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目的了解青海省海西地区眼外伤的流行病学特征,探讨其发生原因。方法采用统一的调查问卷对青海省海西地区某综合医院眼科2000—2007年收治的297例眼外伤患者进行调查。结果在297例眼外伤患者中,男女比例为4.12∶1;18~42岁是眼外伤多发年龄段(78.1%);工人、个体从业者和农民是眼外伤的高发人群,分别占31.65%、28.62%和22.22%;在眼外伤分类中挫伤最多(52.19%),其次是化学伤和穿孔伤,分别占20.54%和14.48%;致伤原因多种多样,主要以金属铁器和拳击伤为多,分别占25.25%和24.92%;54.88%的眼外伤发生在工作场所;视力下降甚至失明者占67.68%。结论眼外伤多发生在青壮年男性,工人、个体从业者和农民是眼外伤的高发人群,应重视眼外伤防治知识的宣传和眼外伤发生后的及时治疗。
Objective To understand the epidemiological characteristics of ocular trauma in Hercynian region of Qinghai Province and to explore its causes. Methods A unified questionnaire was used to investigate 297 ocular trauma patients admitted to a general hospital ophthalmology department in Qinghai Province from 2000 to 2007. Results Among 297 eye trauma patients, the male-female ratio was 4.12:1. The multiple eye injury age ranged from 18 to 42 years (78.1%). Workers, individual practitioners and peasants were the most frequent ocular trauma patients, accounting for 31.65% 28.62% and 22.22% respectively. In the category of ocular trauma, contusion was the most (52.19%), followed by chemical and perforation injuries, accounting for 20.54% and 14.48% respectively. The causes of injury were varied, mainly due to metal irons and boxing injuries , Accounting for 25.25% and 24.92% respectively; 54.88% of ocular trauma occurred in the work place; 67.68% of them had vision loss or even blindness. Conclusion Occurrence of ocular trauma in young men, workers, individual practitioners and peasants are high risk groups of eye trauma. Eye trauma prevention and treatment should be emphasized the publicity and timely treatment of eye trauma.