全训部队眼外伤流行病学调查

目的了解我军全训部队官兵眼外伤的流行病学特征、救治、预后以及基层医疗机构眼外伤救治能力。方法在我军11个军事训练伤监测网点(涵盖所有军区和多个兵种)分别培训调查员,收集2010-10-01—2011-09-30新发军人眼外伤病例资料。结果我军全训部队眼外伤发病率为1.83/1000人年,住院率为0.84/1000人年,发病年龄前3位为20、21、19岁,中位数为22岁,平均年龄24.8±53.28(18³5)岁,全为男性,士官所占比例最高(44.52%),6、7、9、10月份发病较多(14.38%,11.64%,12.33%,15.07%),受伤地点最多为训练场(39.73%),致伤原因多为暴力伤害(43.15%),致伤物主要为钝器(81.51%),主要是单眼受伤(90.41%)。眼外伤类型主要为机械性眼外伤(95.21%),眼球外伤94例(64.38%),合并眼附属器外伤(17.81%),单纯眼附属器损伤(35.62%)。在训练伤监测点进行治疗的者54.11%,转诊后送医院住院治疗者67例,占45.89%。手术治疗占25.34%,药物治疗占74.66%。经治疗痊愈归队占87.67%,由后送医院转上级医院治疗占4.11%,未能痊愈遗留不同程度问题者12例占8.22%。结论我军全训部队官兵眼外伤总体发病不高但住院率高,流行病学特征为年轻士兵和士官、训练场、夏秋季多发,机械性眼外伤为主,能及时就诊得到救治和转诊。

Epidemiological survey of eye injuries in fully training troops

Objective To investigate the epidemiological characters,treatment and prognosis of eye injuries in fully training troops. Methods Interviewer was selected and trained in all 11 military training injury surveillance spots locating in different military regions and including multiple services. Medical information of new cases of eye injuries from 2010-10-01 to 2011-9-30 was recorded. Results 1） Epidemiological characters： The incidence of eye injuries of fully training troops was 1.83/1000 person-year and the hospitalization rate was 0.84/ 1000 person-year. The top three incidence ages was 20,21 and 19 years old,the median was 22 years old anc： the average age was 24.8±53.28 （18 to 35） years old. All subjects were male. Sergeants accounted for the highesl： proportion （44.52%） ,June,July,September and October were of high risk months （14.38%, 11.64%, 12.33%, 15.07%）,and military training ground was the high risk place （39.73%）. The main cause of injury was violence （43.15%） and the main object was blunt objects （81.51%）. 2） Classification and severity of trauma： The main type of injury was mechanical injury（95.21%）. Eye ball injury took 64.38% and 17.81% associated ocular adnexa/I injuries. The injury of 35.62% belonged to merely ocular adnexal injuries. 3） Treatment,evacuation and prognosis： the patients of 54.11% were treated in clinic of fully training troops and 45.89% were sent to evacuation hospital; 25.34% underwent surgery and 74.66% was treated with only medicine;87.67% got healed and return back to work,4.11% was evacuated to higher hospital from the evacuation hospital,and 8.22% was not healed and had varying degrees of problems. Conclusion The incidence of eye injuries of fully training troops is not high but hospitalization rate was high. Young sergeants are the high risk population;military training ground is the high risk place ,and summer and autumn are high risk time. Mechanical globe injury is the main type of eye injury. Doctor is seen in time and give