山东省农村50岁及以上人群白内障患病率及手术状况的调查分析

眼科 ›› 2013, Vol. 22 ›› Issue (4): 234-239.

山东省农村50岁及以上人群白内障患病率及手术状况的调查分析

焦万珍周成超王利华

250021 山东大学附属省立医院眼科中心，山东省防盲治盲指导组办公室（焦万珍、王利华）；250012山东大学公共卫生学院（周成超）

收稿日期:2013-04-26 出版日期:2013-07-25 发布日期:2013-07-23
通讯作者: 王利华，Email：wang_glasses@163.com
基金资助:
山东省科学技术发展计划（2008GG10002051）；山东省医药卫生科技发展计划（2005HW101）

Prevalence and surgery status of cataract in adults aged 50 years or above in rural Shandong Province

JIAO Wan-Zhen, ZHOU Cheng-Chao, WANG Li-Hua

1. Department of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong University,Jinan 250021, China； 2. The Office of the Steering Group, Prevention for blindness of Shandong Province, Jinan 250012, China

Received:2013-04-26 Online:2013-07-25 Published:2013-07-23
Contact: WANG Li-hua，Email：wang_glasses@163.com

摘要/Abstract

摘要： 目的调查山东省农村50岁及以上人群白内障患病率、白内障手术覆盖率、白内障盲人社会负担率。设计以人群为基础的横断面调查。研究对象 2008年4-7月在山东省不同经济发展水平的县（市）、区中选择4个县（市）、区（乳山市、滕州市、鄄城县、济南市槐荫区）作为调查地。抽取50岁及以上受检者17816例。方法对所有受检者进行视力和眼部检查，包括评价晶状体混浊程度和白内障手术状况。主要指标白内障患病率、人工晶状体（IOL）植入率、白内障手术覆盖率、白内障盲人社会负担率。结果在17816名受检者中，发现白内障4938例，患病率为27.72%。高龄、女性、文盲人群的白内障患病率较高，差异有统计学意义（P＜0.01）。在受检的4938例白内障患者中，249例310眼接受了白内障手术，接受白内障手术的率为1.40%；其中194眼（62.58%）采用现代囊外摘除联合IOL植入术，32眼（10.32%）采用超声乳化吸除联合IOL植入术；239眼植入了IOL，IOL植入率为77.10%。白内障手术覆盖率为36.77%，白内障盲人社会负担率为2.12%。随着年龄增长和文化程度降低，白内障盲人社会负担率逐渐增高，这种变化趋势有统计学意义（P＜0.05）。结论山东省农村50岁及以上人群的白内障患病率较高、白内障手术覆盖率仍较低，手术治疗白内障盲依然是防盲工作的重点。（眼科，2013，22： 234-239）

关键词: 白内障, 患病率, 白内障摘除术, 中年人, 老年人

Abstract: Objective To assess the prevalence of cataract, the cataract surgical coverage rate, and the cataract-blindness social burden rate among older adults aged 50 years or above in rural populations in Shandong Province, China, in 2008. Design Population-based, cross-sectional study. Participants 17 816 individuals aged 50 years or above in three counties and one suburbs representative of the different levels of socioeconomic development. Methods Visual acuity (VA), lens and cataract operation status of all the individuals were evaluated. Main Outcome Measures The prevalence of cataract, the rate of intraocular lens implantation, the cataract surgical coverage rate, and the cataract-blindness social burden rate. Results In 17 816 individuals, 4938 cases were suffered from cataract; the prevalence of cataract was 27.72%. The prevalence of cataract was higher in older people, female, and illiterate persons (P＜0.01). In 310 eyes with cataract surgery, 62.58% and 10.32% of eyes were performed by the modern extra-capsular surgery and phocoemusification respectively. The rate of intraocular lens implantation was 77.10%. The cataract surgical coverage rate was 36.77%, and the cataract-blindness social burden rate was 2.12%. The cataract-blindness social burden rate was higher in the aged persons and illiterate persons (P＜0.01). Conclusion The cataract surgical coverage rate is still lower in older adults aged 50 years or above in rural populations in Shandong Province. Surgery for cataract blindness is still the first important task in prevention of blindness in Shandong Province. (Ophthalmol CHN, 2013, 22: 234-239)

Key words: cataract, prevalence, cataract extraction, middle aged, aged

焦万珍, 周成超, 王利华 . 山东省农村50岁及以上人群白内障患病率及手术状况的调查分析[J]. 眼科, 2013, 22(4): 234-239.

JIAO Wan-Zhen, ZHOU Cheng-Chao, WANG Li-Hua. Prevalence and surgery status of cataract in adults aged 50 years or above in rural Shandong Province [J]. Ophthalmology in China, 2013, 22(4): 234-239.

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