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严重角膜溃疡患者133例的流行病学及临床特点分析 被引量:9

Epidemiology and clinical analysis of serious corneal ulcer in 133 cases
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摘要 目的:探讨严重角膜溃疡患者的流行病学及临床特点。方法:选取2010-06/2013-12因严重角膜溃疡就诊中南大学湘雅医院眼科住院治疗的133例患者的临床资料,对其发病诱因、人群特征、诊断等进行回顾性分析。结果:所有患者中男性91例(68.4%),41~60岁男性82例(44.4%),从事劳力工作者,农民居多,共77例(57.9%),文化程度偏低,初中以下学历共113例(85.0%),既往全身及眼部情况合并其他疾病者共73例(54.9%),每年1月为就诊高峰期(34.6%),平均住院日9.84d,急诊入院患者44例(33.1%),角膜溃疡合并前房积脓或穿孔共92例(69.2%),手术治疗102例(76.7%),其中羊膜移植类31例(39.2%),不同分析中可见男女性别差异。结论:我院严重角膜溃疡患者多为居住条件较差的男性农民,其发病及治疗与病情严重程度、外伤史、诊疗意识相关。 AIM: To investigate and analyze the epidemiology of serious corneal ulcer.METHODS: A total of 133 serious corneal ulcercases from June 2010 to December 2013 in Xiangya Hospital Affiliated to Central South University were retrospectively reviewed for risk factors,demographic characteristics and diagnosis.RESULTS: There were 91 male patients( 68.4%) in the133 patients. A peak incidence age was from 41 to 60 years old( 82 cases,44.4%). Most of patients were peasant( 77 cases,57. 9%) and the percentage of the low schooling patients was 85.0%( 113 cases). The number of patients who had been sick was 73 before hospitalization( 54.9%)in all cases. The peak incidence season was January( 34.6%). Average length of stay was 9.84 d. The number of emergency cases was 44( 33.1%). Most of patient were not only corneal ulcer cases but the hypopyon( 92 cases,69.2%). The figure of inpatients who received operations was 102 cases( 76.7%). And the most of operations was amniotic membrane transplantation( 31 cases,39. 2%).Additionally,this data was classified regard to gender differences.CONCLUSION: The peasant of the middle age and elderly represents a distinct clinical group in the serious corneal ulcer in hospital. Severity, ocular trauma inagriculture and health awareness are the major predisposing factors.
出处 《国际眼科杂志》 CAS 2014年第9期1663-1666,共4页 International Eye Science
基金 国家自然科学基金面上项目(No.81170823) 湖南省自然科学基金重点项目(No.10JJ2027)~~
关键词 角膜溃疡 流行病学 回顾性调查 corneal ulcer epidemiology retrospective review
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