CAJ | 학술논문

目的调查焦作地区50岁以上人群中白内障、盲和低视力的患病率及白内障手术后视功能和生存质量情况.方法自2009年12月至2010年9月,采用横断面研究,对焦作地区50岁以上居民14568人,进行视力和眼科检查；明确盲和低视力的患病情况,并对白内障患者手术前及手术后3个月进行视功能和生存质量问卷调查.结果 50岁以上人群白内障患病率为23.45％,居第1位.随着年龄增长患病率明显上升.其中男性患病率为13.81％,女性为32.28％,女性患病率高于男性(P＜0.01).眼底病在低视力及盲者中居第2位.白内障手术后视功能平均得分为83.78±20.37.手术后生存质量平均得分为88.63±17.97,各视力等级组得分情况和视功能结果相似.手术前后差异有统计学意义(P＜0.01).结论白内障在焦作地区仍是一个应当引起关注的公共健康问题.以白内障手术为主的防盲工作已初见成效,建议加大对年龄相关性眼病、眼底病及青光眼等致盲和低视力眼病的防治.
목적 조사초작지구50세이상인군중백내장、맹화저시력적환병솔급백내장수술후시공능화생존질량정황.방법 자2009년12월지2010년9월,채용횡단면연구,대초작지구50세이상거민14568인,진행시력화안과검사；명학맹화저시력적환병정황,병대백내장환자수술전급수술후3개월진행시공능화생존질량문권조사.결과 50세이상인군백내장환병솔위23.45％,거제1위.수착년령증장환병솔명현상승.기중남성환병솔위13.81％,녀성위32.28％,녀성환병솔고우남성(P＜0.01).안저병재저시력급맹자중거제2위.백내장수술후시공능평균득분위83.78±20.37.수술후생존질량평균득분위88.63±17.97,각시력등급조득분정황화시공능결과상사.수술전후차이유통계학의의(P＜0.01).결론 백내장재초작지구잉시일개응당인기관주적공공건강문제.이백내장수술위주적방맹공작이초견성효,건의가대대년령상관성안병、안저병급청광안등치맹화저시력안병적방치.
Objective To survey prevalence of cataract,low vision and blindness,and evaluate the visual function and quality of life(VF/QOL) in the patients with catract treated by phacoemulsification among adults aged 50 years or above in the jiaozuo area.Methods The cross-sectiona 1 study was selected for 14568 individuals aged 50 years or above in population in the jiaozuo area,from December 2009 to September 2010.they underwent standard ophthalmic assessments to determine:prevalence and causes of low vision and blindness; To survey the patients about VF and QOL at preoperational and 3 months postoperatively.Results The prevalence of cataract was 23.45％ among adults aged 50 or above and increased with age.The prevalence was 32.28％ in women,which was significantly higer than that 13.81％ in men( P ＜0.01 ).In this survey was founded retinal diseases was the second important cause of blindness.The postoperative average VF and QOL are 83.78 ± 20.37 and 88.63 ± 17.97,with no statistically significant difference between every grade group.There was statistically difference before and after surgery.Conclusion The cataract is the leading public health problem in Jiaozuo area.The initial success of prevention of blindness by cataract surgery indicates that it is important on the prevention of the age-related eye diseases,retinal diseases and glaucoma.