国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
1期
178-181
,共4页
防盲治盲%盲目%致盲原因%脱盲率
防盲治盲%盲目%緻盲原因%脫盲率
방맹치맹%맹목%치맹원인%탈맹솔
? KEYWORDS：blindness prevention and treatment%blindness%causes of blindness%literacy rate
目的：：对我院1854例住院盲目患者的病因进行分析,根据不同致盲眼病的治疗效果,探讨防盲治盲的策略和方向。方法：选取2010-09/2013-08在我院眼科住院患者5473例,其中盲目患者共计1854例,占住院患者的33.88%,按照国际WHO制定的最佳矫正视力<0.05或视野半径小于10度者为盲,并排除小于3岁不能配合视力检查的患儿为纳入标准,对盲目患者的年龄和致盲病因进行分析,统计各年龄段的主要致盲眼病,记录各盲目患者经过治疗后的视力；并计算出各致盲眼病的脱盲率,对各致盲眼病经过治疗后未脱盲的病因进行分析。结果：盲目患者中,右眼盲728例,左眼盲767例,双眼盲359例,共计盲眼2213眼,盲目患者年龄以60~80岁居多,致盲眼病的前3位依次为：白内障、糖尿病性视网膜病变和青光眼。在2213眼盲眼中,进行治疗者有2172眼,其中1762眼(81.12%)脱盲,410眼(18.88%)未脱盲,在所有未脱盲眼病中,前3位依次为：糖尿病视网膜病、青光眼和视网膜脱离。结论：近年来,致盲眼病的病因构成已发生了变化,但白内障、糖尿病视网膜病及青光眼仍是致盲眼病的高发病因,虽然白内障的脱盲成功率较高,由于其致盲率较高,所以白内障、糖尿病视网膜病、青光眼及视网膜脱离等疾病的治疗是今后防盲治盲的重点。
目的：：對我院1854例住院盲目患者的病因進行分析,根據不同緻盲眼病的治療效果,探討防盲治盲的策略和方嚮。方法：選取2010-09/2013-08在我院眼科住院患者5473例,其中盲目患者共計1854例,佔住院患者的33.88%,按照國際WHO製定的最佳矯正視力<0.05或視野半徑小于10度者為盲,併排除小于3歲不能配閤視力檢查的患兒為納入標準,對盲目患者的年齡和緻盲病因進行分析,統計各年齡段的主要緻盲眼病,記錄各盲目患者經過治療後的視力；併計算齣各緻盲眼病的脫盲率,對各緻盲眼病經過治療後未脫盲的病因進行分析。結果：盲目患者中,右眼盲728例,左眼盲767例,雙眼盲359例,共計盲眼2213眼,盲目患者年齡以60~80歲居多,緻盲眼病的前3位依次為：白內障、糖尿病性視網膜病變和青光眼。在2213眼盲眼中,進行治療者有2172眼,其中1762眼(81.12%)脫盲,410眼(18.88%)未脫盲,在所有未脫盲眼病中,前3位依次為：糖尿病視網膜病、青光眼和視網膜脫離。結論：近年來,緻盲眼病的病因構成已髮生瞭變化,但白內障、糖尿病視網膜病及青光眼仍是緻盲眼病的高髮病因,雖然白內障的脫盲成功率較高,由于其緻盲率較高,所以白內障、糖尿病視網膜病、青光眼及視網膜脫離等疾病的治療是今後防盲治盲的重點。
목적：：대아원1854례주원맹목환자적병인진행분석,근거불동치맹안병적치료효과,탐토방맹치맹적책략화방향。방법：선취2010-09/2013-08재아원안과주원환자5473례,기중맹목환자공계1854례,점주원환자적33.88%,안조국제WHO제정적최가교정시력<0.05혹시야반경소우10도자위맹,병배제소우3세불능배합시력검사적환인위납입표준,대맹목환자적년령화치맹병인진행분석,통계각년령단적주요치맹안병,기록각맹목환자경과치료후적시력；병계산출각치맹안병적탈맹솔,대각치맹안병경과치료후미탈맹적병인진행분석。결과：맹목환자중,우안맹728례,좌안맹767례,쌍안맹359례,공계맹안2213안,맹목환자년령이60~80세거다,치맹안병적전3위의차위：백내장、당뇨병성시망막병변화청광안。재2213안맹안중,진행치료자유2172안,기중1762안(81.12%)탈맹,410안(18.88%)미탈맹,재소유미탈맹안병중,전3위의차위：당뇨병시망막병、청광안화시망막탈리。결론：근년래,치맹안병적병인구성이발생료변화,단백내장、당뇨병시망막병급청광안잉시치맹안병적고발병인,수연백내장적탈맹성공솔교고,유우기치맹솔교고,소이백내장、당뇨병시망막병、청광안급시망막탈리등질병적치료시금후방맹치맹적중점。
Abstract?AlM:To analyze the blindness causes of 1854 cases in our hospital hospitalized patients, and explore the strategy and direction of blindness prevention according to the different treatment efficacy.?METHODS: Cluster sampling was used to select from September 2010 to August 2013 in our hospital department of ophthalmology patients 5 473 cases, in which total of 1 854 cases of blind patients, accounting for 33. 88% of hospitalized patients. According to the WHO's criteria of blindness. The BCVA enacted <0. 05 or vision radius less than 10 degrees are for the blind, and the exclusion of less than 3 years old children don't cope with visual inspection of the inclusion criteria for age and cause of blindness blind patients were analyzed. To the blind to patient age and etiology were analyzed, the main cause of blindness and statistics of all ages, records of the blind patients after treatment eye sight;and calculating the blindness of the literacy rate, on the blindness through analysis of the causes of the risk treatment.?RESULTS:ln 1 854 cases of blind patients, including 728 people right-eye blinding, 767 people left-eyes blinding, 359 people total blinding, adding up to 2 213 eyes, aged from 60~80 years old were in the majority. The top three diseases resulting blindness were cataract, diabetic retinopathy and glaucoma. ln 2 213 blind eyes, the eyes treated were 2 172, of which 1 762 eyes ( 81. 12%) were succeeded, 410 eyes ( 18. 88%) failed. ln the failed cases, the first three diseases were diabetic retinopathy, glaucoma and retinal detachment.?CONCLUSlON: ln recent years, disease etiology of blinding eye has changed, but cataracts, diabetic retinopathy and glaucoma are still high incidence of blindness due, so the treatment of diabetic retinopathy, glaucoma and retinal detachment should be the emphasis for blindness prevention and treatment in the future.
