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新冠病毒病改变了眼外伤的患病率、疾病谱及治疗策略。

COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma.

作者信息

Yu Haozhe, Xu Minhui, Zhao Yue, Li Jingyi, Wu Wenyu, Feng Yun

机构信息

Department of Ophthalmology, Peking University Third Hospital, Beijing, China.

Institute of Medical Education, Peking University, Beijing, China.

出版信息

Front Med (Lausanne). 2022 Jan 10;8:774493. doi: 10.3389/fmed.2021.774493. eCollection 2021.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the health of people around the world and has reshaped social behaviors and clinical practice. The purpose of this perspective is to provide epidemiologists and clinicians with information about how the spectrum of ocular trauma diseases changed, as well as to optimize management for improving patient prognosis during this crisis. Analysis of current studies revealed that the prevalence of eye trauma decreased overall, with a trend of delayed medical treatment during the COVID-19 era. Irregular epidemic prevention and control measures, unprotected home activities, and unusual mental states are the main causes of ocular trauma. Strategies for reducing morbidity are also discussed, including popularizing the use norms of prevention and control supplies, taking heed to the safety of family activities, highlighting the special status of child protection, and paying attention to previous case data to implement region-specific precautions. The procedure of ophthalmological emergency and outpatient management should also be optimized, and mental health should be emphasized during this pandemic.

摘要

2019年冠状病毒病(COVID-19)大流行对全球人民的健康产生了重大影响,并重塑了社会行为和临床实践。本文的目的是向流行病学家和临床医生提供有关眼外伤疾病谱如何变化的信息,并在此次危机期间优化管理以改善患者预后。对当前研究的分析表明,眼外伤的总体患病率有所下降,在COVID-19时代有延迟就医的趋势。防疫措施不规范、居家活动无防护以及异常精神状态是眼外伤的主要原因。还讨论了降低发病率的策略,包括普及防控用品使用规范、注意家庭活动安全、突出儿童保护的特殊地位以及关注既往病例数据以实施针对特定地区的预防措施。眼科急诊和门诊管理流程也应优化,并且在此次大流行期间应强调心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b2c/8784966/58cd1df29f16/fmed-08-774493-g0001.jpg

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