中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
3期
196-199
,共4页
刘永华%张劭茹%国庆峰%费文轩%汪鑫
劉永華%張劭茹%國慶峰%費文軒%汪鑫
류영화%장소여%국경봉%비문헌%왕흠
儿童%眼外伤%流行病学
兒童%眼外傷%流行病學
인동%안외상%류행병학
Trauma,ocular,pediatric%Epidemiology
目的 调查分析山东省聊城市儿童眼外伤的流行病学特征.方法 收集2010年6月至2012年6月聊城市三家医院共617份儿童眼外伤住院病例,进行回顾性研究.结果 617例儿童眼外伤中男女之比为4.77∶1.三家医院儿童眼外伤住院病例占同期眼外伤住院患者的百分比分别为17.13％、20.12％、23.45％,平均为20.23％;占同期眼科住院儿童的41.23％.发病场所以家庭所占比例最小.常见的致伤原因以烟花爆竹、玩具枪、气枪最多.外伤性质以眼球穿孔伤为主,其次为眼球挫伤.发病季节以1月份和2月份发病率最高.外伤并发症及后遗症中外伤性白内障、玻璃体积血和视网膜脱离位于前三位.手术治疗以玻璃体视网膜手术最多,其次为白内障摘出人工晶体植入术.视功能恢复不理想,脱盲率低.结论儿童眼外伤发病率高,并发症及后遗症多,因此坚持预防为主原则,积极开展多方位的宣传教育,采取各种预防措施,从而减少儿童眼外伤发生是必要的.
目的 調查分析山東省聊城市兒童眼外傷的流行病學特徵.方法 收集2010年6月至2012年6月聊城市三傢醫院共617份兒童眼外傷住院病例,進行迴顧性研究.結果 617例兒童眼外傷中男女之比為4.77∶1.三傢醫院兒童眼外傷住院病例佔同期眼外傷住院患者的百分比分彆為17.13％、20.12％、23.45％,平均為20.23％;佔同期眼科住院兒童的41.23％.髮病場所以傢庭所佔比例最小.常見的緻傷原因以煙花爆竹、玩具鎗、氣鎗最多.外傷性質以眼毬穿孔傷為主,其次為眼毬挫傷.髮病季節以1月份和2月份髮病率最高.外傷併髮癥及後遺癥中外傷性白內障、玻璃體積血和視網膜脫離位于前三位.手術治療以玻璃體視網膜手術最多,其次為白內障摘齣人工晶體植入術.視功能恢複不理想,脫盲率低.結論兒童眼外傷髮病率高,併髮癥及後遺癥多,因此堅持預防為主原則,積極開展多方位的宣傳教育,採取各種預防措施,從而減少兒童眼外傷髮生是必要的.
목적 조사분석산동성료성시인동안외상적류행병학특정.방법 수집2010년6월지2012년6월료성시삼가의원공617빈인동안외상주원병례,진행회고성연구.결과 617례인동안외상중남녀지비위4.77∶1.삼가의원인동안외상주원병례점동기안외상주원환자적백분비분별위17.13％、20.12％、23.45％,평균위20.23％;점동기안과주원인동적41.23％.발병장소이가정소점비례최소.상견적치상원인이연화폭죽、완구창、기창최다.외상성질이안구천공상위주,기차위안구좌상.발병계절이1월빈화2월빈발병솔최고.외상병발증급후유증중외상성백내장、파리체적혈화시망막탈리위우전삼위.수술치료이파리체시망막수술최다,기차위백내장적출인공정체식입술.시공능회복불이상,탈맹솔저.결론인동안외상발병솔고,병발증급후유증다,인차견지예방위주원칙,적겁개전다방위적선전교육,채취각충예방조시,종이감소인동안외상발생시필요적.
Objective To investigate the clinical characteristics and epidemiology of children's ocular trauma in Liaocheng City.Methods This retrospective study used data from 617 children hospitalized for ocular trauma in 3 hospitals of Liaocheng City from June 2010 to June 2012.Results The gender ratio in the 617 patients was 4.77:1 with more boys than girls.The constituent ratios of children in the total eye trauma patients were 17.13％,20.12％ and 23.45％ in 3 hospital respectively,mean 20.23％.The ratio to the whole children patients was 41.23％.The most common traumatic causes were fireworks and firecrackers,peashooter,popgun.The most common types were perforating injuries,followed by eye contusion.Trauma happened mostly during January to February.Traumatic cataract,vitreous hemorrhage and retinal detachment were the most common complications after trauma.As for surgery,vitreo-retinal surgery was the most most common one,followed by cataract extraction and intraocular lens implantation.The prognosis for children eye trauma was not so satisfactory and many children were blind at last.Conclusion Eye trauma in children is a common disease and has many complications.So it is very important to provide more education about preventing eye trauma in children.
