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一组健康科学专业学生中的色觉缺陷

Color vision deficiency among a group of students of health sciences.

作者信息

Pramanik T, Khatiwada B, Pandit R

机构信息

Department of Physiology, Nepal Medical College, Jorpati, Katmandu, Nepal.

出版信息

Nepal Med Coll J. 2012 Dec;14(4):334-6.

Abstract

Color vision deficiency, most of the time remains an unnoticed problem; even many doctors/health professionals do not know the severity of their color vision deficiency and their disability. Some common difficulties reported by medical practitioners and students of health sciences were in recognizing- widespread body color changes (pallor, cyanosis, icterus, rashes, erythema of skin), colorful charts, slides, test-strips of blood and urine, body products: blood or bile in urine, faeces, sputum, vomitus, microscopy, oral and throat lesions, titration end-points, tissue identification (surgery) etc. The present study was undertaken to evaluate the presence of congenital color vision deficiency among the students of health sciences. The study was carried out among the medical and dental male students of Nepal Medical College and Teaching Hospital (n = 215) from November 2, 2012 to December 4, 2012 with the help of Ishihara chart which was shown to all male participants and were asked to read the impressions in the color chart. The impressions perceived by a person with normal color vision were different from the impressions perceived by a person with color vision deficiency. After careful screening, it was noted that among the study population (n = 215), 12 were color deficient (5.58% of our study population). Among them, one could not appreciate color (total color blindness according to the chart used), protanomaly was detected in 1, deuteranomaly in 3 and deuteranopia in 7 volunteers. Students of health sciences must be made aware of their congenital color vision deficiency and its effects on their work. Screening enables the students and later the health professionals to become aware of limitations in their powers of observation and devise ways of overcoming them. The patient is protected from harm and legal action may be avoided when the health professional have adapted their practice to their deficiency. Medical/ dental students and health professionals must be screened for color vision deficiency and advised about it, so that they can take special care in clinical practice.

摘要

色觉缺陷在大多数情况下仍是一个未被注意到的问题;甚至许多医生/卫生专业人员都不知道自己色觉缺陷的严重程度及其造成的不便。医学从业者和健康科学专业的学生报告的一些常见困难包括:识别广泛的身体颜色变化(面色苍白、发绀、黄疸、皮疹、皮肤红斑)、彩色图表、幻灯片、血液和尿液试纸、身体排泄物(尿液、粪便、痰液、呕吐物中的血液或胆汁)、显微镜检查、口腔和咽喉病变、滴定终点、组织识别(手术等)。本研究旨在评估健康科学专业学生中先天性色觉缺陷的情况。2012年11月2日至2012年12月4日,在尼泊尔医学院和教学医院的医学和牙科男学生(n = 215)中开展了这项研究,借助石原氏色盲测验图对所有男性参与者进行测试,并要求他们读出图中的图案。正常色觉者所感知的图案与色觉缺陷者所感知的图案不同。经过仔细筛查,发现在研究人群(n = 215)中,有12人存在色觉缺陷(占我们研究人群的5.58%)。其中,1人无法辨别颜色(根据所用图表为全色盲),1人检测为红色弱,3人检测为绿色弱,7名志愿者检测为绿色盲。必须让健康科学专业的学生了解自己先天性色觉缺陷及其对工作的影响。筛查能让学生以及之后的卫生专业人员意识到自己观察能力的局限性,并想出克服这些局限性的方法。当卫生专业人员根据自身缺陷调整工作方式时,可以保护患者免受伤害并避免法律诉讼。必须对医学/牙科学生和卫生专业人员进行色觉缺陷筛查并告知他们相关情况,以便他们在临床实践中能够格外小心。

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