粤北山区角膜异物伤的流行病学分析

Epidemiology of corneal foreign bodies of Yuebei mountain county

目的分析粤北山区新丰县角膜异物伤的临床发病特点。方法对新丰县近2 a来角膜异物伤460例（468眼）进行回顾性分析,研究角膜异物患者的年龄分布、职业、异物性质、治疗及并发症等流行病学特征。结果460例中男416例（90.43%）,平均（34.0±4.5）岁,30-39岁为发病集中年龄（46.30%）。职业以工人最多（65.43%）,农民次之（23.48%）。异物中以铁屑为主,占237例（51.52%）。133例（28.91%）1 d内就诊,235例（51.09%）2-3 d就诊。治疗后视力有所提高或不变。结论角膜异物是常见的职业性眼外伤,改善工作生产环境、提高自我保护意识能有效地预防该病的发生,及时正确地治疗能减少术后并发症。

Objective To analyze the clinical features of patients with corneal foreign body in Shaoguan City XinFeng county. Methods Analyze 460 cases of patients（468 eyes） with corneal foreign bodies in Xin Feng County in the past two years,do research on the age distribution,occupation of patients and their epidemiological characteristics,such as the nature of foreign body,treatment and complications.. Results In 460 cases（468 eyes） with corneal foreign bodies,there are 416 cases of male（90.43%）,with mean age（34＋4.5） years,30-39 years old as the onset concentration of age（46.30%）,with the main job as workers（65.43%）,foreign bodies consisted chiefly of iron filings,accounting for 237 cases（51.52%）,133 cases（28.91%） get treatment in one day,205 cases（51.09%） get treatment in 2-3 d,visual acuity improved or unchanged after treatment. Conclusion Corneal foreign bodies is a common occupational eye injury.To improve the working production environment,raising awareness of self-protection can be effective in preventing the occurrence of the disease.Timely and correct treatment can reduce postoperative complications.