中华眼科杂志
中華眼科雜誌
중화안과잡지
Chinese Journal of Ophthalmology
2009年
9期
781-785
,共5页
李愔愔%朱豫%李志刚%陈萍%严绍钧
李愔愔%硃豫%李誌剛%陳萍%嚴紹鈞
리음음%주예%리지강%진평%엄소균
视觉障碍%视力损伤者%抽样研究%河南
視覺障礙%視力損傷者%抽樣研究%河南
시각장애%시력손상자%추양연구%하남
Vision disorders%Visually impaired persons%Sampling studies%Henan
目的 探讨2006年河南省居民视力残疾现状以及主要致视力残疾的疾病现状.方法 采用以人群为基础的横断面调查方法.应用分层、多阶段、整群概率比例方法抽取样本.按照国家分配给河南省的12万人样本量进行抽样.抽取的县市区组织调查队、培训调查人员.于2006年4月1日至5月31日进行现场入户调查,登记相关信息,筛查和确诊各类残疾人员和残疾原因.单纯视力残疾的性别、城乡现患率差异比较采用卡方检验.结果 实际调查36 923户,130 415人.查出视力残疾1973人,总现患率1.51%;其中盲643人(0.49%),低视力1330人(1.02%).视力残疾人群主要集中在50岁及以上年龄组.女性单纯视力残疾的现患率高于男性(女性1.36%,男性0.77%,χ2=105.687,P<0.01),农村现患率高于城市(农村1.15%,城市0.58%,χ2=56.047,P<0.01).致视力残疾眼病构成比的前5位分别是白内障(54.69%)、视网膜脉络膜病变(8.21%)、角膜病(5.83%)、遗传先天异常或发育障碍(5.07%)、青光眼(4.56%).结论 政府、卫生部门、防盲治盲机构应更重视居民视力残疾问题,尤其应关注50岁及以上人群,需加强白内障、视网膜脉络膜病变、角膜病、遗传先天异常或发育障碍、青光眼等疾病的防治工作.
目的 探討2006年河南省居民視力殘疾現狀以及主要緻視力殘疾的疾病現狀.方法 採用以人群為基礎的橫斷麵調查方法.應用分層、多階段、整群概率比例方法抽取樣本.按照國傢分配給河南省的12萬人樣本量進行抽樣.抽取的縣市區組織調查隊、培訓調查人員.于2006年4月1日至5月31日進行現場入戶調查,登記相關信息,篩查和確診各類殘疾人員和殘疾原因.單純視力殘疾的性彆、城鄉現患率差異比較採用卡方檢驗.結果 實際調查36 923戶,130 415人.查齣視力殘疾1973人,總現患率1.51%;其中盲643人(0.49%),低視力1330人(1.02%).視力殘疾人群主要集中在50歲及以上年齡組.女性單純視力殘疾的現患率高于男性(女性1.36%,男性0.77%,χ2=105.687,P<0.01),農村現患率高于城市(農村1.15%,城市0.58%,χ2=56.047,P<0.01).緻視力殘疾眼病構成比的前5位分彆是白內障(54.69%)、視網膜脈絡膜病變(8.21%)、角膜病(5.83%)、遺傳先天異常或髮育障礙(5.07%)、青光眼(4.56%).結論 政府、衛生部門、防盲治盲機構應更重視居民視力殘疾問題,尤其應關註50歲及以上人群,需加彊白內障、視網膜脈絡膜病變、角膜病、遺傳先天異常或髮育障礙、青光眼等疾病的防治工作.
목적 탐토2006년하남성거민시력잔질현상이급주요치시력잔질적질병현상.방법 채용이인군위기출적횡단면조사방법.응용분층、다계단、정군개솔비례방법추취양본.안조국가분배급하남성적12만인양본량진행추양.추취적현시구조직조사대、배훈조사인원.우2006년4월1일지5월31일진행현장입호조사,등기상관신식,사사화학진각류잔질인원화잔질원인.단순시력잔질적성별、성향현환솔차이비교채용잡방검험.결과 실제조사36 923호,130 415인.사출시력잔질1973인,총현환솔1.51%;기중맹643인(0.49%),저시력1330인(1.02%).시력잔질인군주요집중재50세급이상년령조.녀성단순시력잔질적현환솔고우남성(녀성1.36%,남성0.77%,χ2=105.687,P<0.01),농촌현환솔고우성시(농촌1.15%,성시0.58%,χ2=56.047,P<0.01).치시력잔질안병구성비적전5위분별시백내장(54.69%)、시망막맥락막병변(8.21%)、각막병(5.83%)、유전선천이상혹발육장애(5.07%)、청광안(4.56%).결론 정부、위생부문、방맹치맹궤구응경중시거민시력잔질문제,우기응관주50세급이상인군,수가강백내장、시망막맥락막병변、각막병、유전선천이상혹발육장애、청광안등질병적방치공작.
Objective To explore the status on visual disability and the leading causes in residents in Henan Province. Methods It was a cross-sectional study and a part of the National Epidemiological Study on the disability in 2006. Sample size 120 000 was assigned to Henan study by the protocol of the National epidemiological study on the disability. Stratified, equal interval, proportional probability;four-stage sampling was adopted. Survey teams were organized, and survey personnel was trained in the sampled counties and cities. Visual disabled persons were screened by home to home visit and confirmed by ophthalmologists. Results 130 415 persons in 36 923 households were studied. 1973 persons were confirmed to have the visual disability, the prevalence was 1.51%. Among them, 1376 persons just suffer from the visual disability (simple visual disability), 579 persons had multiple disability including the visual disability (multiple disability ) . Among them, 643 persons ( 0.49% ) were blindness, 1330 persons ( 1.02% ) were low vision. The age of the most of the persons with visual disability was more than 50 years old. The prevalence of the simple visual disability in male and female was 0. 77% and 1, 36% respectively and had significant statistical difference (χ2 = 105.687, P < 0.01 ). The prevalence of the simple visual disability in urban and rural area was 0. 58% and 1.15% respectively and also had significant statistical difference (χ2 = 56. 047, P < 0. 01 ). The first five leading causes of the visual disability were cataract (54. 69% ), retinal and choroidal diseases (8. 21% ), corneal diseases (5. 83% ), genetic and congenital eye diseases (5. 07% ) and glaucoma (4. 56% ). Conclusion Government and health organizations should pay more attention to the prevention and treatment the visual disability in Henan province, especially the prevention and treatment of cataract, retinal and choroidal diseases, corneal diseases, genetic and congenital eye diseases and glaucoma.
