2015/2017年辽宁省重点眼科住院患者疾病构成及手术情况分析

Ophthalmic inpatients disease constitution and operation in Liaoning provincial key ophthalmic hospital from 2015 to 2017

摘要:

目的：分析2015/2017年度眼科住院患者疾病构成及手术情况，为眼病防治和专科发展提供客观依据。

方法：回顾性分析2015-01-01/2017-12-31眼科出院患者病历首页信息，结合临床归类，Excel(2007)和SPSS17.0软件整理数据及统计学处理。

结果：患者总计43 307例。60岁以上者占49.92%，占比逐年增加，0～19岁患者占比逐年减少。晶状体疾病占31.49%、视网膜脉络膜疾病占20.61%、青光眼占10.29%、斜视占8.70%、眼外伤占8.49%、玻璃体疾病占7.44%、眼睑结膜和泪器疾病占6.51%、眼部肿物占2.69%、视神经和视路疾病占1.06%、巩膜角膜虹膜睫状体疾病占0.89%、其他眼病类占1.82%。手术38 718例，占病例总数的89.40%，其中晶状体相关手术16 590例(42.85%)、玻璃体内注射4 697例(12.13%)、斜视眼肌手术3 491例(9.02%)、抗青光眼手术2 579例(6.66%)。

结论：构成顺位前5的病种依次为晶状体疾病、视网膜脉络膜疾病、青光眼、斜视和眼外伤。目前白内障治疗仍然是防盲治盲的主要工作，随着视网膜脉络膜疾病迅速增长，其逐渐成为防治重点。

Abstract:

AIM: To investigate the changes in constituent ratio and operation of the inpatients with ophthalmology from a key hospital in province.

METHODS: A retrospective analysis was conducted including the data of medical record first sheet of patients from January 1 2015 to December 31 2017 using the hospital medical statistical analysis system. All cases were classified by clinical specialties, and the surgery quantity was counted according to the first operation method. The database was established and analyzed with Excel 2007 and SPSS 17.0.

RESULTS: Total of 43 307 patients were research studied, including 21 063 males(48.64%)and 22 244 females(51.36%)with an average age of(55.0±20.4)years. The proportion of patients over 60 years old accounted for 49.92% of the total number, and this value tended to increase year by year while that decrease among patients aged 0 to 19 years. These included 31.49% of diseases of the lens, 20.61% of retino-choroidal diseases, 10.29% of glaucoma, 8.70% of strabism, 8.49% of ocular trauma, 7.44% of vitreous body disease, 6.51% of eyelid-conjunctiva and lacrimal apparatus disease, 2.69% of eye neoplasm, 1.06% of optic-nerve disease, 0.89% of sclera, corneal, iris or ciliary body disease, 1.82% of other eye disease. There was 89.40% of cases underwent an ophthalmic surgery(38 718 cases), 16 590 were operation on lens(42.85% of cases), 4 697 were intravitreal injection(12.13% of cases), 3 491 were strabismus surgery(9.02% of cases), 2 597 were glaucoma operation(6.66% of cases).

CONCLUSION: Lens disease, retino-choroid disease, glaucoma, strabismus and ocular trauma were constituted the top five diseases. At present, treatment of cataract is still the main work of prevention and treatment of blindness, while retino-choroid disease is increasing rapidly and becoming the focus of prevention and treatment.