摘要
目的 探讨知识宣教及早期治疗对渔业人员角膜异物预后的影响.方法 回顾性分析2013年12月至2016年12月就诊于荣成市第二人民医院眼科的渔业人员角膜异物3146例3652眼.按其是否接受岗前知识宣教和技能培训分为观察组1680例1842眼,对照组1466例1810眼,根据其病情分级、就诊时间、视力影响等特点,制定防治策略.结果 观察组伤后24 h内就诊991例,占59.0％;对照组伤后24 h内就诊430例,占29.3％,2组24 h内就诊率比较差异有统计学意义（P〈0.01）.观察组患者中A级异物发生率（49.0％）明显高于对照组（26.0％）,C、D级异物明显低于对照组,差异均有统计学意义（P〈0.05）.观察组患者并发症角膜基质浸润及角膜瘢痕形成发生率均明显低于对照组,差异有统计学意义（P〈0.01）.结论 知识宣教能够有效降低渔业人员角膜异物的发生率,早期治疗能减轻并发症对中远期视力的影响.
Objective To investigate the effect of early treatment and knowledge education on the prognosis of the patients with corneal foreign body in the marine fishermen .Methods Retrospective analysis was made on the 3146 marine fishermen with corneal foreign body （3652 eyes） who sought medical care in Rongcheng Second People ＇s Hospital from December 2013 to December 2016.In according with whether or not they had received pre-occupational knowledge education and skill training , the subjects were divided into the observation group （1680 cases, 1842 eyes） and the control group （1466 cases, 1810 eyes）.Features of disease classification, treatment time and effects on visual acuity were observed and analyzed , then, prevention and treatment strategies were made accordingly .Results In the observation group, there were 991 patients who sought medical care in 24 hours after injury, accounting for 59.0 %, while in the control group, there were 430 patients who sought medical care in 24 hours after injury, accounting for 29.3%.There was statistical significance, when comparisons were made between the 2 groups（P 〈0.01）.The incidence of grade A foreign body in the observation group （49.0%） was significantly higher than that in the control group （26.0%）, and the incidence of grade C and D foreign bodies in the observation group was significantly lower than those in the control group（P 〈0.05）.The incidence of such complications as corneal stroma infiltration and corneal scar formation in the observation group was significantly lower than that in the control group （ P 〈0.01 ）. Conclusions Knowledge education could effectively reduce the incidence of corneal foreign body in fishermen and reduce the effects of complications and prognosis on visual acuity .
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2017年第6期472-474,共3页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
角膜异物
渔业人员
知识宣教
Corneal foreign body
Fishermen
Knowledge education
Early treatment
