角膜异物伤高发人群的预防干预(附角膜异物剔除术132例)

Study on the corneal-foreign-body injuries in high risk people

目的分析角膜异物伤患者诊治情况,了解其流行病学特点,探讨角膜异物伤高发人群的预防干预。方法回顾性分析132例(132眼)于我院南院门诊就诊角膜异物伤患者的就诊时间、病因、检查、治疗及复诊治疗情况。结果城乡结合部是角膜异物伤发生的高发区,132例患者年龄5～58岁,均为男性,绝大多数为青壮年,79.7%角膜异物性质为铁屑,五金加工、装修工人者占发病者的64.6%。就诊患者健康意识较差,54.9%患者进行角膜异物剔除术后未进行复诊。结论角膜异物伤是非常常见的眼外伤,年轻男性、特别是外来民工等在工作中需操作冲击力工具的工人是该病的高危人群,健康意识及治疗依从性差影响治疗情况。

Objective The purpose of this study was to characterise and describe the epidemiology of corneal-foreignbody injuries presenting to the high-risk people and figured out the theory to intervene the corneal-foreign-body injuryies. Methods A retrospective study was conducted over a 14-month period （3/2005 to 5/2006） on all corneal-foreign-body injuried patients seen by the Sun Yat-Sen memorial hospital, source of injury and intervention were collected via a standardised interview and examination. Results The injuries were happened most in the urban and rural area. A total of 132 patients, and 132 eyes, were included in the study. The age ranged from 5 years to 58 years, and all were male. 79. 7% of corneal foreign body was crude iron. 64. 6% of the patients were workers majored in hardware and fitment. 54. 9% of patients were not even had once further consultation with a doctor for the lack of awareness. Conclusion There is a broad spectrum of causes, mechanisms and severity of ophthamic injuries seen in the hospital, of which work-related trauma makes up a significant proportion. The patients who suffer occupational injuries are a well-defined group： Young males, working with power tools in the construction industry are at particular risk. The lack of awareness and compliance limit their treatment effectiveness.