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目的 调查盲人患病率及其白内障患者治疗的情况。方法 按全国统一标准、方法和程序对云南省个旧市 <40岁的人群进行线索调查 ,≥ 40岁的人群进行普查。同时在此基础上对以白内障为主的患者进行复明手术。结果 在受检的 36 12 14例人群中 ,双眼盲者 10 37例 ,患病率为0 2 9% ;单眼盲者 983例 ,患病率为 0 2 7%。其中双眼可治盲 5 93例 (5 7 18% ) ,单眼可治盲 6 17例(6 2 77% )。在 10 37例双眼盲中 ,其致盲原因依次为白内障 (5 1 98% )、眼外伤 (19 96 % )、角膜病(16 0 0 % )、青光眼 (10 0 3% )、屈光系统疾患及其他眼疾 (2 0 3% )。患病率女性高于男性(χ2 =5 3 48,P <0 0 1)。在老年者中盲目的患病率增高。不同民族和不同职业间盲目的患病率差异有显著性。双眼盲及单眼盲患者的首位致盲眼病均为白内障 ,占双眼可治盲 5 39例的 90 89%及单眼可治盲 5 0 0例的 81 0 3 %。在 10 39例白内障患者中 ,已行白内障手术 738例 ,其中双眼白内障 396例 ,单眼白内障 342例。术后 3个月复查 ,脱盲率 (最好矫正视力 >0 0 5 )为 97 73% ,脱残率 (最好矫正视力>0 3)为 86 36 % ,配镜率 (含人工晶状体植入 )为 85 6 0 %。结论 盲与年龄、性别、民族及职业有关 ,其各有重点致盲原因。首位致盲原因为白
Objective To investigate the prevalence of blind people and the treatment of cataract patients. Methods A census of 40-year-olds in Gejiu City of Yunnan Province was carried out according to the unified national standards, methods and procedures. The population over 40 years of age was surveyed. At the same time on the basis of cataract-based patients with complex surgery. Results Of the 36 12 14 subjects examined, 10 37 eyes were blind with a prevalence of 0 2 9%; 983 eyes were blind with a prevalence of 0 2 7%. Among them, 533 (57.18%) were binocular and 617 (62.7%) were monocular. Among the 1037 eyes, the causes of blindness were cataract (51 98%), ocular trauma (19 96%), corneal disease (160%), glaucoma (103%), refractive system Disorders and other eye diseases (20.3%). Prevalence of women than men (χ2 = 5 3 48, P <0 0 1). The prevalence of blindness among the elderly is increased. The prevalence of blind differences among ethnic groups and occupations was significant. Blind eyes were the first cause of blindness in both binocular and monocular blinds, accounting for 90 89% of 5 39 cases of binocular blindness and 81 0 3% of monocular blind controls. Among 1039 cataract patients, 738 had cataract surgery, including 396 cases of binocular cataract and 342 cases of monocular cataract. Three months after the operation, the blinding rate (best corrected visual acuity> 0.05) was 97.73%, the rate of disability (best corrected visual acuity> 0.3) was 86.36% ) Is 85 6 0%. Conclusions Blindness is related to age, gender, ethnicity and occupation, each of which has its own major cause of blindness. The first cause of blindness is white