中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2012年
3期
205-210
,共6页
陆宏%管怀进%戴追%李密%王燕%胡健艳%施健%赵家良%Leon B.Ellwein%王羽%高学成
陸宏%管懷進%戴追%李密%王燕%鬍健豔%施健%趙傢良%Leon B.Ellwein%王羽%高學成
륙굉%관부진%대추%리밀%왕연%호건염%시건%조가량%Leon B.Ellwein%왕우%고학성
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2006年江苏省启东市50岁及以上人群盲和中、重度视力损伤的患病率、致盲原因及其相关因素.方法 以人群为基础的横断面调查.2006年9-12月对江苏省启东市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16个调查点,正式现场调查之前先进行预试验,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检验和趋势x2检验.结果 在检录的5662人中,5141人接受并完成了检查,受检率为90.80％.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91例,患病率为1.77％；中、重度视力损伤175例,患病率为3.40％.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113例,患病率为2.20％；中、重度视力损伤354例,患病率为6.89％.以最佳矫正视力计算,高龄(趋势x2=825.16,P=0.000)、女性(x2=19.85,P=0.001)和文盲(趋势x2=329.85,P=0.000)人群的肓和中、重度视力损伤的患病率增高.白内障是致盲的首要原因.结论 江苏省启东市高龄和文盲中盲和中、重度视力损伤患病率较高,致盲的主要原因依次为白内障、眼底病、屈光不正、角膜瘢痕或混浊.
目的 調查2006年江囌省啟東市50歲及以上人群盲和中、重度視力損傷的患病率、緻盲原因及其相關因素.方法 以人群為基礎的橫斷麵調查.2006年9-12月對江囌省啟東市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16箇調查點,正式現場調查之前先進行預試驗,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檢驗和趨勢x2檢驗.結果 在檢錄的5662人中,5141人接受併完成瞭檢查,受檢率為90.80％.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91例,患病率為1.77％；中、重度視力損傷175例,患病率為3.40％.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113例,患病率為2.20％；中、重度視力損傷354例,患病率為6.89％.以最佳矯正視力計算,高齡(趨勢x2=825.16,P=0.000)、女性(x2=19.85,P=0.001)和文盲(趨勢x2=329.85,P=0.000)人群的肓和中、重度視力損傷的患病率增高.白內障是緻盲的首要原因.結論 江囌省啟東市高齡和文盲中盲和中、重度視力損傷患病率較高,緻盲的主要原因依次為白內障、眼底病、屈光不正、角膜瘢痕或混濁.
목적 조사2006년강소성계동시50세급이상인군맹화중、중도시력손상적환병솔、치맹원인급기상관인소.방법 이인군위기출적횡단면조사.2006년9-12월대강소성계동시50세급이상인군진행시력화안부검사.채용정군수궤추양방법추취16개조사점,정식현장조사지전선진행예시험,병진행보증조사질량적중복성검험.근거촌호구본축호검록조사대상,대수검인군진행시력화안부검사.안년령、성별、수교육정도분별계산맹화중、중도시력손상적환병솔.각검측수거간적비교채용x2검험화추세x2검험.결과 재검록적5662인중,5141인접수병완성료검사,수검솔위90.80％.이세계위생조직1973년시력손상분류표준화최가교정시력계산,맹91례,환병솔위1.77％；중、중도시력손상175례,환병솔위3.40％.이세계위생조직1973년시력손상분류표준화일상생활시력계산,맹113례,환병솔위2.20％；중、중도시력손상354례,환병솔위6.89％.이최가교정시력계산,고령(추세x2=825.16,P=0.000)、녀성(x2=19.85,P=0.001)화문맹(추세x2=329.85,P=0.000)인군적황화중、중도시력손상적환병솔증고.백내장시치맹적수요원인.결론 강소성계동시고령화문맹중맹화중、중도시력손상환병솔교고,치맹적주요원인의차위백내장、안저병、굴광불정、각막반흔혹혼탁.
Objective To estimate the prevalence of blindness and low vision among older adults aged ≥50 years in Qidong City of Jiangsu Province,China,in 2006.Methods Cluster sampling was used in randomly selecting 5662 individuals aged ≥50 years from September to December 2006 in 16 clusters in Qidong City.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 six hundreds and sixty-two individuals were recruited,the response rate was 90.80％. Based on the criteria of World Health Organization visual impairment classification in 1973,91 persons were diagnosed as blindness,175 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 1.77％ and 3.40％ respectively.One hundred and thirteen persons were diagnosed as blindness,354 persons were diagnosed as moderate and severe visual impairment defined as presenting visual acuity,the prevalence of blindness and moderate and severe visual impairment were 2.20％ and 6.89％ respectively.The prevalence of blindness and moderate and sever visual impairment was higher in aged( trend x2 =825.16,P =0.000 ),female ( x2 =19.85,P =0.001 ),and illiterate persons ( trend x2 =329.85,P =0.000).The leading cause of blindness was cataract.Conclusions Blindness and low vision are associated with older age and illiterates in Qidong City.According to presenting visual acuity,the causes leading to blindness and low vision are,in descending order,cataract,ocular fundus disease,refractive error and cornea disease.
