[关键词]
[摘要]
目的:了解眼外伤受伤原因和分布情况,为眼外伤的临床防治提供依据。
方法:统计2012-09/2016-09清远市4家综合性医院眼外伤住院患者的临床资料,包括性别、年龄、眼别、工作性质、文化程度等。
结果:眼外伤患者953例959眼中,男832眼,女127眼,年龄4~67(平均34.6±10.3)岁; 多发年龄段在20~50岁; 左眼和右眼单眼受伤比例为0.92:1; 学历分布以初中及以下学历者为主,占66.3%; 职业分布以工人和农民为主,分别占31.9%和37.9%; 眼外伤类型以眼球穿通伤为主,占51.2%; 致伤原因以钝器伤为主,占31.9%,其次为车祸伤及高速异物伤和锐器伤; 眼外伤患者治疗方式以单纯手术治疗为主; 并发症以并发外伤性白内障为主,占31.8%; 经过积极治疗后,眼外伤患者的视力均有所改善。
结论:高发人群需要采取相应措施以预防眼外伤,在眼外伤手术后要高度注意白内障的发生。
[Key word]
[Abstract]
AIM:To understand the causes and distribution of ocular trauma, and to provide evidence for the prevention and treatment of ocular trauma.
METHODS:The clinical data of hospitalized patients with ocular trauma from September 2012 to September 2016 in 4 general hospitals of Qingyuan were analyzed statistically, including age, sex, the eye involved, occupation and education level.
RESULTS:Totally 953 patients(959 eyes)with ocular trauma were enrolled, in which 832 patients were males, 127 were females, aged 4-67 years old, with an average age of 34.6±10.3 years old. The highest incidence age was 20-50. The injury rate of the left and right eye is 0.92:1; 66.3% of the patients were graduated from junior high school or even lower. The occupations were mainly workers and farmers, accounting for 31.9% and 37.9%. Most of the patients were penetrating ocular injury, accounted for 51.2%. The main cause of injury was blunt injury, accounting for 31.9%, followed by the traffic accident and high speed foreignbody, sharp instrument injury. Patients were mainly treated by surgery alone and complications were traumatic cataract, accounting for 31.8%. After active treatment, the visual acuity was certainly improved.
CONCLUSION: People with high risk of ocular trauma need to take appropriate measures to prevent eye injury and clinics should pay attention to the occurrence of cataract.
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