目的:探讨近10a来导致化脓性眼内炎相关因素的变化趋势,为今后减少和避免化脓性眼内炎发生提供依据。方法:对1999-01/2009-01近10a在我院诊断为化脓性眼内炎的357例进行回顾性调查,并分为前5a(1999-01/2004-01),126例和后5a(2004-02/2009-01),231例,以年龄、职业、病因等相关因素对比分析其变化趋势。结果:前后5a年龄分布均以儿童和中年人为主,分别为43.7%,34.1%和35.1%,42.8%,儿童(43.7%,35.1%)和青少年(19.8%,10.8%)所占比例明显下降(P<0.05),而老年人比例(2.4%,11.3%)明显上升(P<0.05);职业结构无明显变化,均以农民和学生为主,分别为41.3%,39.7%和44.6%,35.5%;病因结构无明显变化,均以眼外伤为主,分别为88.9%和87.5%,而眼外伤中注射器伤比例(16.7%,9.1%)明显下降(P<0.05),铁丝、剪刀伤比例(21.4%,31.6%)明显上升(P<0.05)。结论:近年化脓性眼内炎年龄分布以儿童和中年为主,儿童和青少年比例有下降趋势,而老年人比例有上升趋势;职业仍以农民和学生为主;病因均以眼外伤为主,其中注射器伤所占比例有下降趋势,铁丝、剪刀伤所占比例有上升趋势。

AIM:To analyze the change trends of the factor related to the patients with suppurative endophthalmitis in our hospital in recent 10 years and to provide useful information and basis to the prevention and treatment of suppurative endophthalmitis in future. ·METHODS:Totally 357 cases 357 eyes were retrospectively analyed from January 1999 to January 2009 in our hospital. We comparatively analyed the related factor of age,occupation and cause of disease of 357 cases 357 eyes with suppurative endophthalmitis in forward 5 years (January 1999-January 2004)and backward 5 years (February 2004-January 2009)of the recent 10 years. ·RESULTS:Children and middle-aged people constituted the main disease population in recent 10 years,the proportion was 43.7%,34.1% and 35.1%,42.8%,but the proportion of children(43.7%,35.1%)and young people (19.8%,10.8%) were declined markedly(P<0.05),while the proportion of old people(2.4%,11.3%) was increased markedly(P<0.05). Occupational structure that mainly comprehended farmers and students were not changed. The proportion was 41.3%,39.7% and 44.6%,35.5%;the cause of disease had no significant changes,the proportion of the ocular trauma that was the main cause of disease was 88.9% and 87.5%,and in the ocular trauma the proportion of syringe injuries (16.7%,9.1%) was significantly decreased (P<0.05),while the proportion of wire and scissors injuries(21.4%,31.6%) was significantly increased (P<0.05).·CONCLUSION:The children and middle-aged constitute the main disease population in recent 10 years,the proportion of children and young people is on a downward trend,while that of old people is on an upward trend; occupational structure that mainly comprehended farmers and students are not changed; the ocular trauma is the main cause of disease,in which the proportion of syringe injuries is on a downward trend,while the proportion of wire,scissors injuries on an upward trend.

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