上海北新泾老人白内障流行病学调查

Epidemiological survey of cataract among the elder in Beixinjing Blocks,Shanghai

目的:调查上海北新泾街道60岁及以上人群白内障患病率、白内障盲人手术覆盖率和白内障盲人社会负担率。方法:随机整群抽样,对所有60岁及以上人群进行视力和眼部检查。了解接受白内障手术情况。结果:受检者3851例,白内障患病率39.86%。以双眼日常生活视力<0.1为盲的标准,白内障盲人手术覆盖率84.60%,白内障盲人的社会负担率3.87%,女性和文盲分别为4.65%和8.01%。结论:白内障盲人的社会负担率较重,女性和文盲白内障是严重的公共卫生问题。根治白内障盲仍是防盲工作的重要任务。

AIM： To investigate the prevalence of cataract, surgical coverage rate and the bilateral cataract blindness burden among adults aged 60 or above in Beixinjing blocks, Shanghai. METHODS： Cluster sampling was used in randomly selecting individuals aged≥60 years in Beixinjing blocks. 3851 individuals received visual acuity test and eye examination, including lens examination by slit lamp. The cataract operation status was also evaluated. RESULTS： The prevalence of cataract was 39.86%. The prevalence of cataract was increasing by aging. When the bilateral presenting vision 〈 0. 1 was defined as the blindness criterion, the cataract surgical coverage rate was 84.60%. The cataract-blindness burden was 3.97%, between in female and illiteracy was 4.65% and 8.01% respectively. CONCLUSION： The bilateral cataract-blindness burden was much higher. Cataract blindness is a serious public health problem between in female and illiteracy.