河南地区真菌性角膜炎病因学及流行病学分析

目的调查报告真菌性角膜炎病人的流行病学特征及易患因素。方法对确诊为真菌性角膜炎的1074例病人进行回顾性分析,评估流行病学特征及患病的危险因素。结果真菌性角膜炎的发病呈上升趋势,635例(59.1%)的患者为男性,21-60岁是发病集中年龄,911例(85%)患者的职业是农民,448例(41.7%)患者有明确的外伤史,就诊史明确的患者中731例(97%)在一周内就诊于各级医疗机构而被诊断为真菌性角膜炎的仅为22%。结论真菌性角膜炎是严重的致盲性眼病,其发病率呈上升趋势。应提高对该病的认识和诊断水平,对具有患病危险因素的患者应进行积极的抗真菌治疗。

Epidemiology and aetiological diagnosis of fungal keratitis

Objective To determine the epidemiological characteristics and risk factors predispos- ing to fungal keratitis. Methods 1074 fungal keratitis cases were evaluated and demographic data were recorded, including age, gender, occupation and whether or not they have a history of trauma or contact lens use. Result The cases of fungal keratitis were increased year after year. 635 patients(59.1%) were male, 911(85%) were agriculture worker, most patients were 21-60 years old, a history of trauma was present in 448 patients (41.7%) and about 97% presented for examination during the first week of their illness but only 22% patients were diagnosed as fungal keratitis. Conclusions Fungal keratitis is a grave disease that caused blindness. It was significantly to improve the diagnosis level and give perfectly treatment.