.수술병발증발생솔위0.8％,병능재처리후회복정상.결론 차모식시일충괄합중국국정적、대규모적,가추엄복제적“고질량、저모비、고효솔、여정부급사회련동”적방맹치맹신모식.
Objective To discuss an innovative model of blindness prevention targeting the elimination of cataract blindness.Methods The patients aged 50 or above underwent one mature procedure of small incision cataract surgery.It was performed at our class 3A hospital with advanced medical skills,superior medical services and management system.Results A total of 36 681 subjects were examined and 10 090 required operations.And 7624 operations were performed in 5 years.Blindness was eliminated in 99.3％ of those blind surgical patients while 95.0％ of low vision ones improved.The prevalence of surgical complications was 0.8％.Recovery occurred after a proper treatment.Conclusion With a high quality,a high efficiency but a low cost,this innovative model of blindness prevention is reproducible,propagable and suitable for China's conditions and scale-ups.