背景:描述小儿眼病的模式对于儿童适当的眼部护理是必要的。本研究探讨了中国典型三级眼科医院儿科眼科疾病谱及特点。
方法:回顾性研究于2010年至2019年在广州某三级眼科医院进行。中国。这项研究包括44,552名18岁以下的住院患者。从电子病历系统收集人口统计学和诊断数据。使用多相位回归分析来估计十种常见眼科疾病的年度百分比趋势。
结果:从2010年到2019年,有44,552例住院患者符合纳入标准。大多数是男性(61.9%),7至12岁(30.3%)及自费(56.6%)。屈光不正(41.2%),斜视(36.1%),白内障(13.6%),外伤(11.8%),先天性上睑下垂(8.8%),肿瘤(8.1%),弱视(7.1%),青光眼(7.0%),眼睑内翻和倒车灯(7.0%),和视网膜脱离(6.5%)。屈光不正的年度百分比变化(APC),斜视,视网膜脱离为9.3%(95%CI,8.1-10.5%),4.7%(95%CI,3.8-5.6%)和-2.8%(95%CI,-5.1%至-0.4%)。对于创伤,平均APC(AAPC=-9.2%,(95%CI,-12.1%至-6.2%)从2010年至2015年逐渐下降(APC=-4.2%(95%CI,-8.8-0.7%)),从2015年至2019年迅速下降(APC=-15.1%(95%CI,-21.0%至-8.7%))。
结论:小儿眼科疾病在中国很常见。旨在预防屈光不正的预防策略和健康教育,斜视,内翻和眼睑倒车灯对于减轻儿科眼科疾病对医疗保健系统和人类发展的负担至关重要。
BACKGROUND: Describing the pattern of pediatric eye diseases is necessary for appropriate eye care in children. This study explored the spectrum and characteristics of pediatric ophthalmic diseases in a typical tertiary ophthalmology hospital in
China.
METHODS: A retrospective study was conducted at a tertiary ophthalmology hospital between 2010 and 2019 in Guangzhou,
China. This study included 44,552 inpatients who were younger than 18 years old. Demographic and diagnostic data were collected from the electronic medical record system. Multiphase regression analysis was used to estimate trends in the annual percentages of ten common ophthalmic diseases.
RESULTS: From 2010 to 2019, 44,552 inpatients met the inclusion criteria. The majority were male (61.9%), aged 7 to 12 years (30.3%) and self-paying (56.6%). The top ten conditions were refractive error (41.2%), strabismus (36.1%), cataract (13.6%), trauma (11.8%), congenital ptosis (8.8%), tumor (8.1%), amblyopia (7.1%), glaucoma (7.0%),
entropion and trichiasis of eyelid (7.0%), and retinal detachment (6.5%). The annual percentage changes (APCs) for refractive error, strabismus, and retinal detachment were 9.3% (95% CI, 8.1-10.5%), 4.7% (95% CI, 3.8-5.6%) and - 2.8% (95% CI, - 5.1% to - 0.4%) respectively. For trauma, the average APC (AAPC = -9.2%, (95% CI, - 12.1% to - 6.2%) decreased gradually from 2010 to 2015 (APC = -4.2% (95% CI, - 8.8-0.7%)) and decreased rapidly from 2015 to 2019 (APC = -15.1% (95% CI, - 21.0% to - 8.7%)).
CONCLUSIONS: Pediatric ophthalmic diseases are common in
China. Preventive strategies and health education aimed at the prevention of refractive error, strabismus, and
entropion and trichiasis of eyelid will be crucial in reducing the burden of pediatric ophthalmic diseases on health care systems and human development.