【摘要】：目的:1.通過眼科檢查,統(tǒng)計(jì)甘肅省武山縣50歲及以上人群白內(nèi)障患病率,以及對(duì)不同年齡組、不同性別之間患病率進(jìn)行比較;2.通過眼科相關(guān)檢查及填寫調(diào)查問卷,分析武山縣50歲以上人群的白內(nèi)障相關(guān)因素,為防治白內(nèi)障提供依據(jù)。方法:采用分層隨機(jī)整群抽樣法,于武山縣所轄集鎮(zhèn)中隨機(jī)抽取2個(gè)集鎮(zhèn),從所轄行政村中隨機(jī)抽取2個(gè)行政村,最終對(duì)所選的2個(gè)集鎮(zhèn)及2個(gè)鄉(xiāng)村50歲及以上人群進(jìn)行調(diào)查。對(duì)符合條件的人群進(jìn)行眼科檢查,包括視力檢查、問卷調(diào)查、眼壓測量、驗(yàn)光、眼前后節(jié)檢查及問卷調(diào)查,問卷內(nèi)容包括一般情況(年齡、性別、職業(yè)、民族、文化程度、家庭人均年收入)、健康習(xí)慣(吸煙史、飲酒史、喝茶習(xí)慣、烹飪方式、取暖方式、家庭水源、視頻暴露時(shí)間)、全身慢性病史(糖尿病、高血壓、風(fēng)濕病),由調(diào)查員幫助填寫白內(nèi)障調(diào)查問卷表;使用Epidata3.1進(jìn)行數(shù)據(jù)錄入,運(yùn)用SPSS16.0對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,其中,采用χ2檢驗(yàn)進(jìn)行白內(nèi)障相關(guān)因素的單因素分析,logistic回歸進(jìn)行多因素分析。結(jié)果:該地區(qū)白內(nèi)障總患病率為39.1%,其中男性39.1%,女性39.2%,50-59歲的人群白內(nèi)障患病率為12.4%,60-69歲患病率為48.1%,70-79歲患病率為76.1%,80歲及以上患病率為91.8%,隨著年齡的增長,患病率也逐漸上升。logistic回歸結(jié)果顯示:城鄉(xiāng)、文化程度、年齡、視頻暴露時(shí)間、吸煙與否、煙齡等六個(gè)因素為白內(nèi)障的相關(guān)因素;其中,居住地點(diǎn)為鄉(xiāng)村、文化程度較高為白內(nèi)障發(fā)生的保護(hù)性因素,居住點(diǎn)為城市、文盲、年齡增加,吸煙,煙齡長者為白內(nèi)障的危險(xiǎn)性因素。結(jié)論:甘肅省武山縣50歲及以上人群的白內(nèi)障患病率已處于較高水平,隨著個(gè)體年齡的增長,白內(nèi)障的患病率也隨之增加。居住點(diǎn)為鄉(xiāng)村、文化程度較高為白內(nèi)障發(fā)生的保護(hù)性因素,居住點(diǎn)為城市、文盲、年齡增加,吸煙,煙齡長者為白內(nèi)障的危險(xiǎn)性因素。
[Abstract]:Purpose: 1. Through ophthalmological examination, the prevalence rate of cataract in Wushan county, Gansu province, aged 50 years and above, and the prevalence rate of cataract in different age groups and different sexes were compared. Through ophthalmological examination and filling out questionnaire, the related factors of cataract in people over 50 years old in Wushan county were analyzed in order to provide evidence for the prevention and treatment of cataract. Methods: using stratified random cluster sampling method, two towns were randomly selected from the towns under the jurisdiction of Wushan County, and two administrative villages were randomly selected from the administrative villages under their jurisdiction. Finally, the population aged 50 or above in two towns and two villages were investigated. Ophthalmological examination, including visual examination, questionnaire survey, intraocular pressure measurement, optometry, posterior anterior segment examination and questionnaire survey, including general information (age, gender, occupation, nationality, education level), were performed in the eligible population, including eyesight examination, questionnaire survey, intraocular pressure measurement, optometry, anterior posterior segment examination and questionnaire survey. Annual income per family), healthy habits (history of smoking, drinking, cooking, heating, home water, time of video exposure), general chronic history (diabetes, hypertension, rheumatism), Filling out the cataract questionnaire form with the help of the investigator; Epidata3.1 was used for data entry and SPSS16.0 for statistical analysis. 蠂 ~ 2 test was used for univariate analysis of cataract-related factors and logistic regression was used for multi-factor analysis. Results: the total prevalence rate of cataract in this area was 39.1%, including 39.1% for males and 39.2% for females. The prevalence rate of cataract was 12.4% for people aged 50 years and 59 years old, and 48.1% for people aged 60 to 69 years. The prevalence rate was 76.1% at the age of 70 years and 91.8% at the age of 80 and over. Logistic regression analysis showed that the age, time of video exposure, smoking or not, in urban and rural areas, education level, age, time of video exposure, smoking or not, increased gradually with the increase of age. Smoking age and other six factors were related to cataract; Among them, the place of residence is rural, the higher education level is the protective factor of cataract occurrence, the residence point is city, the illiterate, the age increases, the smoking is the risk factor of cataract, and the smoking age is the risk factor of cataract. Conclusion: the prevalence rate of cataract in Wushan county, Gansu province is higher than that of 50-year-old population. With the increase of individual age, the prevalence rate of cataract also increases. The residence point is rural, the higher education level is the protective factor of cataract occurrence, and the residence point is city, illiterate, age increasing, smoking, smoking age are the risk factors of cataract.
【學(xué)位授予單位】：蘭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R776.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 徐正東;陳波;高蘭;;中老年人群白內(nèi)障發(fā)病的危險(xiǎn)因素及保護(hù)因素研究[J];中國現(xiàn)代醫(yī)學(xué)雜志;2015年13期

