| Purpose:By retrospectively analyzing 12,880 cases of ophthalmic medical records of hospitalized patients in Yan’an City 2011-2013, the author concludes the association of ophthalmic diseases between age, sex and occupation infers that the epidemiological characteristics and its related risk factors of eye disease in our city, finding the problem, solving the problem, and then guiding clinical practice.Method:The patients of eye diseases in Yan’an City focused on Affiliated Hospital of Yan’an University and People’s Hospital in Yan’an City. The materials are collected from medical records Room in this two hospitals from 2011 to 2014(in accordance with the International Classification of Diseases ICD-10 Classification of Diseases) and treats the first discharge diagnosis as a classification criterion. The main analyzed factors are gender, age, occupation, disease and so on. First, the data is encoded by EXCELL table sorting, and then enter the SPSS19.0 software for statistical analysis. Count data and level data are described by constitution ratio. Count data hypothesis testing adopts χ2 and rating data adopts rank sum test while measurement data uses variance analysis. the results are judged by P≤0.05 statistically significant difference.Results:Among 12,880 cases of hospitalized patients with ophthalmic disease in our city from January, 2011 to December, 2014, the top five diseases are lens disease, trauma, pterygium, retinal and vitreous diseases, glaucoma. First, cataract patients(2987 cases) takes 23.2% of the total. The types of diseases had no significant correlation with gender and cataract patients are most common among people aged from seventy to seventy-nine years old. Second, the total of ocular trauma patients is 2587(20.1%), among which themajor is blunt trauma. Most of them are farmers, workers, students and male are dominated. Third, pterygium: the total is 1545 cases, and the gender ratio is about 1: 2. Fourth, fundus: the total is 1306, most of them are retinal detachment(239 cases). The gender ratio of diabetic retinopathy is 1: 2; the average age of central vein occlusion and branch vein occlusion are 54 ± 12.415 years and 56.49 ± 11.556 years, and retired cadres accounted for 32.1% among macular degeneration. Fifth, Glaucoma: Glaucoma patients with primary angle-closure takes 61.7%, and the gender ratio is 1: 1.52. Sixth, strabismus, ophthalmoplegia, ptosis: the ratio of internal and external oblique is 1: 4.1; the gender ratio of ptosis is 3.55: 1. Seventh, lacrimal apparatus diseases: the gender ratio of chronic dacryocystitis is 1: 8.2; the gender ratio of tears stenosis is 1: 3.1. Ninth, optic nerve diseases: the number of optic nerve diseases is 305 with an average age of 57.11; the average age of optic nerve inflammation in patients is 38.07 years.Conclusions:First, Our city should treat blinding cataract blindness prevention as a top priority, among which the female takes the most part. Second, our city should strengthen eye injury prevention of farmers, workers, students. Third, The city has a high incidence of pterygium, but the correlation between sexually transmitted diseases and pterygium needs further study. Fourth, The average age of veno-occlusive disease has been significantly lowered, and the specific reasons needs further study. Our city should strengthen the missionary work in diabetic patients. Fifth, the incidence of pterygium is high and the female significantly takes the larger proportion.Sixth, the glaucoma hospitalized patients are mainly with mainly angle-closure and open-angle glaucoma detection rate is lower.Seventh, older women are most common in chronic dacryocystitis and lacrimal duct stenosis and obstruction. Eighth, ischemic optic neuropathy is mainly concentrated in forty to sixth-nine years old and the incidence of youth may be arterial inflammation, while optic neuritis mainly concentrates in young patients from twenty to fifth years old. |
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