摘要
目的探讨上海市卢湾区淮海社区65岁及以上老年人的盲与低视力患病率、致盲原因及其相关因素。方法采用整群抽样方法,按照世界卫生组织视力损伤标准确立盲或低视力,并明确主要致盲原因。结果实际受检2 299人。按照世界卫生组织视力损伤标准判断,本次调查双眼盲与低视力的患病率分别为0.74%、5.83%;单眼盲与低视力患病率分别为2.78%、7.22%。年龄相关性黄斑变性(age-related macular degeneration,AMD)、老年性白内障、白内障术后、高度近视、眼球萎缩(青光眼)是前五位致盲与低视力眼病。年龄、眼相关慢病史(糖尿病史、高血压史)、眼病史均是致盲与低视力的危险因素。结论在上海逐渐步入老龄化社会的大环境下,AMD、老年性白内障、糖尿病视网膜病变(diabetic retinopathy,DR)成为主要的致盲原因,因此需加强对这类社区人群的关注度和认知度,进行有针对性的眼保健教育与服务工作。
Objective To investigate the prevalence of blindness and low vision and the leading causes of blindness in residents aged ≥65 years in Huaihai blocks,Shanghai.Methods Randomly cluster sampling was used to identify the adults aged ≥65 years in Huaihai blocks,Shanghai.Visual impairment according to World Health Organization standards established blind or low vision.And the leading causes of visual impairment were assured.Results Of 2 299 enumerated subjects ≥65 years of age.The prevalence of blindness and low vision were 0.74% and 5.83% respectively.The lesding causes of blindness and low vision were age-related macular degeneration,cataract,cataract surgery,high myopia,ocular absence or atrophy（glaucoma）.Age,eye diseases and history of diabetes,hypertension were the risk factors of blindness and low vision.Conclusions In rapidly urbanized and aging community of Shanghai,age-related macular degeneration（AMD）,cataract,diabetic retinopathy（DR） are major cause of blindness.These kinds of residents need more targeted eye health education and services.
出处
《中华疾病控制杂志》
CAS
北大核心
2012年第8期658-660,共3页
Chinese Journal of Disease Control & Prevention
基金
上海市卫生局青年科研项目(2009Y129)
关键词
盲
视力
低
流行病学研究
Blindness
Vision, low
Epidemiologic studies
