摘要
目的分析建筑工人角膜异物的临床特点及预后的影响因素。方法回顾性病例系列研究。分析长垣郭氏眼科医院2020年6月至2021年12月建筑工人角膜异物280例(298眼)的临床资料。根据预后情况分为预后良好组246例(260眼)和预后不良组34例(38眼),分析其临床特点及预后影响因素。结果280例中,男性270例占96.43%。年龄30~50岁160例占57.14%。工龄10~25年109例占38.93%。切割工73例占26.07%、磨削工76例占27.14%。初中学历177例占63.21%。右眼受伤者141例占50.36%。298患眼中,异物位于B区者123眼占41.28%。损伤程度为浅II度93眼占比较大(31.21%)。38眼治疗后视力下降,发生率为12.75%。多因素Logistic回归分析显示,伤后就诊时间≥2 d、未佩戴防护镜、金属异物、异物位于B区和C区、损伤为深Ⅱ度及Ⅲ度、合并角膜感染及合并角膜瘢痕是预后的危险因素(P<0.05)。结论伤后就诊时间、未佩戴防护镜、金属异物、异物区域、伤及角膜程度、合并角膜感染或角膜瘢痕均是建筑工人角膜异物患者预后的影响因素。
Objective To analyze the clinical features and prognostic factors of corneal foreign body in construction workers.Methods This was a retrospective case series study.The clinical data of 298 eyes of 280 cases of corneal foreign bodies in construction workers in Changyuan Guoshi Ophthalmic Hospital from Jun.2020 to Dec.2021 were analyzed.According to the prognosis,the patients were divided into 260 eyes of 246 cases in the good prognosis group and 38 eyes of 34 cases in the poor prognosis group.The clinical features and prognostic influencing factors were analyzed.Results Among the 280 cases,270 cases were males accounted for 96.43%;160 cases aged 30-50 years accounted for 57.14%;109 cases had worked for 10-25 years accounted for 38.93%;73 cases cutting workers accounted for 26.07%;76 cases grinders accounted for 27.14%;177 cases had junior high school education accounted for 63.21%;144 cases were injured in the right eye accounted for 50.36%.In the 298 affected eyes,123 eyes of foreign body in area B accounted for 41.28%;93 eyes of foreign body injury and corneal injuey shallow II degree accounted largely for 31.21%.The visual acuity of 38 affected eyes decreased after treatment,the incidence was 12.75%.Multivariate Logistic regression analysis showed that the visit time after injury≥2 days,without protective glasses,metal foreign body,corneal foreign body located in area B and C,foreign body injury and corneal depthⅡ/Ⅲ,complicated with corneal infection,combined with corneal scar were all the risk factors affecting the prognosis of patients(P<0.05).Conclusion The treatment time after injury,non wearing protective mirror,metal foreign body,corneal foreign body area,foreign body injury and corneal injury degree,corneal infection or corneal scar are the prognosis factors of construction workers with corneal foreign body.
作者
王青会
郭继兴
Wang Qinghui;Guo Jixing(Changyuan Guoshi Ophthalmic Hospital,Changyuan 453400,China)
出处
《中华眼外伤职业眼病杂志》
2022年第10期787-792,共6页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
异物
角膜
工人
建筑
因素
影响
预后
Foreign body,cornea
Workers,construction
Factors,influence,prognosis
