[1]邓美玉,赵 慧.2011-2020年天津市眼科医院机械性开放性眼外伤调查研究[J].医学信息,2022,35(19):118-120.[doi:10.3969/j.issn.1006-1959.2022.19.033]
　DENG Mei-yu,ZHAO Hui.Investigation of Mechanical Open Ocular Trauma in Tianjin Eye Hospital from 2011 to 2020[J].Journal of Medical Information,2022,35(19):118-120.[doi:10.3969/j.issn.1006-1959.2022.19.033]
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2011-2020年天津市眼科医院机械性开放性眼外伤调查研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年19期
页码:
118-120
栏目:
调查分析
出版日期:
2022-10-01

文章信息/Info

Title:
Investigation of Mechanical Open Ocular Trauma in Tianjin Eye Hospital from 2011 to 2020
文章编号:
1006-1959（2022）19-0118-03
作者:
邓美玉; 赵 慧
（天津市眼科医院感染管理科，天津 300041）
Author(s):
DENG Mei-yu; ZHAO Hui
(Department of Infection Management,Tianjin Eye Hospital,Tianjin 300041,China)
关键词:
机械性眼外伤; 流行病学; 钝挫伤; 锐器伤; 外伤性白内障; 玻璃体积血; 影响因素
Keywords:
Mechanical ocular trauma; Epidemiology; Blunt contusion; Sharp instrument injury; Traumatic cataract; Vitreous hemorrhage; Influencing factors
分类号:
R779.12
DOI:
10.3969/j.issn.1006-1959.2022.19.033
文献标志码:
A
摘要:
目的 探究机械性眼外伤流行病学特点及预后的影响因素。方法 选择2011年1月-2020年12月于天津市眼科医院住院治疗的152例眼外伤患者进行回顾性研究。对患者性别、年龄、职业、来源、眼别、眼外伤类型、受伤原因、受伤时间、就诊时间、治疗方法、并发症、出入院视力等资料进行分析。结果 152例机械性眼外伤患者以＜40岁多见，占75.66%；职业以农民为主，占44.08%；钝挫伤最常见，占38.82%，最少为贯通伤；受伤原因中，锐器伤最常见，占48.68%；并发症以外伤性白内障和玻璃体积血最常见，分别占比40.79%和32.89%；就诊时间≤24 h多见，占67.76%。入院后，107眼进行了手术治疗，45眼行保守治疗。多因素Logistic回归分析显示，年龄（OR=1.180，95%CI：1.032~1.423）、就诊时间（OR=3.276，95%CI：3.797~5.865）、受伤原因（OR=1.794，95%CI：0.011~0.374）、治疗方法（OR=0.872，95%CI：1.862~2.974）和入院视力（OR=1.963，95%CI：0.251~1.527）是影响视力预后的影响因素。结论 机械性眼外伤视力预后的影响因素包括年龄、就诊时间、受伤原因、治疗方法以及入院视力，眼外伤以预防为主，及时就诊治疗至为重要。
Abstract:
Objective To explore the epidemiological characteristics and prognostic factors of mechanical ocular trauma.Methods A retrospective study was conducted on 152 patients with ocular trauma who were hospitalized in Tianjin Eye Hospital from January 2011 to December 2020. The patient ’s gender, age, occupation, source, eye, type of ocular trauma, cause of injury, time of injury, time of treatment, treatment method, complications, and visual acuity were analyzed.Results Among 152 cases of mechanical ocular trauma patients with <40 years old, accounting for 75.66%; occupation is given priority to with farmers, accounting for 44.08%; blunt contusion was the most common, accounting for 38.82%, and penetrating injury was the least. Sharp instrument injury was the most common cause of injury, accounting for 48.68%. Traumatic cataract and vitreous hemorrhage were the most common complications, accounting for 40.79% and 32.89% respectively. The visiting time ≤24 h was more common, accounting for 67.76%. After admission, 107 eyes underwent surgical treatment and 45 eyes underwent conservative treatment. Multivariate Logistic regression analysis showed that age (OR=1.180,95%CI:1.032-1.423), treatment time (OR=3.276,95%CI:3.797-5.865), cause of injury (OR=1.794,95%CI:0.011-0.374), treatment method (OR=0.872,95%CI:1.862-2.974) and admission visual acuity (OR=1.963,95%CI:0.251-1.527) were the influencing factors of visual prognosis.Conclusion The influencing factors of visual prognosis of mechanical ocular trauma include age, treatment time, cause of injury, treatment method and visual acuity at admission. Prevention is the main factor of ocular trauma, and timely treatment is very important.

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更新日期/Last Update: 1900-01-01