機(jī)械性眼外傷的回顧性研究
發(fā)布時(shí)間：2018-08-04 17:21
【摘要】：目的：通過對我院2004年-2009年收入院治療的731例機(jī)械性眼外傷的病例(包括軍人病例),進(jìn)行回顧性統(tǒng)計(jì)及分析,探討了其發(fā)生的相關(guān)危險(xiǎn)因素、影響視力預(yù)后的因素及防治的方法和意義。方法：對蘭州軍區(qū)烏魯木齊總醫(yī)院2004年1月1日-2009年1月1日之間住院的731例機(jī)械性眼外傷病例,進(jìn)行記錄和統(tǒng)計(jì)分析患者的各種相關(guān)因素,如年齡、性別、職業(yè)、族別、受傷地點(diǎn)、受傷原因、到我院就診時(shí)間、并發(fā)癥、入院及出院視力、治療方法等。結(jié)果：2004年-2009年我院住院治療機(jī)械性眼外傷人數(shù)呈增高趨勢,民族以漢族為主,有656例(占89.47%)；男女比例約為7：1,發(fā)病高峰年齡在15-45歲,軍人患者幾乎全部為男性,發(fā)病高發(fā)年齡為19-22歲；患者大多來自農(nóng)村、工廠及基層部隊(duì),以農(nóng)民、戰(zhàn)士和工人為主;常發(fā)生于公共場所、工廠、基層部隊(duì)及家庭,鈍器傷多為致傷原因,6-9月份為高發(fā)時(shí)間。731例患者鈍挫傷266例(290眼)占(36.43%),穿通傷153例(167眼)占(20.98%)；最常見合并癥為外傷性白內(nèi)障和前房積血。治療方式：手術(shù)及保守藥物相關(guān)治療,手術(shù)多以角鞏膜裂傷縫合、玻璃體切除聯(lián)合其他相關(guān)的手術(shù)為最多,視力的提高具有顯著性(P=0.0001)。主要影響視力預(yù)后的因素是：年齡(P=0.001)、職業(yè)(P=0.02)、致傷原因(P0.001)、眼外傷類型(P0.001)和是否手術(shù)治療(P0.001)。結(jié)論：1、2004年-2009年我院住院治療機(jī)械性眼外傷人數(shù)呈增高趨勢,多以青壯年男性為主,漢族較多,以鈍挫傷及穿通傷兩種類型常見,合并癥以外傷性白內(nèi)障及前房積血最多見。2、2004-2009年我院住院治療機(jī)械性眼外傷以鈍器傷和銳器傷為最常見的致傷原因,受傷地點(diǎn)常發(fā)生于工廠、軍營、公共場所和家庭,6-8月份為高發(fā)時(shí)間。3、軍人眼外傷以青壯年男性官兵為主,主要為軍事訓(xùn)練相關(guān)性眼外傷。4、2004-2009年主要影響我院住院治療的機(jī)械性眼外傷視力預(yù)后的因素是：年齡、職業(yè)、致傷原因、眼外傷類型和是否手術(shù)治療。
[Abstract]:Objective: through retrospective statistics and analysis of 731 cases of mechanical ocular trauma (including military cases) treated in our hospital from 2004 to 2009, the related risk factors were discussed. The factors influencing the prognosis of visual acuity and the methods and significance of prevention and treatment. Methods: a total of 731 cases of mechanical eye trauma hospitalized in Urumqi General Hospital of Lanzhou military region from January 2004 to January 1, 2009 were recorded and statistically analyzed for various related factors, such as age, sex, occupation, ethnicity, and so on. Location of injury, cause of injury, time to visit, complications, visual acuity in admission and discharge, treatment methods, etc. Results: from 2004 to 2009, the number of hospitalized patients with mechanical eye trauma in our hospital showed an increasing trend, 656 cases (89.47%) were mainly of Han nationality, the ratio of male to female was about 7: 1, the peak age was 15-45 years old, and almost all the patients were male. Most of the patients come from rural areas, factories and grass-roots units, mainly farmers, soldiers and workers. They often occur in public places, factories, grass-roots units and families. Blunt instrument injuries were mostly caused by trauma in June and September. Among the 731 cases, 266 cases (290 eyes) had blunt injuries, 153 cases (167 eyes) had penetrating injuries, and the most common complications were traumatic cataract and hyphema. Treatment methods: surgery and conservative drug related treatment, most of the operations were horn-scleral laceration suture, vitrectomy combined with other related surgery, the improvement of visual acuity was significant (P0. 0001). The main factors influencing the prognosis of visual acuity were age (P0.001), occupation (P0.02), cause of injury (P0.001), type of ocular trauma (P0.001) and surgical treatment (P0.001). Conclusion the number of hospitalized patients with mechanical eye trauma in our hospital from 2004 to 2009 showed an increasing trend, most of them were young and middle-aged men, and the Han nationality was more common, and blunt contusion and perforation injury were common types. Traumatic cataract and hyphema were the most common causes of traumatic cataract and hyphema in our hospital from 2004 to 2009. Blunt instrument injury and sharp instrument injury were the most common causes of ocular trauma in our hospital from 2004 to 2009. The injured sites often occurred in factories and military camps. In June to August, the time of high incidence of ocular trauma in public places and families was .3.The main factors influencing the prognosis of mechanical ocular trauma in our hospital from 2004 to 2009 were: age, the main factors affecting the prognosis of mechanical ocular trauma in our hospital were young and middle-aged male officers and soldiers, mainly military training-related ocular trauma. Occupation, cause of injury, type of ocular trauma and surgical treatment.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號(hào)】：R779.1
