尼日利亚儿童创伤性白内障;一个多中心研究:2017-2021年
Dupe Ademola-Popoola1, Nasiru Muhammad2, Atima Mayor3
1Paediatric Unit, Department of Ophthalmology, University of Ilorin & University of Ilorin Teaching Hospital, Ilorin, Nigeria. popoola.d@unilorin.edu.ng.
Eye (London, England)
|September 25, 2023
概括
在尼日利亚,超过三分之一的儿童白内障与创伤有关,主要来自于闭合球体损伤. 需要采取公共卫生措施来预防眼睛创伤,并促进对受伤儿童及时提供医疗护理.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 儿科医学 儿科医学
背景情况:
- 在全球范围内,儿童白内障是视力障碍的一个重大挑战.
- 创伤性白内障是儿童视力丧失的一个可预防的原因.
- 了解创伤性白内障的流行病学对于有针对性的干预至关重要.
研究的目的:
- 确定尼日利亚儿童眼睛损伤导致创伤性白内障的频率,人口统计,病因和机制.
- 识别与童年创伤性白内障相关的常见损伤因子和情况.
- 为预防和管理儿童创伤性白内障的公共卫生战略提供信息.
主要方法:
- 在尼日利亚的十个高级眼科机构进行了一项回顾性多中心研究.
- 分析了2017年1月至2021年12月期间被诊断患有白内障的1656名儿童 (0-17岁) 的数据.
- 收集了关于伤害机制,人口统计,位置和呈现时间的信息.
主要成果:
- 创伤性白内障占儿童白内障的38.4% (636/1656).
- 平均年龄为109.4个月,男性与女性的比例为2:1.
- 闭环伤害 (74.7%) 是最常见的原因,通常来自家庭用品,如棍棒和棍棒;64%的伤害是由亲戚/接触者造成的,59.8%发生在家中.
结论:
- 在尼日利亚,超过三分之一的儿童白内障与创伤有关,主要来自闭合球体损伤.
- 延迟呈现 (仅15.3%在4周内) 是一个重大问题.
- 建议采取公共卫生干预措施,以减少眼部创伤,并鼓励及时提供医疗护理.
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