尼日利亚奥索波眼外伤患者住院分析

摘要

Abstract•AlM: To describe the epidemiology and outcome of ocular injuries requiring hospital admission in Ladoke Akintola University of Technology Teaching Hospital ( LTH) , Osogbo, Nigeria.•METHODS: Retrospective chart review of all patients hospitalized for ocular injuries at LTH, Osogbo between April 2002 and March 2014 was undertaken. lnformation extracted from patients records were entered into a pre-designed form. Data were analyzed with Statistical Package for Social Sciences ( SPSS) version 20. Logistic regression analysis was used to assess effects of different variables on the visual outcome of ocular injuries after treatment among the subjects. P<0. 05 was used as test of statistical significance.•RESULTS: One hundred and twenty- seven patients were hospitalized at LTH within the study period. The median age was 22. 0y ( range: 0. 5-70. 0 ) and male:female ratio 2. 6:1. Majority of the injuries ( 35. 2%) occurred within the home setting. Of the 127 patients, 74 (58. 3%) had open globe lnjuries (OGl), 34 (26. 8%) had closed globe injuries ( CGl ), 7 ( 5. 5%) had adnexal injuries, 6 ( 4. 7%) had ruptured globes, 4 ( 3. 1%) had chemical injuries, 1 ( 0. 8%) patient each had retained intraocular foreign body and thermal eye injury. Two-thirds of patients managed for ocular injuries in this series had poor visual outcome. There were statistically significant associations between poor initial visual acuity (OR=13. 24) and OGl with poor visual outcome ( OR=9. 16).•CONCLUSlON: There is an urgent need for health education and, to put in place preventive strategies for ocular injuries. Developing countries need to build up capacity to offer complex anterior and posterior segment surgeries for those with severely injured eyes so as to improve the visual outcomes.%目的：：分析尼日利亚奥索波Ladoke Akintola 科技大学附属医院住院眼外伤患者流行病学及预后。方法：回顾性分析我院2002-04/2014-03所有眼外伤住院患者。患者信息从患者记录中提取并录入预设表格，采用SPSS 20对数据进行统计分析。通过Logistic回归分析评估不同变量对患者眼外伤治疗和视功能预后的影响， P<0.05具有统计学意义。结果：共127例患者纳入本研究。平均年龄22(范围：0.5~70.0)岁，男：女比例为2.6：1。大多数眼外伤，约35.2%发生在家里。127例患者中，开放性眼外伤74例(58.3%)，闭合性眼外伤34例(26.8%)，眼附属器官损伤7例(5.5%)，眼球爆裂伤6例(4.7%)，眼化学伤4例(3.1%)，眼内异物及眼外伤各1例。本研究中2/3眼外伤患者经治疗，视功能预后仍不佳。初诊视力低下( OR=13.24)和开放性眼外伤(OR=9.16)与视功能预后不佳具有显著相关性。结论：发展中国家急需健康教育及眼外伤预防措施。同时，需增强行复杂性眼外伤前后段手术的能力，以改善严重眼外伤患者的视功能预后。