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台湾高雄市与工作相关眼部伤害的流行病学研究。

Epidemiologic study on work-related eye injuries in Kaohsiung, Taiwan.

作者信息

Ho Chi-Kung, Yen Ya-Lin, Chang Cheng-Hsien, Chiang Hung-Che, Shen Ying-Ying, Chang Po-Ya

机构信息

Department of Occupational and Environmental Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2007 Sep;23(9):463-9. doi: 10.1016/S1607-551X(08)70054-8.

Abstract

To describe the epidemiologic features of work-related eye injuries in Kaohsiung, a hospital-based study was performed. Four hundred and eighty-six patients who were treated at emergency service or were admitted to the ophthalmology ward over a 4-year period were reviewed. Among these, 38.9% of eye injuries in the study were work-related. Male workers had a 3.99 higher odds ratio (OR) than females to suffer from eye injuries (95% confidence interval [CI], 1.99-8.04). Most of the work-related eye injuries occurred in subjects who were 30-49 years old (OR, 3.02, and 95% CI, 1.56-5.82, when compared with those aged < or = 29 years). The most common type of eye injury in the occupational exposure group was foreign body injury (31.2%), followed by blunt injuries (20.6%), chemical burn (19.6%), UV light radiation (12.7%), and corneal abrasions (11.6%). On the other hand, in the non-occupational exposure group, the most common types of eye injury were blunt injuries (43.4%), corneal abrasions (28.3%), and foreign body injury (20.2%). Our study found that foreign body injury and blunt injuries were the two highest priority injuries for which prevention strategies should be developed in Kaohsiung city. Furthermore, after advanced examination of types of media that caused eye injuries, we found that being hit by wooden objects around the eye, by flying objects in the eye, and by welding flashes are important risk factors for workers to avoid. In conclusion, most of the occupational eye injuries occurred among male workers aged 30-49 years. Due to the lack of an occupational eye injury surveillance system to monitor the incidence of eye injuries and to undertake risk assessment, preventable occupational eye injuries have not been properly controlled. We hope to provide information for further development of preventive strategies.

摘要

为描述高雄市与工作相关的眼外伤的流行病学特征,我们开展了一项基于医院的研究。回顾了486例在4年期间接受急诊治疗或入住眼科病房的患者。其中,研究中的眼外伤有38.9%与工作相关。男性工人遭受眼外伤的比值比(OR)比女性高3.99倍(95%置信区间[CI],1.99 - 8.04)。大多数与工作相关的眼外伤发生在30 - 49岁的人群中(与年龄≤29岁的人群相比,OR为3.02,95%CI为1.56 - 5.82)。职业暴露组中最常见的眼外伤类型是异物伤(31.2%),其次是钝挫伤(20.6%)、化学烧伤(19.6%)、紫外线辐射伤(12.7%)和角膜擦伤(11.6%)。另一方面,在非职业暴露组中,最常见的眼外伤类型是钝挫伤(43.4%)、角膜擦伤(28.3%)和异物伤(20.2%)。我们的研究发现,异物伤和钝挫伤是高雄市应制定预防策略的两个首要重点损伤类型。此外,在对导致眼外伤的介质类型进行深入检查后,我们发现眼部周围被木制物体击中、眼睛被飞行物体击中以及被焊接闪光灼伤是工人应避免的重要危险因素。总之,大多数职业性眼外伤发生在30 - 49岁的男性工人中。由于缺乏职业性眼外伤监测系统来监测眼外伤的发生率并进行风险评估,可预防的职业性眼外伤尚未得到妥善控制。我们希望提供信息以促进预防策略的进一步发展。

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