Center for Injury Research and Policy, Nationwide Children's Hospital, Columbus, Ohio.
College of Medicine, The Ohio State University, Columbus, Ohio.
Pediatrics. 2018 Feb;141(2). doi: 10.1542/peds.2017-3083. Epub 2018 Jan 8.
To investigate the epidemiologic characteristics of sports- and recreation-related eye injuries among children in the United States.
Data from the National Electronic Injury Surveillance System were analyzed in a retrospective study of children ≤17 years of age treated in US emergency departments for sports- and recreation-related eye injuries from 1990 to 2012.
From 1990 through 2012, an estimated 441 800 (95% confidence interval: 378 868-504 733) children were treated in US emergency departments for sports- and recreation-related eye injuries, averaging 26.9 injuries per 100 000 children. Children 10 to 14 and 15 to 17 years old had the highest rate of eye injury. Three-fourths of injuries were sustained by boys. The most common types of injury were corneal abrasion (27.1%), conjunctivitis (10.0%), and foreign body in the eye (8.5%). Most eye injuries were treated and released (94.6%); however, 4.7% were hospitalized. The most common sports and recreation activities and equipment associated with eye injury were basketball (15.9%), baseball and softball (15.2%), and nonpowder guns (10.6%). The overall rate of eye injury decreased slightly during the study period; however, the rate of eye injury associated with nonpowder guns increased by 168.8%, and nonpowder gun-related eye injuries accounted for 48.5% of hospitalizations.
Pediatric sports- and recreation-related eye injuries remain common. Increased prevention efforts are needed, especially for eye injuries associated with nonpowder guns. Increased child, parent, and coach education, as well as adoption of rules that mandate the use of eye protective equipment should be undertaken.
调查美国儿童与运动和娱乐相关的眼部受伤的流行病学特征。
对 1990 年至 2012 年期间，在美国急诊室接受治疗的年龄在 17 岁以下与运动和娱乐相关的眼部受伤的儿童进行回顾性研究，利用国家电子伤害监测系统的数据进行分析。
1990 年至 2012 年期间，估计有 441800 名（95%置信区间：378868-504733）儿童因与运动和娱乐相关的眼部受伤而在美国急诊室接受治疗，平均每 100000 名儿童中有 26.9 例受伤。10 至 14 岁和 15 至 17 岁的儿童眼部受伤率最高。四分之三的受伤者为男孩。最常见的损伤类型为角膜擦伤（27.1%）、结膜炎（10.0%）和眼内异物（8.5%）。大多数眼部受伤经治疗后即可离院（94.6%）；但仍有 4.7%需要住院治疗。与眼部受伤最相关的运动和娱乐活动及设备为篮球（15.9%）、棒球和垒球（15.2%）和非火药枪（10.6%）。研究期间，眼部受伤总体发生率略有下降；但非火药枪相关眼部受伤发生率增加了 168.8%，非火药枪相关眼部受伤占住院治疗的 48.5%。
儿科与运动和娱乐相关的眼部受伤仍然很常见。需要加强预防工作，尤其是针对与非火药枪相关的眼部受伤。应加强儿童、家长和教练的教育，并制定强制性使用眼部防护设备的规则。
