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[摘要]
目的:探究埃塞俄比亚西南部的眼外伤类型、严重程度和预后因素。
方法:回顾性研究。选取2009-04/09就诊于季马大学专科医院的眼外伤患者纳入本研究。所有患者均进行详细诊断,并接受全面眼科检查。SPSS 13.0进行数据分析,P<0.05表示差异有统计学意义。
结果:眼外伤总患病率为3.03%。近99%的眼外伤为机械性损伤。多数眼外伤(53.2%)与工作相关,这些患者受伤时均未使用眼部防护装置。在170例眼外伤中,57.6%为闭合性眼外伤,42.4%为开放性眼外伤。闭合性眼外伤较开放性眼外伤的损伤程度较低,且有明显较好的视力预后(P<0.05)。最终视力和就诊时视力与从诊断到手术的时间间隔明显相关(P<0.05)。眼外伤致单眼失明患者59例(34.3%)。就诊晚、就诊时视力差、开放性眼外伤和并发症是导致低视力的危险因素。
结论:大多数眼外伤发生在工作场所,且有较大比例的眼外伤患者发展为单眼失明。为预防严重的眼外伤,应在家中和工作场所普及眼部健康教育知识并做好安全防护措施。
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[Abstract]
AIM: To determine the pattern, severity, and prognostic factors of ocular injuries in the southwest Ethiopia.
METHODS:A prospective hospital based study was done on all patients presented with ocular injury to Jimma University Specialized Hospital from Apr. to Sep. 2009. Each patient underwent a detailed interview and a standard comprehensive ocular examination. Data were analyzed using SPSS version 13 and P< 0.05 was considered significant.
RESULTS:The overall prevalence of ocular injury was 3.03%. Nearly 99% of ocular injuries were mechanical. The majority of the ocular injuries(53.2%)were work-related and none of these patients had eye protection at the time of injury. Out of 170 globe injuries, 57.6% were closed globe injury and 42.4% were open globe injuries. Closed globe injuries were less severe and had significantly better visual outcome than open globe injuries(P<0.05). The final visual outcome was also significantly associated with presenting visual acuity and time from diagnosis to surgical treatment(P<0.05). Eye injuries were responsible for monocular blindness in 59(34.3%)patients. Late presentation, poor presenting visual acuity, open globe injury and presence of complications were the risk factors identified for poor final visual acuity outcome.
CONCLUSION: Most ocular injuries occurred in the workplace,and a significantly larger proportion of patients with ocular injury developed monocular blindness. For the prevention of serious injuries, eye health education and safety strategies should be applied both at home and work place.
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