中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2015年
4期
436-440
,共5页
崔心瀚%徐建江%乐琦骅%项俊%李一敏%葛玲%赵蓉%周晓东
崔心瀚%徐建江%樂琦驊%項俊%李一敏%葛玲%趙蓉%週曉東
최심한%서건강%악기화%항준%리일민%갈령%조용%주효동
翼状胬肉%患病率%流行病学
翼狀胬肉%患病率%流行病學
익상노육%환병솔%류행병학
Pterygium%Prevalence%Epidemiology
目的 调查上海市金山区农村地区健康体检人群中翼状胬肉的患病率及影响因素,为该地区翼状胬肉的防治提供依据.方法 分层整群抽样随机法.在2010年6~8月,对上海市金山区4个村1976名≥50岁农村人口进行调查.调查内容包括问卷调查和详细的眼科检查.对翼状胬肉进行诊断后,计算其患病率和危险因素.结果 4个调查地共计检录1 506名≥50岁翼状胬肉患者,总受检率为76.21%(1 506/1 976).在所有受检对象中,发现翼状胬肉患者341例,患病率为22.64% (341/1 506).应用logistic回归进行分析可知,户外工作年限(OR=1.013,P=0.002)、泪膜破裂时间(OR=0.736,P=0.026)、文化程度(0R=0.793,P=0.05)是翼状胬肉患病的重要危险因素.结论 上海市金山区农村人口翼状胬肉患病率高.长期户外工作时间是影响翼状胬肉病情发展的重要危险因素,而泪膜破裂时间的缩短、教育水平的低下与翼状胬肉的发生、发展密切相关.
目的 調查上海市金山區農村地區健康體檢人群中翼狀胬肉的患病率及影響因素,為該地區翼狀胬肉的防治提供依據.方法 分層整群抽樣隨機法.在2010年6~8月,對上海市金山區4箇村1976名≥50歲農村人口進行調查.調查內容包括問捲調查和詳細的眼科檢查.對翼狀胬肉進行診斷後,計算其患病率和危險因素.結果 4箇調查地共計檢錄1 506名≥50歲翼狀胬肉患者,總受檢率為76.21%(1 506/1 976).在所有受檢對象中,髮現翼狀胬肉患者341例,患病率為22.64% (341/1 506).應用logistic迴歸進行分析可知,戶外工作年限(OR=1.013,P=0.002)、淚膜破裂時間(OR=0.736,P=0.026)、文化程度(0R=0.793,P=0.05)是翼狀胬肉患病的重要危險因素.結論 上海市金山區農村人口翼狀胬肉患病率高.長期戶外工作時間是影響翼狀胬肉病情髮展的重要危險因素,而淚膜破裂時間的縮短、教育水平的低下與翼狀胬肉的髮生、髮展密切相關.
목적 조사상해시금산구농촌지구건강체검인군중익상노육적환병솔급영향인소,위해지구익상노육적방치제공의거.방법 분층정군추양수궤법.재2010년6~8월,대상해시금산구4개촌1976명≥50세농촌인구진행조사.조사내용포괄문권조사화상세적안과검사.대익상노육진행진단후,계산기환병솔화위험인소.결과 4개조사지공계검록1 506명≥50세익상노육환자,총수검솔위76.21%(1 506/1 976).재소유수검대상중,발현익상노육환자341례,환병솔위22.64% (341/1 506).응용logistic회귀진행분석가지,호외공작년한(OR=1.013,P=0.002)、루막파렬시간(OR=0.736,P=0.026)、문화정도(0R=0.793,P=0.05)시익상노육환병적중요위험인소.결론 상해시금산구농촌인구익상노육환병솔고.장기호외공작시간시영향익상노육병정발전적중요위험인소,이루막파렬시간적축단、교육수평적저하여익상노육적발생、발전밀절상관.
Objective To present the prevalence and risk factors of pterygium among the population in rural area of Jinshan,Shanghai.Methods A stratified,clustered population-based survey was conducted in Jinshan during June to August,2010.A total of 1976 individuals of 4 clones aged 50 or above were enrolled.Participants were requested to complete a comprehensive questionnaire and ocular examination.The prevalence and risk factors of pterygium were analyzed.Results A total of 1506 participants completed this study,with a participation rate of 76.21%.Of all the enrollments,341 (22.64%) had pterygium.The logistic regression analysis showed the risk factors of pterygium,including longer outdoor working time (OR=1.013,P =0.002),and poorer education (OR=0.793,P =0.025).Moreover,pterygium correlated significantly with shortened TUBT (OR=0.736,P =0.026).Conclusions The prevalence of pterygium in people aged 50 years and older is 22.31% in an inshore rural area of Shanghai,China.The high prevalence might be contributed to the environment of Jinshan.The pterygium formation has significant correlation with long years of outdoor work,poor education status and shortened tear break-up time.