中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2012年
11期
659-663
,共5页
韩丁%吴淑英%李筱荣%刘巨平
韓丁%吳淑英%李篠榮%劉巨平
한정%오숙영%리소영%류거평
残疾人%盲%视力,低%小地区分析%天津
殘疾人%盲%視力,低%小地區分析%天津
잔질인%맹%시력,저%소지구분석%천진
Disabled persons%Blindness%Vision,low%Small-area analysis%Tianjin
目的 调查“十一五”期间天津市进行视力残疾鉴定患者的基本情况、等级分布及主要致残原因,为日后低视力康复工作的开展提供有价值的资料.方法 调查研究.收集2006年1月至2010年12月天津市进行视力残鉴定并明确诊断的视残患者15834例.记录患者个人情况及眼部情况,根据第二次全国残疾人抽样调查视残废分级标准,对患者进行分级并明确致残原因.不同致残原因所致盲和低视力频数分布的差异进行x2检验.结果 男性视残患者多于女性,市区多于郊县,较高年龄、较低文化程度及低家庭经济收入者所占比例较大.15834名视残患者中盲6598例(41.67％),其中一级5015例(31.67％),二级1583例(10.00％)；低视力9236例(58.33％),其中三级1713例(10.82％),四级7523例(47.51％).白内障5196例(32.82％),其中盲32.98％,低视力32.70％.除白内障外,盲与低视力主要致病原因的构成不完全相同(x2=38.33,P＜0.01).致盲病因主要为视网膜/葡萄膜病变(15.40％)、角膜病(13.78％),而致低视力病因主要为屈光不正/弱视(18.32％)、视网膜/葡萄膜病变(17.37％).结论 天津市“十一五”期间确定的视残者中低视力患者多于盲患者,白内障仍是首要致残原因.
目的 調查“十一五”期間天津市進行視力殘疾鑒定患者的基本情況、等級分佈及主要緻殘原因,為日後低視力康複工作的開展提供有價值的資料.方法 調查研究.收集2006年1月至2010年12月天津市進行視力殘鑒定併明確診斷的視殘患者15834例.記錄患者箇人情況及眼部情況,根據第二次全國殘疾人抽樣調查視殘廢分級標準,對患者進行分級併明確緻殘原因.不同緻殘原因所緻盲和低視力頻數分佈的差異進行x2檢驗.結果 男性視殘患者多于女性,市區多于郊縣,較高年齡、較低文化程度及低傢庭經濟收入者所佔比例較大.15834名視殘患者中盲6598例(41.67％),其中一級5015例(31.67％),二級1583例(10.00％)；低視力9236例(58.33％),其中三級1713例(10.82％),四級7523例(47.51％).白內障5196例(32.82％),其中盲32.98％,低視力32.70％.除白內障外,盲與低視力主要緻病原因的構成不完全相同(x2=38.33,P＜0.01).緻盲病因主要為視網膜/葡萄膜病變(15.40％)、角膜病(13.78％),而緻低視力病因主要為屈光不正/弱視(18.32％)、視網膜/葡萄膜病變(17.37％).結論 天津市“十一五”期間確定的視殘者中低視力患者多于盲患者,白內障仍是首要緻殘原因.
목적 조사“십일오”기간천진시진행시력잔질감정환자적기본정황、등급분포급주요치잔원인,위일후저시력강복공작적개전제공유개치적자료.방법 조사연구.수집2006년1월지2010년12월천진시진행시력잔감정병명학진단적시잔환자15834례.기록환자개인정황급안부정황,근거제이차전국잔질인추양조사시잔폐분급표준,대환자진행분급병명학치잔원인.불동치잔원인소치맹화저시력빈수분포적차이진행x2검험.결과 남성시잔환자다우녀성,시구다우교현,교고년령、교저문화정도급저가정경제수입자소점비례교대.15834명시잔환자중맹6598례(41.67％),기중일급5015례(31.67％),이급1583례(10.00％)；저시력9236례(58.33％),기중삼급1713례(10.82％),사급7523례(47.51％).백내장5196례(32.82％),기중맹32.98％,저시력32.70％.제백내장외,맹여저시력주요치병원인적구성불완전상동(x2=38.33,P＜0.01).치맹병인주요위시망막/포도막병변(15.40％)、각막병(13.78％),이치저시력병인주요위굴광불정/약시(18.32％)、시망막/포도막병변(17.37％).결론 천진시“십일오”기간학정적시잔자중저시력환자다우맹환자,백내장잉시수요치잔원인.
Objective To investigate the status and the leading causes of visual disability in patients identified in Tianjin,China.Methods In an investigative study in Tianjin,a total of 15834 patients with visual disability were enrolled from January 2006 to December 2010.Personal statistics,visual function examination results and main etiology diagnoses were recorded.The grading was confirmed according to the 2nd National Sample Survey of Disability.A chi-square test was used to investigate the different leading causes.Results Male patients,urban district residents,older age groups,lower education and lower income accounted for a large part of the patient population.Among the 15834 patients,6598(41.67％) were blind and 9236(58.33％) had low vision.The principal cause is still cataract (32.82％).In addition,the main causes of blindness and low vision were different (x2=38.33,P＜0.01).Blindness resulted primarily from retinopathy/ choroidopathy (15.40％) and corneal disease (13.78％) and low vision resulted primarily from ammetropia/ amblyopia (18.32％) and retinopathy/choroidopathy (17.37％).Conclusion There were a greater number of low vision cases than blindness.Cataract is still the principal cause of visual disability.Better allocation of services and resources is urgently needed.Attention should be given to the rehabilitation of visual disability and great effort should be made to prevent uncorrected visual impairment.
