[1]胡宗莉,蒋善明,魏欣,等. 急诊眼外伤致伤原因及致盲因素分析[J].眼科新进展,2015,35(2):136-140.[doi:10.13389/j.cnki.rao.2015.0036]
　HU Zong-Li,JIANG Shan-Ming,WEI Xin,et al. Analysis of causes and blinding factors of emergency ocular trauma[J].Recent Advances in Ophthalmology,2015,35(2):136-140.[doi:10.13389/j.cnki.rao.2015.0036]
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 急诊眼外伤致伤原因及致盲因素分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年2期
页码:
136-140
栏目:
应用研究
出版日期:
2015-02-05

文章信息/Info

Title:
 Analysis of causes and blinding factors of emergency ocular trauma
作者:
 胡宗莉; 蒋善明; 魏欣; 马骁潇; 康洁; 曹昕; 于晓甜; 陈晓明
 610041　四川省成都市，四川大学华西临床医学院
Author(s):
 HU Zong-Li;  JIANG Shan-Ming;  WEI Xin;  MA Xiao-Xiao;  KANG Jie;  CAO Xin ; YU Xiao-Tian ; CHEN Xiao-Ming
 West China Medical School , Sichuan University, Chengdu 610041, Sichuan Province , China
关键词:
 ; 眼外伤; 急诊; 致伤原因; 致盲因素
Keywords:
 ; ocular trauma ;  emergency ;  injured cause ;  blinding factor
DOI:
10.13389/j.cnki.rao.2015.0036
文献标志码:
A
摘要:
 目的　分析急诊眼外伤患者的致伤原因及致盲因素，提出防治措施。方法　对我科２０１３年２月至２０１４年１月期间收治的急诊眼外伤患者资料进行描述及分析。结果所有８１９例（８２９眼）患者中，６８７例为男性，占８３．８８％，男 女＝５．２０ １；年龄为（３４.８２±１８．２０）岁；不同眼外伤类别中，６８８眼为开放性眼外伤，开放性眼外伤闭合性眼外伤＝４．８８１。所有致伤因素中，金属类占４２．４９％（３４８例），其次为植物类（９４例）、爆炸物（８２例）。将患者按入院视力是否≥０．０５进行分组，在两组间差异具有统计学意义的相关因素有受伤环境、眼外伤类型及分类、是否合并眼部并发症，以及是否及时就诊；进行Ｌｏｇｉｓｔｉｃ回归分析后发现这５个因素均为独立影响因素，其中眼外伤类型的回归系数为１.６９７。将受伤眼按照治疗后视力有无提升进行分组，在两组间差异具有统计学意义的相关因素为年龄、是否合并眼部并发症、致伤物类别、眼外伤类型及分类、治疗是否及时，进行Ｌｏｇｉｓｔｉｃ回归分析后，具有意义的独立因素包括年龄、是否合并眼部并发症、眼外伤类型、治疗是否及时，其中治疗是否及时的回归系数为－０．９５７。结论　眼外伤以中老年男性常见，类型以开放性眼外伤最多。金属是主要致伤因素。工作中受伤、开放性眼外伤、发生眼部并发症、延迟就诊与视力丧失相关，且开放性眼外伤为最重要因素。而年龄大、发生眼部并发症、开放性眼外伤、延迟治疗与视力无法提升有关。
Abstract:
 Objective To analyze the causes and blinding factors of emergency ocular trauma and raise prevention measures. Method Emergency ocular trauma were enrolled from February,2013 to January,2014 in Ophthalmology Center of West China Hospital. The general and medical information were summarized and analyzed. Results Of all the 819 patients ( 829 eyes) , 687 cases were male. and male : female was 5. 20 : 1. The age was ( 34. 82 + 18. 20)years old. 688 eyes were open globe injuries, and open: closed ocular trauma was 4. 93 : 1. In 348 cases (42. 4g% ) , the traumatic causes were metals .and 94 cases were botanic .82 were explosives. Divided by vision after trauma,significant differences were found between two groups in injury environment. ocular trauma type, eye complications and time taken to hospital. After Logistic analysis .these four factors were sigruficant and the coefficient for trauma type was - 1. 067. All injured eyes were divided into two groups by vision improvement , significant differences were found between two groups in age , eye complications ,injury causes . ocular trauma type and intervention time. After Logistic analysis , age , eye complications , trauma type and intervention time were sigruficant and the coefficient for trauma type was - 0. 968. Conclusion Ocular trauma is the most common rn middle-aged and older males , and most of them are open globe injuries. Metal is the main cause of eye injuries. Injury in working , open globe injury , eye complications and delayed occurrence to hospital are closely related to vision loss. While advanced age, eye complications, open globe injury and delayed intervention are factors leading to no improvement in vision.

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备注/Memo

备注/Memo:
 国家自然科学基金（编号：８１２７０９９３、８１２００６８７）；国家重大科学设备项目（ 编号：２０１２ＹＱ１２００８００５）；四川省科技技术支持计划（编号：２０１３ＦＺ００５５）
更新日期/Last Update: 2015-02-03