摘要
目的:分析四川省视力残疾(盲和低视力)的数量、结构、地区分布及致残原因等情况。方法:根据第2次全国残疾人抽样调查方案,采取分层、多阶段、整群、概率比例抽样。调查38个县市,152个乡镇/街道,304个小区,40351户人家,总人口125641人。男62735人,占49.93%;女62906人,占50.07%。城市38125人,占30.34%;农村87516人,占69.66%。结果:共调查出盲人966人(0.77%),低视力1513人(1.20%);低视力与盲目比为1.56。导致视力残疾的首要原因是白内障(占55.71%),第2位为视网膜疾病(占9.52%)、第3位为角膜病(占6.49%)、第4、5位分别是视神经疾病与遗传、先天发育异常,分别占6.01%和4.72%;其余依次为青光眼(第6位,3.87%)、屈光不正(第7位,3.19%)、外伤(第8位,2.66%)、其他(第9位,2.62%)、沙眼(第10位,1.86%),弱视(第11位,1.74%),原因不明(第12位,1.33%),中毒居末位,占0.28%。视力残疾人随年龄的增长而逐渐递增,特别是从50岁开始明显增高(占视力残疾17.42%),70岁以上达最高(占44.81%)。农村的视力残疾发病率(2.22%)明显高于城市(1.4.0%)。结论:四川省的防盲治盲工作重点首位是老年性疾病(老年性白内障、老年性视网膜病变等),其次依次是防止视网膜疾病、角膜病、视神经疾病、遗传性疾病、青光眼、屈光不正和外伤等。工作的重心应放在农村。
AIM: To study and analyze the visual disability group (the blindness and low vision) of Sichuan Province, including the regional distribution, quantity, structure and causes. METHODS: According to the second national sampling survey of the disabled, our sampling was carried out by means of multi-level, multi-phase, whole group and probability. We investigated 38 counties/cities, 152 towns, 304 communities, 40 351 households, total 125 641 people ( male 62 735, account for 49.93% ; female 62 906 , 50.07%. urban people 38 125, account for 30.34% ; rural people 87 516, 69.66% ). RESULTS: There are 966 (0.77%) blind persons while 1 513 low-vision (1.20%) people; the proportion of low-vision to blindness is 1. 56. The main cause of visual disability is cataract (55. 71%), which ranks the first; retinopathy (9.52%) is the second while corneal disease (6.49%) is the third. The others are as follows: optic nerve disease ( 4th, 6.01% ), hereditary/congenital ( 5th, 4.72% ), glaucoma(6th, 3.87%), ametropia (7th, 3.19% ), trauma ( 8th, 2. 66%), miscellaneous (9th, 2. 62%), trachoma (10th, 1. 86%), amblyopia (11th, 1. 74%), unknown(12th, 1.33%) and toxication (ranksthe last, 0.28%). The number of people suffering visual disability is increasing with the increase of age, especially the group over 50 years old (occupying 17. 42% of visual disability), while the group over 70 years old (44.81%) is of the highest proportion in visual disability. The majority of visual disability are farmers living in the countryside. The incidence of visual disability in rural area (2.22%) is markedly higher than that in city (1.40%). CONCLUSION: The main cause of visual disability is senile eye disease (senile cataract, age-related retinal diseases , etc). The focus of blindness prevention should be put in the rural area.
出处
《国际眼科杂志》
CAS
2007年第6期1652-1654,共3页
International Eye Science
基金
中国四川省第二次全国残疾人抽样调查办公室合作项目(No.303005002164)~~
关键词
视力残疾
低视力
防肓
visual disability
low vision
prevention of blindness