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新型冠状病毒肺炎大流行对一家三级医院眼外伤的影响。

COVID-19 pandemic impact on ocular trauma in a tertiary hospital.

作者信息

Xu You-Mei, Du Li-Ping, Huo Ya-Dan, An Guang-Qi, Jin Xue-Min, Zhou Peng-Yi

机构信息

The Academy of Medical Sciences, Zhengzhou University, Zhengzhou 450000, Henan Province, China.

Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Henan Province, China.

出版信息

Int J Ophthalmol. 2023 Jan 18;16(1):16-21. doi: 10.18240/ijo.2023.01.03. eCollection 2023.

Abstract

AIM

To analyze the impact of the coronavirus disease-2019 (COVID-19) pandemic on the presentation and characteristics of patients hospitalized for ocular trauma in a tertiary hospital in China between 2019 and 2020.

METHODS

A retrospective case study was designed to collect information on all cases of ocular trauma in a tertiary hospital from 2019 to 2020 and compare differences in inpatients' data (age, sex, admission vision acuity, type of diagnosis, hospital stays, mechanism of injury and location of injury).

RESULTS

The total number of patients admitted to the Ophthalmology Department was 883 (mean 73.58±11.25 patients per month) in 2019 and 714 (59.50±17.92 patients per month) in 2020. The injury number of in work was also the most within the four types of location in this two year (42.36% in 2019, 43.84% in 2020). The mean hospital stays were 12.66d in 2019 and 10.81d in 2020. The highest incidence of ocular trauma was the middle-aged (41-65y) groups in 2019 and 2020. The most common cause of ocular trauma was sharp object in 2019 (47.34%) and 2020 (47.58%). The mechanical ocular trauma reaches 98.98% in 2019 and 99.72% in 2020.

CONCLUSION

The number of patients with ocular trauma decreased in 2020, but middle-aged (41-65y) are still high incident groups. Mechanical ocular trauma remains the leading cause of hospitalization for ocular trauma patients and the proportion of patients injured at home increases. It is necessary to arouse social attention and the public's awareness of eye trauma protection should be strengthened during the pandemic.

摘要

目的

分析2019年至2020年新型冠状病毒肺炎(COVID-19)疫情对中国一家三级医院因眼外伤住院患者的就诊情况及特征的影响。

方法

采用回顾性病例研究,收集2019年至2020年一家三级医院所有眼外伤病例的信息,并比较住院患者数据(年龄、性别、入院视力、诊断类型、住院时间、损伤机制和损伤部位)的差异。

结果

2019年眼科收治患者总数为883例(平均每月73.58±11.25例),2020年为714例(平均每月59.50±17.92例)。在这两年的四种损伤部位类型中,工作场所受伤人数也最多(2019年为42.36%,2020年为43.84%)。2019年平均住院时间为12.66天,2020年为10.81天。2019年和2020年眼外伤发病率最高的是中年(41 - 65岁)组。2019年(47.34%)和2020年(47.58%)眼外伤最常见的原因是锐器伤。2019年机械性眼外伤占98.98%,2020年占99.72%。

结论

2020年眼外伤患者数量有所下降,但中年(41 - 65岁)仍是高发人群。机械性眼外伤仍然是眼外伤患者住院的主要原因,在家中受伤的患者比例增加。疫情期间有必要引起社会关注,加强公众的眼外伤防护意识。

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本文引用的文献

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Changing trends in ocular trauma during the COVID-19 pandemic in the USA.美国 COVID-19 大流行期间眼部创伤的变化趋势。
Br J Ophthalmol. 2023 Feb;107(2):295-298. doi: 10.1136/bjophthalmol-2021-319627. Epub 2021 Aug 20.

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