中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
4期
386-390
,共5页
刘文洁%刘巨平%李筱荣%赵少贞%魏瑞华%王铁成%华宁%赵小云%任新军%梁娟%邹媛媛%李颖
劉文潔%劉巨平%李篠榮%趙少貞%魏瑞華%王鐵成%華寧%趙小雲%任新軍%樑娟%鄒媛媛%李穎
류문길%류거평%리소영%조소정%위서화%왕철성%화저%조소운%임신군%량연%추원원%리영
白内障%白内障手术覆盖率%白内障手术负荷率
白內障%白內障手術覆蓋率%白內障手術負荷率
백내장%백내장수술복개솔%백내장수술부하솔
Cataract%Cataract-blindness surgical coverage rate%Cataract-blindness burden rate
目的 调查云南省高海拔多民族聚居区≥40岁人群白内障手术负荷率、手术覆盖率及盲人社会负担率.方法 2008年2-4月选取云南省贡山县4个乡镇常住居民采用整群抽样方法进行调查,包括问卷调查、预调查、视力检查、眼压测量、裂隙灯显微镜检查及眼底检查.白内障诊断标准采用LOCSⅢ诊断系统.以较好眼最佳矫正视力＜0.05(标准A)和较好眼日常生活视力＜0.1(标准B)为盲的标准分别计算白内障手术负荷率、手术覆盖率、盲人社会负担率.以优势比比较不同年龄、性别、职业、民族、居住地海拔、文化程度、经济收入等因素间的差异.结果 调查点人群受检率为90.3％( 1116/1236).≥40岁人群年龄相关性白内障患病率为23.8％.以标准A计算,白内障盲人社会负担率为1.3％,手术覆盖率为50.0％,手术负荷率为8.2％；以标准B计算,分别为3.6％、25.0％和12.9％.在≥70岁人群、女性、高海拔居住地和文盲者中,白内障盲人社会负担率和白内障手术负荷率较高,而手术覆盖率较低.结论 云南省贡山县白内障盲人所造成的社会负担较重,老龄、文盲者患病率较高.
目的 調查雲南省高海拔多民族聚居區≥40歲人群白內障手術負荷率、手術覆蓋率及盲人社會負擔率.方法 2008年2-4月選取雲南省貢山縣4箇鄉鎮常住居民採用整群抽樣方法進行調查,包括問捲調查、預調查、視力檢查、眼壓測量、裂隙燈顯微鏡檢查及眼底檢查.白內障診斷標準採用LOCSⅢ診斷繫統.以較好眼最佳矯正視力＜0.05(標準A)和較好眼日常生活視力＜0.1(標準B)為盲的標準分彆計算白內障手術負荷率、手術覆蓋率、盲人社會負擔率.以優勢比比較不同年齡、性彆、職業、民族、居住地海拔、文化程度、經濟收入等因素間的差異.結果 調查點人群受檢率為90.3％( 1116/1236).≥40歲人群年齡相關性白內障患病率為23.8％.以標準A計算,白內障盲人社會負擔率為1.3％,手術覆蓋率為50.0％,手術負荷率為8.2％；以標準B計算,分彆為3.6％、25.0％和12.9％.在≥70歲人群、女性、高海拔居住地和文盲者中,白內障盲人社會負擔率和白內障手術負荷率較高,而手術覆蓋率較低.結論 雲南省貢山縣白內障盲人所造成的社會負擔較重,老齡、文盲者患病率較高.
목적 조사운남성고해발다민족취거구≥40세인군백내장수술부하솔、수술복개솔급맹인사회부담솔.방법 2008년2-4월선취운남성공산현4개향진상주거민채용정군추양방법진행조사,포괄문권조사、예조사、시력검사、안압측량、렬극등현미경검사급안저검사.백내장진단표준채용LOCSⅢ진단계통.이교호안최가교정시력＜0.05(표준A)화교호안일상생활시력＜0.1(표준B)위맹적표준분별계산백내장수술부하솔、수술복개솔、맹인사회부담솔.이우세비비교불동년령、성별、직업、민족、거주지해발、문화정도、경제수입등인소간적차이.결과 조사점인군수검솔위90.3％( 1116/1236).≥40세인군년령상관성백내장환병솔위23.8％.이표준A계산,백내장맹인사회부담솔위1.3％,수술복개솔위50.0％,수술부하솔위8.2％；이표준B계산,분별위3.6％、25.0％화12.9％.재≥70세인군、녀성、고해발거주지화문맹자중,백내장맹인사회부담솔화백내장수술부하솔교고,이수술복개솔교저.결론 운남성공산현백내장맹인소조성적사회부담교중,노령、문맹자환병솔교고.
Objective To estimate the prevalence of cataract and its surgical coverage rate together with the burden related to bilateral cataract-blindness,among adults aged 40 or above in Gongshan county of Yunnan province and to evaluate the current cataract status and the efficacy of local cataract prevention program.Methods Cluster sampling was used.The protocol consisted of personal interview,pilot study,visual acuity checking,measuring the intraocular pressure; slit lamp microscopy and the fundus of the eye examination etc.Cataract was graded clinically using the Lens Opacity Classification System (LOCS) ]Ⅲ.Bilateral cataract-blindness burden,bilateral cataractblindness burden and cataract surgical coverage rate were calculated respectively,using two different criteria.Odds ratios (OR) were compared among different groups regarding age,gender,education,ethnic group and altitude of living area.Results Among the 1236 eligible residents,1116 (90.3％)were enrolled in the present study.The prevalence of cataract was 23.8％ among adults aged 40 or order.When the bilateral best refractive vision ＜3/60 was defined as the blindness criterion,the bilateral cataract-blindness burden showed as 1.3％,and cataract blindness surgical coverage rate was 50.0％.When the bilateral presenting vision ＜ 6/60 was defined as the blindness criterion,the bilateral cataract-blindness burden was 25.0％,and cataract blindness surgical coverage rate was 12.9％.The cataract surgical coverage rates were much lower and the bilateral cataract-blindness burden much higher in women,illiterates,living in high altitude areas and those who were aged 70 or above.Conclusion Cataract blindness was a serious public health problem in aged individuals and illiteracy in the residents of the studied areas.Poor prevention programs on cataract called for urgent action to be taken.
