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眼内异物患者的病因及流行病学特征:十年间1340例病例的回顾性分析

Etiologic Causes and Epidemiological Characteristics of Patients with Intraocular Foreign Bodies: Retrospective Analysis of 1340 Cases over Ten Years.

作者信息

Li Lin, Lu Hai, Ma Kai, Li Yun-Yun, Wang Hai-Yan, Liu Ning-Pu

机构信息

Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Sciences Key Laboratory, Capital Medical University, Beijing 100730, China.

出版信息

J Ophthalmol. 2018 Jan 31;2018:6309638. doi: 10.1155/2018/6309638. eCollection 2018.

DOI:10.1155/2018/6309638
PMID:29651344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5831630/
Abstract

OBJECTIVE

Patients with intraocular foreign bodies were retrospectively analyzed. Population characteristics, pathogenic factors, and the outcomes during the past ten years were discussed.

DESIGN

Retrospective case series study.

METHOD

Medical records of 1340 patients hospitalized in Beijing Tongren Hospital from January 1, 2004, to December 31, 2013, were collected.

RESULTS

Average age was 33.0 ± 13.8 (1-76) years old in 1340 patients. There were more males (1270, 94.8%) than females (70, 5.2%). Patients from outside of Beijing (82.1%, = 1100) prevailed. Farmers (32.1%, = 430) and workers (22.3%, = 299) were the top two affected professions. Leading two causes were splashing of foreign bodies (SFB) (58.6%, = 785) and explosives (31.8%, = 426). More males than females were injured by SFB (59.4% versus 44.3%, = 0.009). Firework injury was the commonest (41.6% versus 3.1%-15.3%, < 0.05) in patients under nine. The annual percentages in patients over 50 increased ( < 0.001) and in patients by explosives decreased ( = 0.027).

CONCLUSION

Most patients in this study were young males from outside of Beijing and farmers. SFB accounted most for patients over 10 years old and fireworks for those under ten. Patients over 50 increased while those by explosives decreased annually over the period.

摘要

目的

对眼内异物患者进行回顾性分析。探讨过去十年间患者的人口统计学特征、致病因素及治疗结果。

设计

回顾性病例系列研究。

方法

收集2004年1月1日至2013年12月31日在北京同仁医院住院的1340例患者的病历资料。

结果

1340例患者的平均年龄为33.0±13.8(1 - 76)岁。男性患者(1270例,94.8%)多于女性患者(70例,5.2%)。非北京地区患者居多(82.1%,n = 1100)。农民(32.1%,n = 430)和工人(22.3%,n = 299)是受影响最严重的两个职业。主要的两个致病原因是异物飞溅(SFB)(58.6%,n = 785)和爆炸物(31.8%,n = 426)。因异物飞溅受伤的男性多于女性(59.4%对44.3%,P = 0.009)。烟花致伤在9岁以下患者中最为常见(41.6%对3.1% - 15.3%,P < 0.05)。50岁以上患者的年百分比有所增加(P < 0.001),而因爆炸物致伤患者的年百分比有所下降(P = 0.027)。

结论

本研究中的大多数患者为来自北京以外地区的年轻男性及农民。10岁以上患者中异物飞溅所致者居多,10岁以下患者中烟花致伤居多。在此期间,50岁以上患者逐年增多,而因爆炸物致伤的患者逐年减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/2850000ebe4d/JOPH2018-6309638.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/a51a4a574546/JOPH2018-6309638.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/fbd98b348819/JOPH2018-6309638.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/4b2a78755c62/JOPH2018-6309638.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/2850000ebe4d/JOPH2018-6309638.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/a51a4a574546/JOPH2018-6309638.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/fbd98b348819/JOPH2018-6309638.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/4b2a78755c62/JOPH2018-6309638.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/5831630/2850000ebe4d/JOPH2018-6309638.004.jpg

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