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目的:研究儿童眼外伤外起视功能损害特别是严重视功能损害的危险因素,同时也对它们的发病原因作了初步的分析。方法:回顾从1989年1月至1992年12月到中山眼科中心的487名15岁及以下的儿童眼外伤患者,采用逐步回归方法分析视力预后与各种潜在危险因素的关系(年龄、性别、受伤时间、外伤类型、致伤原因等)。结果:男女比例为3:1。儿童眼外伤会造成严重的视功能损害,特别是在男性4～6岁年龄段。65％病例的最后记录视力在0.3或以上,但19％在0.05以下。多因素分析表明外伤类型与预后视力显著相关,视力预后=0.963775-0.0896543×外伤类型。结论:儿童眼外伤可导致严重的视功能损害,特别是在男性4～8岁年龄段。视力预后与外伤类型显著相关。眼科学报1997;13:177—181。
OBJECTIVE: To study the risk factors of extra-ocular functional impairment, especially severe visual impairment, in children with ocular trauma and to analyze the causes of their onset. Methods: Forty-eight trauma patients aged 15 years and younger from Zhongshan Ophthalmic Center from January 1989 to December 1992 were retrospectively analyzed for the relationship between the prognosis of vision and various potential risk factors (age, sex, Time of injury, type of trauma, cause of injury, etc.). Results: The male to female ratio is 3: 1. Eye injury in children can cause serious damage to visual function, especially in men 4 to 6 years of age. The last recorded visual acuity was 0.3 or more in 65% of cases, but 19% was below 0.05. Multivariate analysis showed that the type of trauma was significantly associated with the prognosis of vision, and the prognosis of vision was 0.963775-0.0896543 × type of trauma. CONCLUSIONS: Ocular trauma in children can result in severe impairment of visual function, especially in men aged 4 to 8 years. Visual prognosis was significantly associated with the type of trauma. Journal of Ophthalmology 1997; 13: 177-181.