本文編號(hào)：2164573
[Abstract]:Objective: through retrospective statistics and analysis of 731 cases of mechanical ocular trauma (including military cases) treated in our hospital from 2004 to 2009, the related risk factors were discussed. The factors influencing the prognosis of visual acuity and the methods and significance of prevention and treatment. Methods: a total of 731 cases of mechanical eye trauma hospitalized in Urumqi General Hospital of Lanzhou military region from January 2004 to January 1, 2009 were recorded and statistically analyzed for various related factors, such as age, sex, occupation, ethnicity, and so on. Location of injury, cause of injury, time to visit, complications, visual acuity in admission and discharge, treatment methods, etc. Results: from 2004 to 2009, the number of hospitalized patients with mechanical eye trauma in our hospital showed an increasing trend, 656 cases (89.47%) were mainly of Han nationality, the ratio of male to female was about 7: 1, the peak age was 15-45 years old, and almost all the patients were male. Most of the patients come from rural areas, factories and grass-roots units, mainly farmers, soldiers and workers. They often occur in public places, factories, grass-roots units and families. Blunt instrument injuries were mostly caused by trauma in June and September. Among the 731 cases, 266 cases (290 eyes) had blunt injuries, 153 cases (167 eyes) had penetrating injuries, and the most common complications were traumatic cataract and hyphema. Treatment methods: surgery and conservative drug related treatment, most of the operations were horn-scleral laceration suture, vitrectomy combined with other related surgery, the improvement of visual acuity was significant (P0. 0001). The main factors influencing the prognosis of visual acuity were age (P0.001), occupation (P0.02), cause of injury (P0.001), type of ocular trauma (P0.001) and surgical treatment (P0.001). Conclusion the number of hospitalized patients with mechanical eye trauma in our hospital from 2004 to 2009 showed an increasing trend, most of them were young and middle-aged men, and the Han nationality was more common, and blunt contusion and perforation injury were common types. Traumatic cataract and hyphema were the most common causes of traumatic cataract and hyphema in our hospital from 2004 to 2009. Blunt instrument injury and sharp instrument injury were the most common causes of ocular trauma in our hospital from 2004 to 2009. The injured sites often occurred in factories and military camps. In June to August, the time of high incidence of ocular trauma in public places and families was .3.The main factors influencing the prognosis of mechanical ocular trauma in our hospital from 2004 to 2009 were: age, the main factors affecting the prognosis of mechanical ocular trauma in our hospital were young and middle-aged male officers and soldiers, mainly military training-related ocular trauma. Occupation, cause of injury, type of ocular trauma and surgical treatment.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號(hào)】：R779.1
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 陳卡,糜漫天,余小平;�；撬釋Υ笫笠暰W(wǎng)膜光化學(xué)損傷的保護(hù)作用研究[J];第三軍醫(yī)大學(xué)學(xué)報(bào);2005年09期
2 汪峰,顧正勇,楊小東,游海燕,鄭然,周世偉;現(xiàn)代高技術(shù)戰(zhàn)爭眼戰(zhàn)傷發(fā)展與時(shí)效救治策略探討[J];第三軍醫(yī)大學(xué)學(xué)報(bào);2005年13期
3 張潔,唐羅生;視網(wǎng)膜光損傷的藥物防治[J];國際眼科雜志;2005年01期
4 紀(jì)淑興;嚴(yán)密;張軍軍;;色素上皮衍生因子對視網(wǎng)膜光損傷保護(hù)作用的體內(nèi)研究[J];國際眼科雜志;2008年03期
5 張偉敏,農(nóng)明善;軍人眼外傷113例臨床分析[J];臨床軍醫(yī)雜志;2003年06期
6 馬志中;;我國眼外傷預(yù)防的現(xiàn)狀和未來[J];繼續(xù)醫(yī)學(xué)教育;2006年21期
7 林澤賢;許道成;黃楚珠;黃立群;程本坤;;943例住院眼外傷病例分析[J];現(xiàn)代醫(yī)院;2007年06期
8 努麗婭·依布拉西,王穎,楊晨;阿克蘇地區(qū)眼外傷670例臨床分析[J];新疆醫(yī)科大學(xué)學(xué)報(bào);2002年03期
9 郭曉曼;黃超英;;276例眼外傷臨床分析[J];右江民族醫(yī)學(xué)院學(xué)報(bào);2007年05期
10 文峰;李海濤;陳艷麗峰;孫祖峰;;黃芩素與輔酶Q_(10)對大鼠視網(wǎng)膜光損傷防護(hù)作用的研究[J];眼科研究;2006年05期
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