健康体检中机会性眼病筛查的效果评价
Evaluation of screening efficacy of opportunistic disease of eye in health examination
摘要目的 探讨健康体检筛查中机会性眼病的筛查效果.方法 采用横断面研究.选取2018年1月至6月在安徽省立医院健康管理中心进行眼科检查33 437例,分别进行视力及眼科检查.并分析机会性眼病的比例以及造成盲的主要原因.结果 其中屈光不正21 760例(65.1%),白内障3 989人(11.9%),黄斑病变1 714例(5.1%),糖尿病性视网膜病变158例(0.47%)疑似青光眼165例(0.49%),视力损伤和盲共2 954例(8.8%),视力损伤患病率随年龄增长而增大(Z=23.087,P=0.000),致盲率亦随年龄增长而增大(Z=32.786,P=0.000),70.47%的盲发生于60岁以上人群.其中> 60岁人群中女性致盲率大于男性(x2=4.534,P=0.033).结论 健康体检对机会性眼病的检出率较高,是防治可避免盲与视觉损伤的重要环节.
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abstractsObjective To investigate the screening of opportunistic disease of eye in health examination.Methods A cross section study.Total of 33 437 persons who received health ophthalmologic examination from Jan.to Jun.2018 were selected.The visual acuity and ophthalmologic examinaion were performed.The prevalence of opportunistic disease of eye and the main causes of blindness were analyzed.Results There were 21 760 cases(65.1%)with ametropia,3 989 cases(11.9%)with cataract,1 714 cases (5.1%) with maculopathy,158 cases (0.47%) with diabetic retinopathy,165 cases (0.49%) with suspected glaucoma.There were 2 954 cases (8.8%) of visual impairment and blind.The rate of visual impairment (Z =23.087,P =0.000) and blind (Z =32.786,P =0.000) were raised with increasing age.The rate of blindness was 70.47% among old person with aged >60 years.The rate of blindness in female was higher than that in male (x2 =4.534,P =0.033).Conclusion The detection rate of opportunistic disease of eye is high in health examination.
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