摘要
目的了解我军军事训练和军事作业眼外伤的流行病学特征。方法将2005年1月1日-2009年12月31日在全军训练伤监测网点11所后送医院住院的军人眼外伤资料填入"部队医院军人眼外伤登记表"。眼外伤患者的流行病学资料包括受伤时间、地点、外伤类型、原因、检查、治疗和康复水平等,所有数据录入数据库进行统计分析。结果共有军事训练和军事作业眼外伤患者189例,约占全部眼外伤的45.5%,受伤年龄23.4±5.4岁,均为男性;军官占9.0%,战士占91.0%。2006年比2005年发病人数降低,后逐年升高;合并全身伤情者4.2%,伤前有眼部病史或者手术史者4.2%,单眼受伤91.0%,双眼受伤9.0%;伤后视力1级者35.0%,2级20.6%,3级13.6%,4级25.7%,5级4.4%;机械性眼外伤者87.3%,非机械性眼外伤12.7%。大多数军事训练和军事作业眼外伤患者能得到及时后送救治,大部分预后良好。结论军事训练和军事作业眼外伤是我军多发的眼外伤,应该重视预防,应提高全军官兵预防意识,进一步深入研究详细的预防策略。
Objective To investigate the epidemiological characters of ocular injuries related to military training and operations in Chinese army.Methods The data of servicemen with ocular injuries,hospitalized in 11 military evacuation hospitals from 2005-01-01 to 2009-12-31,were entered into a registration table.The data included the time and place when the injury happened,type and cause of injury,examination records,treatment,rehabilitation level,etc.All data were input into the database for statistical analysis.Results Of all the cases of ocular injuries,189（45.5%） were related to military training and operations.The mean age of the 189 cases was 23.4±5.4 years,all of them were men,and soldiers accounted for 91.0% and officers accounted for 9.0%.The incidence declined in 2006 compared with that in 2005,and then rose gradually thereafter year by year.Eight patients（4.2%） were complicated with bodily injuries,and 4.2% of patients had the history of eye surgery or eye disease before the ocular injury.Of the 189 cases,in 172（91.0%） one eye was injured while in 17（9.0%） both eyes were injured.After injury,in 35.0% of patients sight restoration to grade 1,in 20.6% to grade 2,in 13.6% to grade 3,in 25.7% to grade 4,and in 4.4% to grade 5.In 87.3% of patients injuries were due to mechanical forces and in 12.7% ocular injuries were not mechanical.Most patients with eye injury occurring in military training and operations were sent to evacuation hospital and treated timely,and good results were obtained.Conclusions Military training and operations related ocular injury is a prevalent ocular injury occurring in Chinese armed forces,and should be paid more attention in prevention.One important measure is to improve the prevention awareness of Chinese servicemen,and a detailed prevention measures should be further studied.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2011年第10期1005-1007,共3页
Medical Journal of Chinese People's Liberation Army
基金
全军"十一五"攻关课题(06G111)
关键词
眼外伤
军事医学
流行病学
ocular injuries
military medicine
epidemiology
