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[青岛眼科医院白内障手术调查]

[Investigation on cataract surgery in Qingdao Eye Hospital].

作者信息

Meng Li, Xie Li-Xin, Jiang Jian, Wang Liang-Yu

机构信息

Qingdao Eye Hospital, Shandong Eye Institute, Qingdao, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2007 Oct;43(10):897-901.

Abstract

OBJECTIVES

To evaluate the cataract surgery status of Qingdao Eye Hospital and to explore the changes in living quality and people's awareness of the eye diseases in Qingdao based on this information.

METHODS

Various parameters from patients who underwent cataract surgery in Qingdao Eye Hospital in the years 1994, 1999 and 2004 were collected, including age, nuclear hardness, occupation, pre- and postoperative vision acuity as well as the type of surgical procedures and complications of the surgery. Data from different years were compared and analyzed to explore the changes and the significance of these changes.

RESULTS

Three hundred and thirty-eight senile cataract cases were operated on in 1994 including 36 cases that underwent Phaco (10.65%). The percentage of nuclear hardness < IV, = IV and = V grade was 11.83%, 27.51% and 60.66% respectively. The age of the patient < 60 years, 60 - 69 years, 70 - 79 years and over 80 years was 12.34%, 33.14%, 33.43% and 21.01%, respectively. Four hundred and sixty senile cataract cases were operated on in 1999, including 180 cases that underwent Phaco (39.13%). The percentage of nuclear hardness < = III, = IV and = V grade was 24.35%, 38.26% and 37.39%, respectively. The age of the patient < 60 years, 60 - 69 years, 70 - 79 years and > 80 years was 14.13%, 35.22%, 31.96%, and 18.70%, respectively. Four hundred and ninety nine senile cataract cases were operated on in 2004 including 396 cases that underwent Phaco (79.36%). The percentage of nuclear hardness < IV, = IV and = V grade was 30.66%, 39.28% and 30.06%, respectively. The age of the patient < 60 years, 60 - 69 years, 70 - 79 years and > 80 years was 19.44%, 36.47%, 30.66% and 13.43%, respectively.

CONCLUSIONS

The present study indicates that the number of cataract operations and the percentage of rural patients have increased gradually in the past 10 years in our hospital. The age of operated patients and nuclear hardness of the cataract, the percentage of hypermature cataract and severe vision-damaged cases have decreased gradually. The percentage of Phaco surgery has increased and the results of this operation have improved significantly. These changes indicate that economic conditions in Qingduo have developed, the life quality and health conditions of Qingdao's residents have improved rapidly. The people in this region have shown more and more concern for individual eye health.

摘要

目的

评估青岛眼科医院白内障手术状况,并基于此信息探讨青岛地区居民生活质量变化以及对眼病的认知情况。

方法

收集1994年、1999年和2004年在青岛眼科医院接受白内障手术患者的各项参数,包括年龄、晶状体核硬度、职业、术前及术后视力,以及手术方式和手术并发症类型。对不同年份的数据进行比较和分析,以探究这些变化情况及其意义。

结果

1994年共进行338例老年性白内障手术,其中36例行超声乳化白内障吸除术(10.65%)。晶状体核硬度<Ⅳ级、=Ⅳ级和=Ⅴ级的比例分别为11.83%、27.51%和60.66%。患者年龄<60岁、60 - 69岁、70 - 79岁及80岁以上的比例分别为12.34%、33.14%、33.43%和21.01%。1999年共进行460例老年性白内障手术,其中180例行超声乳化白内障吸除术(39.13%)。晶状体核硬度<=Ⅲ级、=Ⅳ级和=Ⅴ级的比例分别为24.35%、38.26%和37.39%。患者年龄<60岁、60 - 69岁、70 - 79岁及>80岁的比例分别为14.13%、35.22%、31.96%和18.70%。2004年共进行499例老年性白内障手术,其中396例行超声乳化白内障吸除术(79.36%)。晶状体核硬度<Ⅳ级、=Ⅳ级和=Ⅴ级的比例分别为30.66%、39.28%和30.06%。患者年龄<60岁、60 - 69岁、70 - 79岁及>80岁的比例分别为19.44%、36.47%、30.66%和13.43%。

结论

本研究表明,在过去10年里,我院白内障手术例数及农村患者比例逐渐增加。手术患者年龄及白内障晶状体核硬度、过熟期白内障和严重视力损害病例的比例逐渐下降。超声乳化白内障吸除术的比例增加,且该手术效果显著改善。这些变化表明青岛地区经济状况得到发展,居民生活质量和健康状况迅速提高。该地区居民对个人眼部健康的关注度越来越高。

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