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目的调查报告真菌性角膜炎病人的流行病学特征及易患因素。方法对确诊为真菌性角膜炎的1074例病人进行回顾性分析,评估流行病学特征及患病的危险因素。结果真菌性角膜炎的发病呈上升趋势,635例(59.1%)的患者为男性,21-60岁是发病集中年龄,911例(85%)患者的职业是农民,448例(41.7%)患者有明确的外伤史,就诊史明确的患者中731例(97%)在一周内就诊于各级医疗机构而被诊断为真菌性角膜炎的仅为22%。结论真菌性角膜炎是严重的致盲性眼病,其发病率呈上升趋势。应提高对该病的认识和诊断水平,对具有患病危险因素的患者应进行积极的抗真菌治疗。
Objective To investigate the epidemiological characteristics and susceptible factors of fungal keratitis in patients. Methods A total of 1074 patients with fungal keratitis were retrospectively analyzed to evaluate the epidemiological characteristics and risk factors. Results The incidence of fungal keratitis was on an upward trend. The 635 patients (59.1%) were male and the age of onset was 21-60 years old. Of the 911 (85%) patients, the occupations were farmers and 448 (41.7%) patients A clear history of trauma was seen in 731 (97%) of the patients with definite medical history who were diagnosed with fungal keratitis at all levels within one week of treatment and only 22% were diagnosed. Conclusions Fungal keratitis is a serious blinding eye disease and its incidence is on the rise. Should raise awareness and diagnosis of the disease, patients with risk factors should be active anti-fungal treatment.