张颖,张卯年,邱怀雨.15家部队医院军人眼外伤流行病学特征分析[J].Chinese journal of Epidemiology,2009,30(7):740-747 |
15家部队医院军人眼外伤流行病学特征分析 |
Epidemiological characteristics of eye injury among soldiers in 15 military hospitals |
Received:February 11, 2009 |
DOI:10.3760/cma.j.issn.0254-6450.2009.07.025 |
KeyWord: 眼外伤 部队 流行病学 |
English Key Word: Eye injury Military Epidemiology |
FundProject:全军“十一五”攻关课题(06GIll) |
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Abstract: |
目的 分析部队医院军人眼外伤住院患者的流行病学特征。方法 收集15家部队三级甲等医院2001--2005年军人眼外伤住院病例, 对其人f1学特征、致伤原因等流行病学概况进行回顾性分析。结果 军人眼外伤患者716人, 治疗772只外伤眼.占同期住院外伤眼的7.46%。男女性别比46.73:1, 平均年龄(24.99±8.40)岁。以17~29岁多发(82.27%), 7.82%为双眼伤。近视眼矫正术后外伤并发症占一定比例, 机械性眼外伤占92.49%, 非机械性眼外伤占7.51%。主要致伤原冈有运动(17.62%)、爆炸(11.92%)、斗殴(11.40%)等, 51.55%发生于工作和训练时间, 30-31%发生予军事洲练场地。预后出院统计, 眼球开放伤等导致22只眼被摘除, 9只眼无光感, 62.16%视力恢复至0.5以上。结论 军人是眼外伤不I口r忽视的特殊人群, 年轻男军人是部队眼外伤防治的重点人群, 军事体育训练、演习和同防施工建设等是军人职业性眼损伤的主要原因。 |
English Abstract: |
Objective To investigate and analyze the epidemiological characteristics of eye injury among military inpatients.Methods Data of eye injury among military inpatients from l5 military general hospitals during 2001--2005 were recorded and statistically analyzed. Results There were 716 military inpatients with eye injuries.taking up 7.4 l%of the whole ocular trauma inpatients in corresponding time period.Military inpatients with eye injuries were admitted more in spring and summer;with sex ratio as 46.73:1:mean age as(24.99±8.40)years and 82.27%in 17-29 years while 7.82%were binocular injuries.A certain proportion of the complication appeared after the myoporthosis operations. Mechanical and non.mechanical eye injuries took up 92.49%and 7.51%respectively.Sports(17.62%), explosion(11.92%)and fighting(11.40%)related factors were the main causes of iniurics.51.55%of the accidents took place during working or training processes and 30.31%was on military training sites.Atdischarge, 22 eyeballs were removed mainly due to open globe injuries, 9 eyes with no light perception but vision acuity equalled to or more than 0.5 in 62.16%of the patients.Conclusion Of those eye injury inpatients, military training and construction for defense were the main causes related to occupational eye injuries among soldiers.Mutilation power of eye injury should not be ignored and epidemiological survey on military eye injuries need to be carried out more extensively. |
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