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目的 探讨城市三级医院和医疗研究机构如何与基层卫生单位合作 ,创建防盲治盲模式单位 ,降低盲目患病率的经验。方法 北京协和医院眼科与北京市顺义区卫生局合作 ,开展防盲治盲项目 ,干预对象为北京市顺义区居民。防盲治盲措施 :(1)于 1984年进行眼病流行病学调查 ;(2 )实施防盲治盲项目 ,重点开展白内障盲人的手术治疗 ;(3)评价 1996年防盲治盲项目 ;(4)针对防盲治盲工作中存在的主要问题 ,改进工作 ,提高工作效率和手术质量。结果 参与单位发挥各自优势 ,密切合作 ,使北京市顺义区防盲治盲工作逐步深入、普及。 1984年眼病流行病学调查基本上摸清了北京市顺义区眼病的现状。在 1987年开始实施的防盲治盲项目中 ,建立县、乡、村三级初级眼保健网 ,建立发现和治疗白内障盲人的转诊系统。 1996年防盲治盲项目评价表明 ,在人口增加及老龄化趋势加重的情况下 ,持续开展防盲治盲工作可降低盲目的患病率。结论 城市三级医院和医疗研究机构与基层卫生单位及科研工作与防盲治盲工作密切结合 ,可促进防盲治盲工作的深入和普及 ,逆转盲人增加的趋势。
Objective To investigate how the tertiary hospitals and medical research institutions in the city cooperate with grass-roots health units to create a model unit for the prevention and treatment of blindness and reduce the blindness rate. Methods The Department of Ophthalmology of Peking Union Medical College Hospital cooperated with the Health Bureau of Shunyi District of Beijing to carry out anti-blindness and blindness prevention projects. The intervention target was residents of Shunyi District, Beijing. Anti-blindness and blindness prevention measures: (1) Conduct epidemiological investigation of eye diseases in 1984; (2) Implementation of anti-blindness and blindness prevention projects, focusing on the surgical treatment of cataract blindness; (3) Evaluation of the anti-blindness and blindness prevention project in 1996; ( 4) Improve the work, improve work efficiency, and improve the quality of surgery in response to major problems in the prevention and treatment of blindness. Results Participating units played their respective advantages and worked closely together to gradually deepen and popularize the prevention and treatment of blindness in Shunyi District of Beijing. Epidemiological investigation of eye diseases in 1984 basically found out the current situation of eye diseases in Shunyi District of Beijing. In the anti-blindness and blindness prevention project that began in 1987, a primary eye care network at county, township and village levels was established to establish a referral system for the detection and treatment of cataract blind persons. The evaluation of anti-blindness and blindness prevention projects in 1996 showed that with the increase in population and the ageing trend, continued blindness prevention and treatment work can reduce blind prevalence. Conclusion The close cooperation between urban tertiary hospitals and medical research institutions, primary health units and scientific research work, and prevention and treatment of blindness can promote the in-depth and widespread use of anti-blindness and blindness treatment, and reverse the increasing trend of blind people.