江苏宜兴地区贫困救助白内障手术状况分析

Situation analysis of cataract surgery in poverty-stricken region of Yixing in Jiangsu

目的:探讨由宜兴市人民医院主导的本地区白内障复明工作的可行性及手术评价。方法:(1)分别比较贫困救助(以下简称贫困)与非贫困救助(以下简称非贫困)白内障患者手术前视力盲、视力残疾情况及手术后脱盲、脱残情况(视力<0.05为盲,<0.3为残疾,术后视力≥0.05为脱盲,≥0.3为脱残),比较两者存在的差异。(2)将本院贫困白内障的手术情况与"十二五"期间"百万贫困白内障患者复明工程"项目的具体要求相比较。结果:贫困组72例,其中盲41例,视力残疾70例;非贫困组210例,其中盲眼111例,视力残疾200例,两组术前盲眼比例无差别(χ2=1.344,P<0.05);视力残疾无差别(χ2=0.146,P<0.05)。脱盲率:贫困组92.7%,非贫困组88.3%,两组脱盲率无差别(χ2=0.236,P<0.05)。脱残率:贫困组78.6%%,非贫困组73.0%,两组脱残率无差别(χ2=0.846,P<0.05)。结论:本院百万贫困白内障患者复明工程开展顺利,完全有能力承担本市白内障复明工作,但仍存在一定不足,需持续改进。

AIM： To explore the feasibility and evaluation on prevention of blindness in poverty- stricken region of Yixing led by the People＆#39;s Hospital. METHODS： By respectively comparing poverty-relief （ hereafter referred to as poverty ） patients in poverty-stricken region with the patients in urban district （ hereafter referred to as urban） in the following aspects：the situation of visual blindness and the visual disability before surgery and the situation of vision rehabilitation and getting rid of visual disability after operation, and then the differences were analyzed as the standard：blindness was vision less than 0. 05, visual disablity was vision less than 0. 3 and vision rehabilitation was postoperative vision equal to or more than 0. 05 and getting rid of visual disability was postoperative vision equal to or more than 0. 3. The differences were compared between the cataract surgery situation in poverty- stricken region led by our hospital and the requirements of “The prevention of blindness project for millions of poor cataract patients” during the twelfth five-year. RESULTS： There were 72 cases in the poverty group, including 41 cases of blindness and 70 cases of visual disability, while totally 210 cases were in the urban group, including 111 cases of visual blindness and 200 cases of visual disability. There were no difference between the poverty group and urban group in the visual blindness （χ2=1. 344, P〈0. 05） and in the visual disability （χ2=0. 146, P〈0. 05） preoperatively. The rate of vision rehabilitation was＆amp;nbsp;92. 7% in poverty group and 88. 3% in urban group （χ2=0.236, P〈0. 05 ） and there were no difference for vision rehabilitation between the two groups. The rate of vision equal to or more than 0. 3 after operation was 78. 6% in poverty group and 73% in urban group （χ2= 0. 846, P〈0.05） and there were no difference for vision equal to or more than 0. 3 after operation between the two groups. CONCLUSION：“The prevention of blindness project for millions of poor cataract patients” has been carried out smoothly in our hospital which proves that we do have the ability to undertake the prevention of blindness in our city, but there is still some deficiency to be improved.