Hanieh Ahmadi, Zahra Alizadeh, Samad Karkhah, Mohammad Javad Ghazanfari
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引用次数: 1
摘要
眼外伤是儿童获得性失明最常见的原因之一。与眼外伤相关的流行病学参数在不同人群中有所不同,尤其是在儿童中。本研究的目的是评估18岁以下儿童眼外伤的流行病学。在这项横断面研究中,从2017年11月至2019年1月,在伊朗萨里的bui - ali - sina医院急诊科转介的145名眼外伤儿童(18岁以下)入组。在参与者中,57.9%是男性,70.4%有钝性外伤,97.2%有单侧眼损伤,54.5%有右眼损伤。造成创伤的最大危险因素是文具(51.0%)。近半数(52.9%)患者有角膜损伤。最多的创伤发生在家中(67.4%)。大多数患者(95.0%)瞳孔相对传入缺损正常。男孩的钝性(52.6%比47.4%)和穿透性(72.5%比27.5%)创伤高于女孩(p=0.03)。钝性和穿透性眼外伤最常见的部位与角膜有关(P=0.04)。考虑到目前的研究结果,我们认为父母应该在家里加强对孩子的监督,并对学龄儿童进行充分的文具使用教育。
Prevalence of Pediatric Ocular Trauma in Northern Iran; An Epidemiological Cross-Sectional Study.
Ocular trauma is one of the most common causes of acquired blindness in children. The epidemiological parameters associated with ocular trauma vary in different populations, especially in children. The objective of this study was to assess the ocular trauma epidemiology in children less than 18 years of age. In this cross-sectional study, 145 children (under 18 years) with ocular trauma who referred to the emergency department of Bu-Ali-Sina Hospital in Sari, Iran were enrolled from November 2017 to January 2019. Of the participants, 57.9% were men, 70.4% had blunt trauma, 97.2% had a unilateral eye injury, and 54.5% had a right eye injury. The most risk factor for trauma was stationery (51.0%). Almost half of the patients (52.9%) had corneal injuries. The most trauma locations were at home (67.4%). Most patients (95.0%) had normal relative afferent pupillary defects. Blunt (52.6% vs. 47.4%) and penetrating (72.5% vs. 27.5%) traumas was higher in boys than girls (p=0.03). Most frequent part of eye injuries in blunt and penetrating traumas was related to the cornea (P=0.04). It seems that parents should have more supervision on children at home and give adequate education in using of stationery to school-age children by considering the results of present study.
期刊介绍:
BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.