CAJ | 학술논문

目的明确明水县农村人口白内障的患病率以及治盲状况,白内障手术治疗的现状,并估计白内障手术覆盖率(CSC)、白内障手术负荷量,为制定今后的治盲策略提供可靠的数据支持.方法以人群为基础,整群随机抽样.由两个调查组同时进行面谈,并进行眼科检查.统计白内障的患病率、双眼白内障盲的患病率,逻辑回归(Logistic回归)分析白内障和双眼白内障盲与年龄、性别的关系；并计算白内障手术覆盖率(CSC)、白内障手术负荷量.结果白内障的患病率4.42％ (95％CI:4.0％～4.8％),危险因素包括年龄(≥40岁)、女性.双眼白内障盲的患病率是0.35％ (95％CI:0.24％～0.46％),性别并非其危险因素,年龄(≥50岁)是其危险因素.白内障手术覆盖率(CSC)为12.42％(95％CI:11.28％～13.56％),在50～59岁年龄中CSC最高.不同性别没有差别.白内障手术的负荷量是3.26％.结论白内障是本地区≥50岁人群中致盲的首位原因,白内障手术覆盖率低,白内障盲人所造成的社会负担较重.提高白内障手术覆盖率是消灭白内障盲的根本手段.
목적 명학명수현농촌인구백내장적환병솔이급치맹상황,백내장수술치료적현상,병고계백내장수술복개솔(CSC)、백내장수술부하량,위제정금후적치맹책략제공가고적수거지지.방법 이인군위기출,정군수궤추양.유량개조사조동시진행면담,병진행안과검사.통계백내장적환병솔、쌍안백내장맹적환병솔,라집회귀(Logistic회귀)분석백내장화쌍안백내장맹여년령、성별적관계；병계산백내장수술복개솔(CSC)、백내장수술부하량.결과 백내장적환병솔4.42％ (95％CI:4.0％～4.8％),위험인소포괄년령(≥40세)、녀성.쌍안백내장맹적환병솔시0.35％ (95％CI:0.24％～0.46％),성별병비기위험인소,년령(≥50세)시기위험인소.백내장수술복개솔(CSC)위12.42％(95％CI:11.28％～13.56％),재50～59세년령중CSC최고.불동성별몰유차별.백내장수술적부하량시3.26％.결론 백내장시본지구≥50세인군중치맹적수위원인,백내장수술복개솔저,백내장맹인소조성적사회부담교중.제고백내장수술복개솔시소멸백내장맹적근본수단.
Objective To determine the prevalence of cataract blindness and the treatment situation,the status of surgical treatment of cataract,the estimate of cataract surgical coverage (CSC),and the cataract surgery capacity of rural population in the county of Ming Shui,China,and to provide reliable data for the development strategy of the future blindness treatment. Methods Population-based,cluster random sampling method was employed.There were two investigation teams interviewed the volunteers; checked their visual acuity,intraocular pressure and other eye examinations at the same time.The prevalence of cataract and binocular cataract was statistical analyzed.Logistic regression was used to analyze the relationship between age,gender,education level and the blindness of cataract and binocular cataract; Logistic regression was also used to analyze the relationship between cataracts with smoking and drinking.The cataract surgical coverage (CSC) and cataract surgery load was calculated. Results The prevalence of cataract was 4.42％ (95％ CI:4.0％～4.8％),the risk factors included age (≥ 40 years),female.The prevalence of binocular cataract blindness was 0.35％ (95％ CI:0.24％ -0.46％),gender were not the risk factors,age (≥50 years) was risk factor.Cataract surgical coverage (CSC) was 12.42％ (95％ CI:11.28％-13.56％),CSC was the highest in the 50-59 age group.Gender did not have the significant difference in statistics.The load of cataract surgery was 3.26％. Conclusions The cataract is the leading cause of blindness of the population ≥ 50 years old in the investigated region,the cataract surgical coverage is low and the burden of social caused by the cataract blinds are heavy.So improving the coverage of cataract surgery is the fundamental means to eliminate cataract blindness.