154例眼外伤的流行特征及原因分析

目的　了解广州市眼外伤的流行病学特征,探讨其发生原因。方法　采用统一的问卷对广州市某眼科专科医院2 0 0 3～2 0 0 4年住院的眼外伤患者进行调查。结果　在15 4例眼外伤患者中,男女发生眼外伤的性别比为4 92∶1;2 1～4 0岁是眼外伤的多发年龄段(占70 78% ) ;以农民和工人患者为多,分别占33 77%、30 5 2 %。在眼外伤的分类中,穿孔伤病例数最多(占4 0 2 6 % ) ,其次是挫伤(占17 5 3% )和破裂伤(占15 5 8% )。眼外伤常见的致伤原因是金属铁器伤(占5 0 6 5 % ) ,工作场所是眼外伤发生的高危场所(占6 1 0 4 % )。81 17%眼外伤患者出现视力下降甚至失明。结论　眼外伤多发于青壮年男性,农民和工人是高危人群,应重视眼外伤的预防和眼外伤发生后的正确处理

An epidemiology analysis on 154 eye injury cases

Objective To understand the epidemiology characteristics and risk factors of eye injury in Guangzhou. Methods A cross-sectional study was carried out with uniform questionnaire in an ophthalmology hospital from 2003-2004 in Guangzhou. Results Among 154 hospitalized eye injury cases, the ratio of male-female was 4.92/1, age 21-40 accounted for 70.78%, peasant and worker accounted for 33.77% and 30.52% respectively. Penetrable injury accounted for 40.26%, blunt injury 17.53% and cracked injury 15.58%. 50.65% of cases were injured by metal tool or machinery. Workshop was the risk spot accounted for 61.04%. 81.17% of cases presented eyesight decrease or even loss. Conclusion Eye injury mainly affect age 21-40 group, the labor force and should improve self-protection and the related treatment.