摘要目的 探讨济宁市社区与农村人群白内障患病率,分析白内障手术覆盖率及术后视力情况.方法 对受试者进行问卷调查及眼科检查.眼科检查包括裸眼及矫正视力、检影验光、眼压、裂隙灯检查及眼底检查.结果 2084例受检者中,白内障患病率为15.89%.随着年龄的增加,白内障患病率明显增高.在女性和农村人群中的白内障患病率较高(分别为19.90%及18.32%).对白内障手术需求女性大于男性,随年龄增加,需求上升.已行白内障手术者共46例56只眼,总的白内障手术覆盖率为13.90%,其中农村为11.8%,城市为17.2%,女性为14.8%,男性为11.7%,农村男性的手术覆盖率最低,为10.2%.白内障手术后矫正视力<0.05者占10.71%.结论 白内障手术需求农村高于城市,白内障手术后总体视力提高欠佳.

abstractsObjective To assess the prevalence of cataract,and to estimate the cataract surgical coverage and postoperative vision in rural and urban defined populations in Jining. Methods Each subject was examined including questionnaire and ocular examination. Ophthalmologic examination included visual acuity determination and refraction, intraocular pressure measurement, slit-lamp biomicroscopy examination for lens and fundus examination. Results The prevalence of cataract was 15.89% among adults at the of 50 or above. The prevalence of cataract was increasing by aging. The prevalence of cataract in women and rural people was significantly higher statistically. Cataract surgical need in female was more than that in male and this tendency was increasing with age. total of 46 individuals 56 eyes had cataract surgical history,the overall cataract surgical coverage was 13.90% ,11.8% in rural and 17.2% in urban populations,14. 8% in female and 11.7% in male. The lowest cataract surgical coverage was 10. 2% in rural male. At survey, 10. 71% of the postoperative patients were identified visual acuity of 0.05 or worse. Conclusion The need for cataract surgery in rural population is more than that in urban population. The postoperative vision is not as good as expected.