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巴西儿童眼外伤的流行病学研究。

Epidemiological study of eye injuries in Brazilian children.

作者信息

Moreira C A, Debert-Ribeiro M, Belfort R

机构信息

Department of Ophthalmology, Escola Paulista de Medicina, São Paulo, Brazil.

出版信息

Arch Ophthalmol. 1988 Jun;106(6):781-4. doi: 10.1001/archopht.1988.01060130851038.

Abstract

A year-long follow-up study of 146 eye injuries in children up to 15 years of age was carried out in two emergency hospitals of a southern Brazilian city. These injuries represent approximately 65% of the total number of patients seeking ophthalmic care at emergency hospitals within this city. Patients were followed up for at least four months after injury; visual results as well as epidemiological factors were analyzed. Based on these findings, children in the 0- to 5-year-old group were at greatest risk, regardless of sex; among children older than 5 years, eye injuries were more frequent in boys. Generally, the child takes part in the accident as an active participant, and adequate adult supervision decreases the number of these accidents. Analysis of the relationship between socioeconomic levels of the parents and severity of eye injuries revealed that severe eye injuries were more frequent in lower socioeconomic strata. In severe eye injuries 35.1% of the children ended with visual acuity under 20/200 in the affected eye, which corresponds to 9% of all studied eye injuries.

摘要

在巴西南部一个城市的两家急诊医院,对15岁及以下儿童的146例眼外伤进行了为期一年的随访研究。这些损伤约占该城市急诊医院寻求眼科护理的患者总数的65%。患者在受伤后至少随访了四个月;分析了视力结果以及流行病学因素。基于这些发现,0至5岁组的儿童无论性别,风险最大;在5岁以上的儿童中,眼外伤在男孩中更为常见。一般来说,儿童是事故的积极参与者,适当的成人监督可减少此类事故的数量。对父母的社会经济水平与眼外伤严重程度之间的关系分析表明,严重眼外伤在社会经济地位较低的阶层更为常见。在严重眼外伤中,35.1%的儿童患眼的视力最终低于20/200,这相当于所有研究眼外伤的9%。

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