海上作业人员眼外伤应急干预对视力预后的影响

Influence of emergency interference measures on prognostic of ocular trauma on staffs at sea

目的探讨海上作业人员眼外伤发生后采取应急干预措施对近期及远期视力的影响。方法选择海上作业人员眼外伤患者359例（446眼）为观察对象，根据能否接受应急干预措施将海上作业人员眼外伤患者随机分为干预组与非干预组，对2组患者伤后来院就诊时、入院治疗后72h和1周的近期视力进行检测，并对出院后半年、1年、2年的远期视力进行随访。结果2组入院就诊时，人院治疗后72h、1周的视力恢复情况及出院后半年、1年、2年视力随访情况，干预组优于非干预组，2组差异有统计学意义（P〈0．01），2组内3个时段视力分布情况无显著变化。结论海上作业人员眼外伤患者，伤后及时采取应急干预措施对近期及远期视力的稳定与恢复起着非常重要的作用。

Objective To discuss the short-term and long-term influence of emergency interference measures on prognostic of ocular trauma on staffs at sea. Methods A total of 359 cases （446 eyes） of eye trauma staffs were selected and grouped into interference and non-interference group depending on the treatment of emergency interference measures. Short-term eyesight was checked on first clinical visit, 72 hours and one weeks after that. Long-term eyesight was retrospected after half a year, one year and two years, respectively. Results Interference group showed distinct advantage on first clinical visit, 72 hours and one weeks after treatment（P 〈 0.01 ） and the better eyesight when retrospected after half year, one year and two years （P 〈 0. 01） compared with non-interference group. While no clearly differences were found in the eyesight distribution in three period of time between two groups. Conclusions Emergency interference measures have a very important effect on the stabilization and recovery of ocular trauma on staffs at sea.