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
2015年
8期
596-600
,共5页
王文英%冀向宁%王志学%王永森
王文英%冀嚮寧%王誌學%王永森
왕문영%기향저%왕지학%왕영삼
黄斑病变,光损伤性%电弧光%光学相干断层扫描%视觉对比敏感度%一致性检验
黃斑病變,光損傷性%電弧光%光學相榦斷層掃描%視覺對比敏感度%一緻性檢驗
황반병변,광손상성%전호광%광학상간단층소묘%시각대비민감도%일치성검험
Maculopathy,phototoxic%Welding arc%Optical coherence tomography%Contrast sensitivity%Kappa test
目的 探讨在焊接工人体检中应用视觉对比敏感度(CS)和光学相干断层扫描(OCT)检查的意义.方法 横断面调查研究,以2014年5月在河北省沧州市中心医院体检的某工厂焊接工人86人为研究对象(焊工组),同期体检的焊接作业区以外的工人62人为对照(对照组),对上述人群除进行一般的系统体检外,着重进行眼部的检查,包括:自觉症状、视力、检眼镜检查、OCT及CS等检查.采用卡方分析比较两组眼部检查结果;采用Kappa检验分析焊工组人员的自觉症状与视力、检眼镜、OCT、CS检查的一致性;采用等级相关检验分析CS和OCT检查结果的相关性.结果 焊工组在自觉症状、视力、检眼镜、CS、OCT检查的异常率分别为:25.6％,5.8％,2.3％,30.2％,22.1％;其中自觉症状、CS(6c/d)和OCT检查结果的异常率明显高于对照组(x2=7.412,P=0.007)、(x2=8.982,p=0.003)、(x2=10.533,P=0.001);焊工组人员OCT、CS(6c/d)检查的结果分别与自觉症状呈高度一致(Po=0.919,K=0.776)、(Po=0.905,K=0.767);焊工组CS(6c/d)和OCT检查结果呈正相关(C=0.753,x2=97.577,P=0.000).结论 部分焊接工人存在明显的视网膜光损伤,CS和OCT检查能够从功能和解剖形态上精确反映这些损伤的存在,适用于焊接工人的电弧光性黄斑损伤筛查.视网膜黄斑区形态的改变可能是功能异常的基础.
目的 探討在銲接工人體檢中應用視覺對比敏感度(CS)和光學相榦斷層掃描(OCT)檢查的意義.方法 橫斷麵調查研究,以2014年5月在河北省滄州市中心醫院體檢的某工廠銲接工人86人為研究對象(銲工組),同期體檢的銲接作業區以外的工人62人為對照(對照組),對上述人群除進行一般的繫統體檢外,著重進行眼部的檢查,包括:自覺癥狀、視力、檢眼鏡檢查、OCT及CS等檢查.採用卡方分析比較兩組眼部檢查結果;採用Kappa檢驗分析銲工組人員的自覺癥狀與視力、檢眼鏡、OCT、CS檢查的一緻性;採用等級相關檢驗分析CS和OCT檢查結果的相關性.結果 銲工組在自覺癥狀、視力、檢眼鏡、CS、OCT檢查的異常率分彆為:25.6％,5.8％,2.3％,30.2％,22.1％;其中自覺癥狀、CS(6c/d)和OCT檢查結果的異常率明顯高于對照組(x2=7.412,P=0.007)、(x2=8.982,p=0.003)、(x2=10.533,P=0.001);銲工組人員OCT、CS(6c/d)檢查的結果分彆與自覺癥狀呈高度一緻(Po=0.919,K=0.776)、(Po=0.905,K=0.767);銲工組CS(6c/d)和OCT檢查結果呈正相關(C=0.753,x2=97.577,P=0.000).結論 部分銲接工人存在明顯的視網膜光損傷,CS和OCT檢查能夠從功能和解剖形態上精確反映這些損傷的存在,適用于銲接工人的電弧光性黃斑損傷篩查.視網膜黃斑區形態的改變可能是功能異常的基礎.
목적 탐토재한접공인체검중응용시각대비민감도(CS)화광학상간단층소묘(OCT)검사적의의.방법 횡단면조사연구,이2014년5월재하북성창주시중심의원체검적모공엄한접공인86인위연구대상(한공조),동기체검적한접작업구이외적공인62인위대조(대조조),대상술인군제진행일반적계통체검외,착중진행안부적검사,포괄:자각증상、시력、검안경검사、OCT급CS등검사.채용잡방분석비교량조안부검사결과;채용Kappa검험분석한공조인원적자각증상여시력、검안경、OCT、CS검사적일치성;채용등급상관검험분석CS화OCT검사결과적상관성.결과 한공조재자각증상、시력、검안경、CS、OCT검사적이상솔분별위:25.6％,5.8％,2.3％,30.2％,22.1％;기중자각증상、CS(6c/d)화OCT검사결과적이상솔명현고우대조조(x2=7.412,P=0.007)、(x2=8.982,p=0.003)、(x2=10.533,P=0.001);한공조인원OCT、CS(6c/d)검사적결과분별여자각증상정고도일치(Po=0.919,K=0.776)、(Po=0.905,K=0.767);한공조CS(6c/d)화OCT검사결과정정상관(C=0.753,x2=97.577,P=0.000).결론 부분한접공인존재명현적시망막광손상,CS화OCT검사능구종공능화해부형태상정학반영저사손상적존재,괄용우한접공인적전호광성황반손상사사.시망막황반구형태적개변가능시공능이상적기출.
Objective To investigate the application of visual contrast sensitivity (CS) and optical coherence tomography (OCT) in physical examination of welder.Methods This is a cross-sectional study.Eighty-six welding workers who had medical checks in May 2014 in our hospital were the research objects (welder group),and 62 other type workers were the control group.Besides the general medical system examinations,eye examinations had been performed on the crowd including subjective symptoms,visual acuity,ophthalmoscopy,OCT and CS.The eye examination results in two groups were compared by chisquare analysis.The consistency in the results of readme symptoms with the results of visual acuity,ophthalmoscopy,OCT and CS were analysed by Kappa test,and the correlation between the results of OCT and CS were analysed by rank correlation test.Results In welder group,the abnormal rates of the examinations in readme symptoms,vision,ophthalmoscope,CS (6c/d) and OCT were 25.6％,5.8％,2.3％,30.2％ and 22.1％.Compared with the results in control group,the differences in the results of symptoms,CS(6c/d) and OCT were statistically significant (x2 =7.412,P =0.007),(x2 =8.982,P =0.003),(x2 =10.533,P =0.001).In welder group,the results of OCT and CS (6c/d) were highly consistent with the results of subjective symptoms (Po =0.919,K =0.776),(Po =0.905,K =0.767).Positive correlation was found out between the results of OCT and the results of CS (6c/d) (C =0.753 、x2 =97.577,P =0.000).Conclusion Obvious retinal light damage exists in part welders.CS and OCT examination can accurately find out this damage respectively from the function and anatomy which are applied to eye examinations in welders.The damage of anatomy may be the cause for the change of the function.
