[1]邓 瑾,孙文涛,宋虎平,等.机械性开放性眼外伤532例调查研究*[J].陕西医学杂志,2019,(5):671-674.
　DENG Jin,SUN Wentao,SONG Huping,et al.The analysis of clinical characteristics of patients with open globe injury in one year[J].,2019,(5):671-674.
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机械性开放性眼外伤532例调查研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年5期
页码:
671-674
栏目:
调查研究
出版日期:
2019-05-05

文章信息/Info

Title:
The analysis of clinical characteristics of patients with open globe injury in one year
文章编号:
DOI: 10.3969/j.issn.10007377.2019.05.036
作者:
邓 瑾; 孙文涛; 宋虎平; 柴 芳
西安市第四医院眼科（西安 710004）
Author(s):
DENG Jin; SUN Wentao; SONG Huping; et al.
Department of Ophthalmology，Xi’an No.4 Hospital(Xi’an 710004)
关键词:
开放性眼外伤; 年龄; 职业; 受伤原因; 并发症; 视力
Keywords:
Key words Open globe injury;  Age;  Profession;  Causes of injury; Complication; Sight
分类号:
R779.12
文献标志码:
A
摘要:
摘 要 目的：调查1年内机械性开放性眼外伤的临床特点。方法：收集机械性开放性眼外伤住院患者 532例（550眼）的临床资料，对致伤原因、受伤类型及视力等进行临床分析。结果：532例患者中男453例，女79例，男女比例5.73∶1。年龄为1～81岁，平均（40.77±0.49）岁，25～55 岁者最多，计356例，占总例数的66.92％。每月平均接诊眼外伤（47.34±9.51）例，受伤人数最多月份为 9月61例（11.47％）。职业以农民工人最多，205例（38.53％）。工地施工场所215例（40.41％）,受伤原因中有铁屑、铁片、铁丝、钢筋致伤98例（18.42%），铁棍、扳手致伤57例 （10.71％），砂轮皮条致伤45例（8.46％）。受伤类型中眼球破裂伤248例（46.62％），穿通伤174例（32.71%）。分别比较各类开放性眼外伤入院和出院时视力，眼球破裂伤和球内异物患者差异均有统计学意义（P＜0.05），在视力≥0.01的穿通伤和其他眼外伤患者中，差异有统计学意义（P＜0.05）。经治疗后，视力有不同程度的提高，致盲率下降。结论：在全年眼外伤患者中，以男性为主，多为青壮年。眼外伤多发生在 9月份。患者多为农民工人。受伤类型以眼球破裂伤为主。积极手术治疗后视力能够提高。
Abstract:
Abstract Objective：To evaluate the clinical characteristics of patients with open globe injury (OGI) in one year.Methods: 532 cases (550 eyes) of OGI 2018 were collected. The causes of injury, types of injury and visual acuity were analyzed.Results: There were 453(84.96%) male and 79 (14.85%) female patients with the average age of 40 years (1～81). The most common age range was between 25～55 years (356 cases,66.92%).The average number of eye injuries was 47.34 per month, and the maximum number of injuries was 61 in September (11.47%). Most of them were migrant workers(205,38.53%).215 cases (40.41%) were injured in construction sites. 98 cases (18.42%) were injured by iron scraps, sheets, wires and reinforcing bars, 57 cases (10.71%) were injured by iron bars, wrenches and steel bars, and 45 cases (8.46%) were injured by grinding wheels and leather bars. Of the injury types, 248 cases (46.62%) were globe rupture, followed by penetrating injury(174cases,32.71%). There were significant differences in visual acuity before and after treatment in globe ruptures and intraocular foreign body injury（P＜0.05）. There were significant differences in penetrating trauma and other ocular trauma patients in visual acuity (> 0.01) before and after treatment. After treatment, the visual acuity was improved and the blindness rate was decreased. Conclusion:The majority of the patients with OGI in the whole year are males, mostly young adults. OGI mostly occurred in September. Most of the patients are migrant workers. The main type of injury is globe rupture. Surgical repair can effectively recover vision.

参考文献/References:

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备注/Memo

备注/Memo:
*陕西省社会发展科技攻关项目（2016SF133,2016SF100）
更新日期/Last Update: 2019-05-07