中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
3期
340-344
,共5页
刘巨平%赵少贞%李筱荣%刘文洁%魏瑞华%华宁%李颖%王铁成%邹媛媛%赵小云%梁娟%任新军
劉巨平%趙少貞%李篠榮%劉文潔%魏瑞華%華寧%李穎%王鐵成%鄒媛媛%趙小雲%樑娟%任新軍
류거평%조소정%리소영%류문길%위서화%화저%리영%왕철성%추원원%조소운%량연%임신군
白内障%患病率%盲
白內障%患病率%盲
백내장%환병솔%맹
Cataract%Prevalence%Blindness
目的 调查云南省高海拔农村多民族聚居区贡山县40岁及以上人群白内障患病率、白内障盲患病率,了解当地白内障的患病情况及致盲情况.方法 采用整群随机抽样的方法选取贡山县40岁及以上常住居民做为调查对象,在没有散瞳禁忌情况下,散瞳检查白内障情况.白内障诊断采用LOCSⅢ标准.调查程序包括问卷调查、视力和眼部检查.结果 3070名入选对象中,40岁及以上者为1236名,1116名接受检查,调查率为90.29％.40岁以上年龄相关性白内障患病率为23.84％.随着年龄增加,白内障患病率明显增高,70岁及以上与文盲者的患病率较高,分别为64.02％和30.67％.以双眼最佳矫正视力低于0.05为标准,白内障盲患病率为1.25％.以双眼日常生活视力低于0.1为标准,白内障盲患病率为3.58％.在70岁以上人群、女性、文盲及居住地在海拔1500 ～ 2000 m者中,白内障和白内障盲患病率较高.结论 云南省贡山县白内障及白内障盲患病率较高,健全贡山县的农村眼保健网,使农民享受基本眼保健服务.
目的 調查雲南省高海拔農村多民族聚居區貢山縣40歲及以上人群白內障患病率、白內障盲患病率,瞭解噹地白內障的患病情況及緻盲情況.方法 採用整群隨機抽樣的方法選取貢山縣40歲及以上常住居民做為調查對象,在沒有散瞳禁忌情況下,散瞳檢查白內障情況.白內障診斷採用LOCSⅢ標準.調查程序包括問捲調查、視力和眼部檢查.結果 3070名入選對象中,40歲及以上者為1236名,1116名接受檢查,調查率為90.29％.40歲以上年齡相關性白內障患病率為23.84％.隨著年齡增加,白內障患病率明顯增高,70歲及以上與文盲者的患病率較高,分彆為64.02％和30.67％.以雙眼最佳矯正視力低于0.05為標準,白內障盲患病率為1.25％.以雙眼日常生活視力低于0.1為標準,白內障盲患病率為3.58％.在70歲以上人群、女性、文盲及居住地在海拔1500 ～ 2000 m者中,白內障和白內障盲患病率較高.結論 雲南省貢山縣白內障及白內障盲患病率較高,健全貢山縣的農村眼保健網,使農民享受基本眼保健服務.
목적 조사운남성고해발농촌다민족취거구공산현40세급이상인군백내장환병솔、백내장맹환병솔,료해당지백내장적환병정황급치맹정황.방법 채용정군수궤추양적방법선취공산현40세급이상상주거민주위조사대상,재몰유산동금기정황하,산동검사백내장정황.백내장진단채용LOCSⅢ표준.조사정서포괄문권조사、시력화안부검사.결과 3070명입선대상중,40세급이상자위1236명,1116명접수검사,조사솔위90.29％.40세이상년령상관성백내장환병솔위23.84％.수착년령증가,백내장환병솔명현증고,70세급이상여문맹자적환병솔교고,분별위64.02％화30.67％.이쌍안최가교정시력저우0.05위표준,백내장맹환병솔위1.25％.이쌍안일상생활시력저우0.1위표준,백내장맹환병솔위3.58％.재70세이상인군、녀성、문맹급거주지재해발1500 ～ 2000 m자중,백내장화백내장맹환병솔교고.결론 운남성공산현백내장급백내장맹환병솔교고,건전공산현적농촌안보건망,사농민향수기본안보건복무.
Objective To estimate the prevalence of cataract and cataract blindness among adults aged 40 or above in Gongshan county of Yunnan Province. Methods Cluster sampling was used in randomly selected individuals in 4 sub-districts of Gongshan County.The protocol consisted of questionnaire,visual acuity testing and ocular clinical examination.Cataract was graded clinically using the Lens Opacity Classification System (LOCS) Ⅲ system. Results Among 1236 eligible residents,1116(90.29％) were finally enrolled in the present study.The prevalence of cataract was 23.84％ among adults aged 40 or above.The prevalence of cataract in individuals aged 70 or above and illiteracy was significantly higher statistically.When the bilateral best refractive vision ＜3/60 was defined as the blindness criterion,the prevalence of cataract blindness was 1.25％.When the bilateral presenting vision ＜6/60 was defined as the blindness criterion,the prevalence of cataract blindness was 3.58％.The prevalence of blindness were much higher in woman,illiterates,higher altitude and persons aged 70 or above. Conclusions The prevalence of cataract and cataract blindness is higher,and cataract blindness is a serious public health problem in aged individuals and illiteracy in Gongshan County.
