国际眼科纵览 ›› 2020, Vol. 44 ›› Issue (5): 289-295.doi: 10.3760/ cma.j.issn.1673-5803.2020.05.001

• 全民健康助力全面小康 •    下一篇

中国消灭致盲性沙眼的历程

胡爱莲 王宁利   

  1. 首都医科大学附属北京同仁医院   北京同仁眼科中心   北京市眼科研究所  眼科学与视觉科学北京市重点实验室100005
  • 收稿日期:2020-10-18 出版日期:2020-10-22 发布日期:2020-11-01
  • 通讯作者: 胡爱莲,Email:halzxf@sina.com

The history of elimination of blinding trachoma in China

Hu Ailian, Wang Ningli   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and  Visual Sciences, Beijing 100005, China
  • Received:2020-10-18 Online:2020-10-22 Published:2020-11-01
  • Contact: Hu Ailian, Email: halzxf@sina.com

摘要: 沙眼曾是我国首位的致盲性眼病,经过几代人的不懈努力,终于消灭了致盲性沙眼。沙眼衣原体的发现及相关研究为防控沙眼提供了科学依据。建国70年来在沙眼防控过程中我国政府高度重视,长期改水改厕,改善环境卫生,加大基层医疗投入,三级医疗网络建设不断完善,新农合全面覆盖,医疗的可及性和药物的可获得性大大提高,在这些全面防控措施下最终实现了消灭致盲性沙眼。本文回顾了我国沙眼的防控历程,包括沙眼广泛流行期(建国之前)、沙眼病原体发现与沙眼全面有效防控(建国后至改革开放之前)、有效遏制沙眼(改革开放后~1999年)、实现消灭致盲性沙眼(2000年之后)等几个阶段。(国际眼科纵览,2020, 44: 289-295)

关键词: 沙眼, 防盲

Abstract: Trachoma was the leading blinding eye disease in China. With the unremitting efforts of several generations, it was finally eliminated. The discovery of chlamydia trachomatis provided the scientific basis for the prevention and control of trachoma. In the 70 years since the founding of the People's Republic of China, during trachoma prevention and control process,with comprehensive prevention and control measures including  the prioritization by chinese government, long-term effects in the improvement of water and toilet hygiene and environmental sanitation, increased investment in primary medical care, continuous construction of the three-tier medical service network, expanded coverage of the new rural cooperative medical system, greatly increased accessibility of medical services and availability of medications,  the elimination of blinding trachoma was ultimately achieved.This paper reviews the history of trachoma prevention and control in China, including trachoma epidemic period (before the founding of the People's Republic of China), discovery of chlamydia trachomatis and comprehensive and effective prevention and control of trachoma (after the founding of the People's Republic of China and before the reform and opening up), effective control of trachoma (after reform and opening up to 1999), and elimination of blinding trachoma (after 2000). (Int Rev Ophthalmol, 2020, 44: 289-295)

Key words: trachoma, prevention of blindness