劈柴致眼部外伤的临床分析

Clinical analysis of chopping fire wood-related ocular injuries

目的分析因劈柴导致的眼外伤住院患者的临床资料,探讨其危害性和治疗预防措施。方法统计分析2001年至2014年13年期间本中心收治的因劈柴导致的眼外伤住院患者120例（120只眼）受伤情况、眼别、性别、年龄、致伤因素、眼外伤类型、眼外伤最初最佳矫正视力和其最终最佳矫正视力之间的差异。所用临床数据均通过SPSS 13.0（SPSS,In C,Chicago,IL,USA）进行统计学分析,P〈0.05有实际意义。结果男性占绝大对数76例,占63.3%,女性44例,占36.7%;受伤年龄以〉60岁为主,其中24 h内就诊的患者有96例（占80%）,伤后2～5 d者14例（占11.7%）,6～10 d者10例（占8.3%）。受伤性质中开放式眼外伤占到了总数的38.3%,闭合性眼外伤占到总数的61.7%,开放性眼外伤患者最初最佳矫正视力及最终最佳矫正视力均好于闭合性眼外伤患者的最初矫正视力及最终最佳矫正视力（χ^2=14.62,P=0.0001）。结论劈柴所致的眼外伤是临床上较为常见的眼病之一,实施有针对性的治疗和护理是劈柴导致眼外伤患者康复的重要保障。

Objective To investigate the clinical features of ocular injuries due to chopping fire wood and the potential prognostic indicators for vision. Methods This is a retrospective analysis of 120 patients（ 120eyes） with chopping wood-related ocular injuries. Age,gender,laterality,type of chopping fire wood,location of inciden t,initial best-corrected visual acuity（ BCVA）,diagnosis,management,and final BCVA at the last follow-up were documented. Relevant clinical features and visual outcome were evaluated. Results Injuries were more frequent in males（ 76 cases,63. 3%）. Female patients were 44 cases（ 36. 7%）. Most patients were older than 60 years old. Visiting hospital in 24 h were 96 eyes（ 80. 0%）,in 2-5 days were 14 eyes（ 11. 7%）,in 6-10 days were 10 eyes（ 8. 3%）. Open globle injuries accounted for38. 3%,while closed globe injuries accounted for 61. 7%. After management,visual outcomes showed statistically significant improvement（ P = 0. 0001）. Conclusions Chopping fire wood-related ocular injuries occur mainly in males,are frequently severe and visually devastating. Therefor,preventive measures should be strenghthened,including public education and legal restriction on the sale and use of chopping fore wood.