2 李治平;李芝蘭;殷小娟;郭春艷;;定西市年齡相關(guān)性白內(nèi)障成因和特點(diǎn)調(diào)查分析[J];中國初級(jí)衛(wèi)生保健;2015年02期

3 楊梅;朱蓉嶸;梁從凱;劉必紅;戚應(yīng)祥;張俊芳;施健;管懷進(jìn);;基于江蘇省阜寧縣社區(qū)人群的白內(nèi)障相關(guān)因素調(diào)查[J];中華眼科雜志;2014年03期

4 許明;;浙江省平湖市年齡相關(guān)性白內(nèi)障發(fā)病情況的調(diào)查[J];中國現(xiàn)代醫(yī)生;2012年29期

5 婁尚;袁兆康;羅芳;;南昌市部分人群老年性白內(nèi)障的現(xiàn)況及影響因素分析[J];南昌大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2012年08期

6 ;Cigarette smoking,body mass index associated with the risks of age-related cataract in male patients in northeast China[J];International Journal of Ophthalmology(English Edition);2012年03期

7 姜騰軒;閆佳;翟淑娜;李巖;孫文慧;張迪;盧智泉;;中老年人高血壓和糖尿病與年齡相關(guān)性白內(nèi)障的關(guān)系[J];國際眼科雜志;2012年03期

8 盧智泉;閆佳;孫文慧;姜騰軒;張迪;翟淑娜;李巖;;水果和蔬菜攝入量對(duì)年齡相關(guān)性白內(nèi)障的影響[J];國際眼科雜志;2012年01期

9 張迪;閆佳;孫文慧;盧智泉;;高血壓、吸煙與年齡相關(guān)白內(nèi)障關(guān)聯(lián)性研究[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2011年06期

10 唐斌;李治;羅羿;羅海燕;何艷楠;馮明娟;劉紹勇;袁曉會(huì);;重慶市江北區(qū)城鄉(xiāng)50歲及以上人群白內(nèi)障的流行病學(xué)調(diào)查[J];重慶醫(yī)學(xué);2011年06期

相關(guān)博士學(xué)位論文 前2條

1 沈蔚;云南省白族、彝族和漢族農(nóng)村人群白內(nèi)障流行病學(xué)調(diào)查[D];昆明醫(yī)科大學(xué);2015年

2 焦萬珍;山東省農(nóng)村50歲及以上人群盲與視力損傷、白內(nèi)障患病率及白內(nèi)障手術(shù)狀況的調(diào)查研究[D];山東大學(xué);2014年

，

本文編號(hào)：2448595