论文部分内容阅读
目的:研究北印度三级转诊中心儿童眼外伤的临床特征。方法:基于医院的流行病学研究。包括所有年满16岁的眼外伤儿童。记录关于患者的社会经济状况,治疗手段和出院情况。随访3mo,记录初始和最终视力。眼部创伤分类指南和Birmingham眼部创伤术语用于眼外伤的定义和分类。社会经济地位是根据改良B.G.Prasad分类和Kuppuswamy社会经济级别分级的。结果:在42例儿童中,男女比例为3.6∶1。发生在11~16岁儿童眼外伤最多(50%)。大多数儿童(59.52%)属于较低的社会经济阶层,且均为农村背景。在家中发生眼外伤的儿童为20例(47.61%),其次在学校,游乐场和街道发生为6例(14.28%)。其中开放性眼外伤19例(45.24%),闭合性眼外伤23例(54.75%)。因木棍、石头、烟花、跌倒、玩具而受伤的儿童数量分别为12例(28.57%),5例(11.90%),3例(7.14%),3例(7.14%)和2例(4.76%)。17例(40.47%)儿童需要药物治疗,25名(59.53%)需要手术治疗。结论:农村地区和经济条件较差的男童更易患眼外伤。儿童在家里更易患眼外伤。木棍和石头是引起眼外伤最常见的因素。开放性眼外伤的患病率更高且视力不良增多。需要进一步的以人群为基础研究以补充本研究。基于此,人们可以计划在该地区实施一项长期的政策以预防儿童眼外伤。
Objective: To study the clinical features of ocular trauma in children in North India tertiary referral center. Methods: Based on the hospital’s epidemiological study. Including all children over the age of 16 eye trauma. Record the patient’s socioeconomic status, treatment and discharge. Follow-up 3mo, record the initial and final visual acuity. Eye Trauma Classification Guidelines and Birmingham Eye Trauma Terms for the definition and classification of ocular trauma. Socio-economic status is based on the improved B.G.Prasad classification and Kuppuswamy socio-economic classification. Results: In 42 children, the male-female ratio was 3.6: 1. Occurs in children aged 11 to 16 eye injury (50%). Most children (59.52%) belong to the lower socio-economic strata and are rural. Ocular trauma occurred in children at home, 20 cases (47.61%), followed by school, playground and street occurred in 6 cases (14.28%). Including open eye injury in 19 cases (45.24%), closed eye injury in 23 cases (54.75%). The number of children injured by sticks, stones, fireworks, falls and toys was 12 (28.57%), 5 (11.90%), 3 (7.14%), 3 (7.14%) and 2 %). Seventeen (40.47%) children needed medication and 25 (59.53%) needed surgery. Conclusion: Boys in rural areas and poor economically disadvantaged are more prone to ocular trauma. Children are more at home with eye injuries. Wood sticks and stones are the most common causes of ocular trauma. The prevalence of open ocular trauma is higher and vision loss is increased. Further population-based research is needed to complement this study. Based on this, one can plan to implement a long-term policy in the area to prevent eye injuries in children.