Zou Haidong, Zhang Xi, Xu Xun, He Zhiping
Department of Ophthalmology, Shanghai First People's Hospital, Shanghai 200080, China.
Zhonghua Yan Ke Za Zhi. 2002 Oct;38(10):580-3.
To investigate the recent incidence and related risk factors of rhegmatogenous retinal detachment (RD) in Chinese people.
This incidence survey was based on 108 132 persons in Beijing districts, Shanghai, P. R. China. Rhegmatogenous RD patients came from inpatient, outpatient service data and the local health net databank composed of health data of 97.5% of all local residents. A contrast group was set up. The previous population data can be used to estimate the whole and specific incidence of rhegmatogenous RD. Some factors relevant to rhegmatogenous RD incidence were found by comparing the patient group and the contrast group.
In Dec 1996 to Dec 1999, 61 cases with rhegmatogenous RD newly happened. The patients were 29 males and 32 females. The annual incidences of rhegmatogenous RD in these 4 years were 11.3/10(5), 14.1/10(5), 14.1/10(5) and 17.6/10(5) respectively, and the average annual incidence was 14.4/10(5) (95% confidence interval 10.0 - 18.6). There was a high incidence of rhegmatogenous RD in persons older than 40 years, especially between 40 and 59. When compared with the contrast group, the proportion of high myopia (more than -6.00 D) was significantly higher in rhegmatogenous RD patients group (P < 0.001).
The annual incidence of rhegmatogenous RD of local Chinese population in these 4 years is increasing. It is strongly associated with high myopia and age, but not with gender.
调查中国人孔源性视网膜脱离(RD)的近期发病率及相关危险因素。
本发病率调查基于中国北京地区、上海的108132人。孔源性RD患者来自住院患者、门诊数据以及由当地97.5%居民健康数据组成的当地健康网络数据库。设立了一个对照组。既往人口数据可用于估计孔源性RD的总体及特定发病率。通过比较患者组和对照组,发现了一些与孔源性RD发病率相关的因素。
1996年12月至1999年12月,新发生孔源性RD患者61例,其中男性29例,女性32例。这4年孔源性RD的年发病率分别为11.3/10⁵、14.1/10⁵、14.1/10⁵和17.6/10⁵,平均年发病率为14.4/10⁵(95%可信区间10.0 - 18.6)。40岁以上人群孔源性RD发病率较高,尤其是40至59岁之间。与对照组相比,孔源性RD患者组中高度近视(超过-6.00 D)的比例显著更高(P < 0.001)。
这4年当地中国人群孔源性RD的年发病率呈上升趋势。它与高度近视和年龄密切相关,但与性别无关。