Objective:To investigate the primary and secondary students in Chifeng City Keshiketengqi incidence of trachoma and age,gender,name of family,the relationship between living environment,and the prevalence of the situation.Methods: A random cluster sampling method,collected 8 schools Chifeng Keshiketengqi 2864,of whom 1 575 were males,1 289 females,aged 6~16 years,mean age(12.53±2.31),Han students 2406 people,458 Mongolian students.Students in 1855 were agricultural and pastoral areas,urban students to 1 009.Were extracted on primary and secondary students fill out questionnaires,focus ophthalmologist check the incidence of trachoma,the diagnostic criteria of this study refer to general international law as a standard staging MacCallan.Results: The study of 2864 middle school students,clinical diagnosis of trachoma for 1 379,the prevalence was 48.15%,of which 1 575 were male,were 761 cases of trachoma,prevalence of 48.32%;girls 1289,618 cases of trachoma patients,prevalence rate 47.94%,P>0.05.Prevalence of men and women were no significant differences.2406 Han students who were 1128 cases of trachoma,prevalence rate 46.88%;Mongolian students in 458 patients with 251 cases of trachoma,prevalence rate of 54.80%.P<0.05.The incidence of trachoma students of different nationalities there were significant differences.Students in 1855 were agricultural and pastoral areas,were 996 cases of trachoma,prevalence of 53.69%.1009 urban students who were 383 cases of trachoma,prevalence of 37.96%,P<0.05.Agriculture and animal husbandry to the students and urban students were significantly the incidence of trachoma difference.Conclusion:The incidence of trachoma has nothing to do with gender,age,name of family,living environment,the prevention and treatment of trachoma should be extensive publicity and education,from schools to pay attention to personal hygiene to the home.
Background Cataract is a leading blinding eye disease,and the prevalence of cataract varies in different regions. Objective The present study was to investigate the incidence of cataract,surgical coverage rate of cataract and postoperative visual acuity,and to propose a strategy for blindness prevention in Chifeng Keshiketengqi. Methods This is a cross-sectional survey of research.A random cluster sampling method was performed in 12 populated areas in Keshiketengqi.Inhabitants over 50 years in the region were included in this survey.This study was approved by the Ethic Committee of Inner Mongolia People' s Hospital.Informed consents were obtained orally from all the subjects.Disease history,visual acuity,intraocular pressure and regular ophthamological examinations were performed.The inclusion criteria of a pilot study and detailed protocol were employed to calculate the incidence rate of cataract.The questionnaire survey was simultaneously adopted to analyze the cataract-related factors.The surgical coverage rate of cataract in this area was calculated. Results In a total 4234 inhabitants,3826 subjects participated in the survey with a response rate of 90.36％.Cataract was found in 1200 participants with an incidence rate of 31.39％.Age,the female gender and illiteracy were identified as risk factors for cataract (x2 =101.005,P =0.000 ;x2 =58.853,P =0.000 ;x2 =12.037,P =0.007 ).The prevalence rates of cataract were 36.98％ and 33.56％ for illiterates and women,respectively.The incidence rate in the Mongol population was significantly higher than that of the Han population ( 34.83％ vs.29.76％ ) (x2 =9.734,P =0.001 ).The cataract surgery rate increased yearly since 1998.When the vision acuity of the fellow eye was ＜0.1,the surgery coverage rate was 20.60％,but the rates were lower in female,illiterates and the Mongol population (x2 =1.993,P =0.038 ;x2 =16.463,P =0.044 ;x2 =8.523,P =0.029).When a pinhole visual acuity of ＜0.05 was determined as the criteria of blindness,the surgical coverage rate was 28.36％.The cataract surgical coverage rates for Han and Mongolian were 30.67％ and 24.53％,respectively,with a significant difference between them (x2 =12.951,P=0.000).The social burden rate was 3.34％ in this area,with a majority of females,illiterates and the Mongol population ( P＜0.05 ).Conclusions In agricultural and pastoral areas of Chifeng Keshiketengqi,the ≥50 years old population has a high rate of cataract blindness and low surgery coverage rate.Surgery is still the preferred way for cataract treatment.
面部裸露在外,受伤机会较多,由于其血运丰富,腔窦众多,还有五官、面神经、腮腺等重要器官分布,受伤后如果Ⅰ期手术处理不当,就会留下影响面部功能和形态的严重不良后遗症.自2005年3月至2006年2月,我科急诊治疗面部外伤患者66例,经Ⅰ期急诊清创整形手术,取得了满意疗效,现报道如下.
Objective To explore the synchronous cosmetic surgical procedures for the beauty-seekers who have both single eyelid and commonly horizontal cockeye in order to acheive either time saving or beautifying. Methods Firstly, the distance of moving backwards and shortening length of the eye muscle were calculated and designed according to the degree of cockeye; secondly, the height of the double eyelids line and positioning were re-designed; then the moving backwards and shortening of the horizontal macula were put up to rectify the cockeye; finally, the incisal double eyelid operation was performed. Results All 25 patients with inner cockeyes were corrected at the right position; 4 of 11 patients with outer cockeyes were corrected 5～10 degrees over the right position, and others were at the right position. The single eyelid with thin-eyelid and middle-thick-eyelid restored within 3 months; but the patient with thick-eyelid restored slowly, about half a year in average. 2 patients with redundant skin at inner corner of eye were also corrected at the right position. Conclusions Although there is somewhat difficulty in the plastic surgery for patients with cockeye and single eyelids, synchronous operation can save time and outlay, and also acheive the aim of beautifying. Therefore, it is a good approach to deal with cockeye.
我院自1998年以来,在青光眼小梁切除术中,采用一次性向上弯曲的新月型隧道刀制做巩膜瓣18例24眼,其效果优于现行手术方法,现报告如下:
目的:针对农村牧区弱视儿童因各方面条件限制,具有初诊患儿平均年龄偏高,不能集中治疗等特点,本文讨论了综合治疗的方法.方法:对48例74只眼采用配镜、遮盖、精细作业、弱视治疗仪等治疗措施.形成医院-家庭-学校"三位一体"的治疗体系.结果:治愈31只眼,占41%;有效 40 只眼,占54%;无效3只眼,占4%.结论:"三位一体"的治疗方法对于农牧区大龄弱视儿童有满意的效果.
