琼海市≥60岁居民眼疾病状况及未就诊影响因素

发布时间：2019-06-27 19:46

【摘要】：目的研究琼海市≥60岁居民眼疾病状况及未就诊的影响因素。方法选择2012年7月至2013年7月琼海市≥60岁的584例居民,采用抽样调查方案进行研究,分成未就诊组(284例)与就诊组(300例)。由专业人员携带诊疗仪器进驻调查点,根据患者病史及检查结果分析≥60岁居民的眼疾病状况及未就诊情况的影响因素和危险因素。结果≥60岁居民中,共筛查出140例眼疾病患者,其中70岁的发病率为15.24%(89/584),显著高于≤70岁的8.73%(51/584)(χ2=11.719,P=0.000)。农村〔14.04%(82/584)〕显著高于城镇〔9.93%(58/584)〕(χ2=4.675,P=0.031)。丘陵地区〔7.71%(45/584)〕显著高于平原地区〔4.11%(24/584)〕(χ2=6.793,P=0.009)。山区〔12.16%(71/584)〕显著高于丘陵地区〔7.71%(45/584)〕及平原地区〔4.11%(24/584)〕(χ2=6.470,25.311,P=0.011,0.000)。未就诊组的性别为女性占32.39%(92/284),病程长(3年)者占16.90%(48/284),白内障者占14.79%(42/284),翼状胬肉者占13.03%(37/284),经济条件差者占19.72%(56/284),均分别显著高于就诊组的25.00%(75/300),7.00%(21/300),3.67%(11/300),6.67%(20/300),6.00%(18/300)(均P0.05)。根据Logistic回归分析可知,眼疾病未就诊的独立危险因素中,年龄70岁的OR值为2.522,性别女的OR值为1.323,病程长(3年)的OR值为1.673,白内障的OR值为2.534,翼状胬肉的OR值为2.485,经济条件差的OR值为2.163。结论琼海市≥60岁居民的眼疾病情况整体应值得重视,由于影响因素较多,应积极采取措施进行针对性关注,值得临床深入研究。
[Abstract]:Objective to study the status of eye diseases and the influencing factors of patients over 60 years old in Qionghai City. Methods from July 2012 to July 2013, 584 residents over 60 years old in Qionghai City were divided into two groups: undiagnosed group (284cases) and visiting group (300cases). According to the medical history and examination results of the patients, the influencing factors and risk factors of eye diseases and non-medical treatment were analyzed according to the medical history and examination results of the patients. Results A total of 140 patients with eye diseases were screened out. The incidence of ophthalmopathy at the age of 70 was 15.24% (89%), which was significantly higher than that of 8.73% (51 584) aged 鈮，

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