摘要
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，对其人口学特征、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％。主要致伤原因有运动（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％发生于军事训练场地。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可忽视的特殊人群，年轻男军人是部队眼外伤防治的重点人群，军事体育训练、演习和国防施工建设等是军人职业性眼损伤的主要原因。
Objective To investigate and analyze the epidemiological characteristics of eye injury among military inpatients. Methods Data of eye injury among military inpatients from 15 military general hospitals during 2001 --2005 were recorded and statistically analyzed. Results There were 716 military inpatients with eye injuries, taking up 7.41% 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 injuries. 51.55% of the accidents took place during working or training processes and 30.31% was on military training sites. At discharge, 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.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2009年第7期740-742,共3页
Chinese Journal of Epidemiology
基金
全军“十一五”攻关课题（06G111）（本课题协作单位和人员：兰州军区兰州总医院燕振国、马岩梅
兰州军区新疆总医院孙时英、李宗梅、崔兰、李晋
新疆军区第四七四空军医院高晓唯、杨玉杰、赵勇
济南军区总医院蒋华
南京军区南京总医院陈穗华、蒋峰
第三军医大学西南医院王一、吴楠
成都军区昆明总医院谢伯林、舒越昆、曾洵
沈阳军区总医院高明宏、陈颖欣
广州军区武汉总医院周和政、李立婕、朱丽
南京军区福州总医院杨丽霞、陈梅珠
武警总医院吴海洋、侯保杰
空军总医院王恩普、邵德望
海军总医院刘百臣
北京军区总医院李耀宇、白桦）
关键词
眼外伤
部队
流行病学
Eye injury
Military
Epidemiology
