眼外伤住院病例的流行病学特征分析

Analysis on epidemiological features for patients with eye trauma

摘要:

目的：对我院2011-01/2015-12因眼外伤住院的病例进行流行病学特征分析。

方法：选取我院2011-01/2015-12因眼外伤住院治疗的546例患者进行回顾性分析，包括性别、年龄、职业、受伤眼别、受伤类型、致伤物及伤后处理等。

结果：选取的546例546眼患者中男402例(73.6%)，女144例(26.4%)。各年龄段中以31～50岁人群比例最高共210例(38.5%)，其次为21～30岁年龄段，共152例(27.8%)。 不同职业间农民工所占比例最高，共196例(35.9%)，其次为工人，共152例(27.8%)，第三位为学生，共78例(14.3%)。受伤原因以意外工伤为主，共282例(51.6%)，其次为打架斗殴，共83例(15.2%)。眼受伤类型主要为眼钝挫伤、贯通伤、破裂伤为主，其中钝挫伤194例(35.5%)，贯通伤142例(26.0%)； 破裂伤61例(11.2%)。在546例患者中，SAS≥50分者178例(32.6%)，其中轻度焦虑154例(28.2%)，中度焦虑18例(3.3%)，重度焦虑6例(1.1%)。

结论：绝大部分眼外伤可以预防的，应针对眼外伤患者中性别、年龄、职业、致伤原因等分布情况，对重点人群加强宣教，普及安全防护知识，健全和完善安全设施，改善工作环境，预防眼外伤的发生。

Abstract:

AIM: To analyze the epidemiological features for patients with eye trauma admitted from Jan. 2011 to Dec. 2015 in our hospital.

METHODS: The clinical data about 546 hospitalized patients with eye trauma treated from Jan. 2011 to Dec. 2015 in our hospital was retrospectively analyzed. The clinical data included the patient's gender, age, occupation, injured eye, injury types, injury-causing objects, post-processing treatment, etc.

RESULTS: For 546 cases, there were 402 male cases(73.6%)and 144 female cases(26.4%). At the different age groups, there were 210 cases aged from 31 to 50(38.5%), 152 cases aged from 21 to 30(27.8%). In view of different occupations, 196 cases were migrant workers(35.9%), followed by 152 cases of workers(27.8%)and 78 cases of students(14.3%). In view of the injury causes, 282 cases(51.6%)were caused by accidents followed by 83 fighting and brawling cases(15.2%). In view of injury types, the major types included blunt ocular trauma, perforating wound and rupture; there were 194 cases with blunt ocular trauma(35.5%), 142 cases with perforating wound(26.0%)and 61 cases with rupture(11.2%). For 546 cases, there were 178 cases with SAS≥50 scores(32.6%)including 154 cases with mild anxiety(28.2%), 18 cases with moderate anxiety(3.3%)and 6 cases with severe anxiety(1.1%).

CONCLUSION: In the most cases, the eye trauma can be prevented. According to the patient's gender, age, occupation and injury causes, it is possible to strengthen the health education, popularize the safety knowledge, improve the safety facilities and working environment so as to prevent the accidents of eye trauma.