中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2012年
6期
530-536
,共7页
罗荣%赵家良%易敬林%谢晖%白永泉%杨海军%Leon B.Ellwein%赖平红%李岚%黄亮%杜红岩%王羽%高学成%陆宏
囉榮%趙傢良%易敬林%謝暉%白永泉%楊海軍%Leon B.Ellwein%賴平紅%李嵐%黃亮%杜紅巖%王羽%高學成%陸宏
라영%조가량%역경림%사휘%백영천%양해군%Leon B.Ellwein%뢰평홍%리람%황량%두홍암%왕우%고학성%륙굉
白内障%患病率%白内障摘除术%中年人%老年人
白內障%患病率%白內障摘除術%中年人%老年人
백내장%환병솔%백내장적제술%중년인%노년인
Cataract%Prevalence%Cataract extraction%Middle aged%Aged
目的 调查江西省吉安县50岁及以上人群中白内障患病率、白内障手术效果、白内障手术覆盖率和白内障盲人社会负担率.方法 采用整群随机抽样方法.2006年9至11月在江西省吉安县抽取50岁及以上成人5010名进行视力和眼部检查,包括评价晶状体混浊程度和白内障手术情况.应用多元逻辑回归分析受检者的年龄、性别和受教育程度对白内障患病率、白内障手术覆盖率、白内障盲人社会负担率及白内障术后视力效果的影响.结果 在5010例受检者中,发现白内障1158例,患病率为23.11％.高龄、女性人群白内障患病率明显增高,差异均有统计学意义(P＜0.01).在施行白内障手术的99只眼中,采用现代囊外白内障摘除术联合人工晶状体(IOL)植入术50只眼(50.51％)、采用白内障超声乳化吸除联合IOL植入术5只眼(5.05％),IOL植入率为55.56％.术后日常生活视力和最佳矫正视力≥0.7的眼分别占总数的10.1％和45.5％,术后视力差的主要原因是晶状体后囊膜混浊和屈光不正.白内障手术覆盖率为32.29％,白内障盲人社会负担率为3.83％.随着年龄的增长,白内障盲人社会负担率逐渐增大,这种变化趋势有统计学意义(P＜0.01).结论 白内障是江西省吉安县50岁及以上人群的主要致盲性眼病.吉安县白内障手术覆盖率还不高,盲人社会负担率较重,IOL植入率偏低,白内障手术的视力预后有待于进一步提高.
目的 調查江西省吉安縣50歲及以上人群中白內障患病率、白內障手術效果、白內障手術覆蓋率和白內障盲人社會負擔率.方法 採用整群隨機抽樣方法.2006年9至11月在江西省吉安縣抽取50歲及以上成人5010名進行視力和眼部檢查,包括評價晶狀體混濁程度和白內障手術情況.應用多元邏輯迴歸分析受檢者的年齡、性彆和受教育程度對白內障患病率、白內障手術覆蓋率、白內障盲人社會負擔率及白內障術後視力效果的影響.結果 在5010例受檢者中,髮現白內障1158例,患病率為23.11％.高齡、女性人群白內障患病率明顯增高,差異均有統計學意義(P＜0.01).在施行白內障手術的99隻眼中,採用現代囊外白內障摘除術聯閤人工晶狀體(IOL)植入術50隻眼(50.51％)、採用白內障超聲乳化吸除聯閤IOL植入術5隻眼(5.05％),IOL植入率為55.56％.術後日常生活視力和最佳矯正視力≥0.7的眼分彆佔總數的10.1％和45.5％,術後視力差的主要原因是晶狀體後囊膜混濁和屈光不正.白內障手術覆蓋率為32.29％,白內障盲人社會負擔率為3.83％.隨著年齡的增長,白內障盲人社會負擔率逐漸增大,這種變化趨勢有統計學意義(P＜0.01).結論 白內障是江西省吉安縣50歲及以上人群的主要緻盲性眼病.吉安縣白內障手術覆蓋率還不高,盲人社會負擔率較重,IOL植入率偏低,白內障手術的視力預後有待于進一步提高.
목적 조사강서성길안현50세급이상인군중백내장환병솔、백내장수술효과、백내장수술복개솔화백내장맹인사회부담솔.방법 채용정군수궤추양방법.2006년9지11월재강서성길안현추취50세급이상성인5010명진행시력화안부검사,포괄평개정상체혼탁정도화백내장수술정황.응용다원라집회귀분석수검자적년령、성별화수교육정도대백내장환병솔、백내장수술복개솔、백내장맹인사회부담솔급백내장술후시력효과적영향.결과 재5010례수검자중,발현백내장1158례,환병솔위23.11％.고령、녀성인군백내장환병솔명현증고,차이균유통계학의의(P＜0.01).재시행백내장수술적99지안중,채용현대낭외백내장적제술연합인공정상체(IOL)식입술50지안(50.51％)、채용백내장초성유화흡제연합IOL식입술5지안(5.05％),IOL식입솔위55.56％.술후일상생활시력화최가교정시력≥0.7적안분별점총수적10.1％화45.5％,술후시력차적주요원인시정상체후낭막혼탁화굴광불정.백내장수술복개솔위32.29％,백내장맹인사회부담솔위3.83％.수착년령적증장,백내장맹인사회부담솔축점증대,저충변화추세유통계학의의(P＜0.01).결론 백내장시강서성길안현50세급이상인군적주요치맹성안병.길안현백내장수술복개솔환불고,맹인사회부담솔교중,IOL식입솔편저,백내장수술적시력예후유대우진일보제고.
Objective To estimate the prevalence of cataract,the outcomes of cataract surgery,cataract surgical coverage rate,cataract blindness social burden rate in Ji'an county of Jiangxi province,China.Methods Cluster sampling was used in randomly selected 5010 individuals aged ≥ 50 years in Ji'an county of Jiangxi province.All individuals were received visual acuity and eye examination,including the evaluation of lens status and cataract surgical status by slit lamp biomicroscopy, Data bank was established by Epi-info Software.Statistical analyses were performed using Stata/SE Statistical Software,release 9.0 (Stata Corp,College Station,TX).Confidence intervals and P values (considered significance at the P ＜0.05 level) for prevalence of cataract,cataract surgical coverage rate,cataract blindness social burden rate and outcomes of surgery were calculated with adjustment for clustering effects and stratification associated with the sampling design.Results In 5010 individuals,1158 cases of cataract were found,the prevalence of cataract was 23.11％ among adults aged 50 or above.The prevalence of cataract was higher in the aged,female( P ＜ 0.0 1 ).In 99 eyes with cataract surgery,50.51％ and 5.05％ of eyes were performed by the modern extra-capsular surgery and phocoemusification respectively. The rate of intraocular lens implantation was 55.56％.Post-operative presenting and best corrected visual acuity equal to or more than 0.7 was 10.1％ and 45.5％ of operated eyes respectively.The main causes of the post-operated eyes with worse visual acuity were post-capsular opacity and refractive error.The cataract surgical coverage rate was 32.29％,and the cataract blindness social burden rate was 3.83％.The cataract surgical rate was lower and cataract blindness social burden rate was higher in the aged persons ( P ＜ 0.01 ).Conclusions Cataract is the most common eye disease that may lead into blindness and severe visual impairment among older adults aged equal or more than 50 years.The cataract surgical coverage rate is not high but the cataract blindness social burden rate is heavy in Ji'an county.The rate of intraocular lens implantation need increase and the visual outcomes of the surgery should be fuaher improved in the future.
