自贡市老年人群白内障患病状况及影响因素分析

doi:10.12183/j.scjpm.2023.0990

摘要/Abstract

摘要： 目的调查自贡市老年人群白内障患病状况及影响因素,为白内障的防治提供经验。方法于2020年6月至2022年6月采用便利抽样法选取自贡市4区2县内25个乡/镇/街道的老年人作为调查对象,对其进行眼部检查和问卷调查,采用描述性分析方法对结果进行分析,采用单、多因素分析方法对自贡市老年人白内障患病的影响因素进行分析。结果共有1 135名自贡市≥60岁老年人群参与本次研究,纳入1 050份有效数据,有效率为92.51%。1 050名老年人中共检出白内障250例,检出率为23.81%,其中核性白内障占68.00%,皮质性白内障占12.00%,后囊下白内障占2.40%,混合型白内障占17.60%。多因素logistic回归分析显示,超重/肥胖（OR=1.462）、户外工作（OR=6.073）、高血压史（OR=2.204）、糖尿病史（OR=3.694）、血脂异常史（OR=1.573）、骨质疏松症（OR=5.412）、吸烟史（OR=2.038）、饮酒史（OR=1.448）、高强度用眼（OR=20.767）、营养不良（OR=1.426）是自贡市老年人群白内障患病的危险因素。结论自贡市老年人群白内障患病状况不容乐观,超重/肥胖、户外工作、高血压史、糖尿病史、血脂异常史、骨质疏松症、吸烟史、饮酒史、高强度用眼、营养不良均是白内障发生的影响因素,建议根据上述因素制定针对性预防策略,以改善老年人群眼部健康。

关键词: 老年人, 眼病, 白内障, 患病率, 影响因素

Abstract: Objective To investigate the prevalence and influencing factors of cataract among the elderly in Zigong City, and to provide experience for the prevention and treatment of cataract. Methods From June 2020 to June 2022, the elderly in 25 townships/towns/streets in four districts and two counties of Zigong City were selected by convenience sampling method for this study. The eye examination and questionnaire survey were carried out, the results were analyzed by descriptive analysis method, and the influencing factors of cataract among the elderly in Zigong City were analyzed by univariate and multivariate analysis methods. Results A total of 1 135 elderly people≥60 years old in Zigong City participated in this study, including 1 050 valid data, with an effective rate of 92.51%. A total of 250 cases of cataract were detected in 1 050 elderly people, with a detection rate of 23.81%, of which 68.00% were nuclear cataract, 12.00% were cortical cataract, 2.40% were posterior subcapsular cataract, and 17.60% were mixed cataract. Multivariate logistic regression analysis showed that overweight/obesity （OR=1.462）, outdoor work （OR=6.073）, hypertension （OR=2.204）, diabetes （OR=3.694）, dyslipidemia （OR=1.573）, osteoporosis （OR=5.412）, smoking （OR=2.038）, drinking （OR=1.448）, intensive eye use （OR=20.767）, and malnutrition （OR=1.426） were the risk factors for cataract among the elderly in Zigong City. Conclusion sThe prevalence of cataract among the elderly in Zigong City is not optimistic. Overweight/obesity, outdoor work, hypertension, diabetes, dyslipidemia, osteoporosis, smoking, drinking, intensive eye use, and malnutrition are all influencing factors for the occurrence of cataract. It is suggested to formulate targeted prevention strategies based on the above factors to improve the eye health of the elderly.

Key words: The elderly, Eye disease, Cataract, Prevalence, Influencing factor

中图分类号:

R195

罗成莉, 刘芳静, 彭翔, 李世妹, 巫巧慧, 毛丽, 董媛, 孙先富, 李爽乐. 自贡市老年人群白内障患病状况及影响因素分析[J]. 华南预防医学, 2023, 49(8): 990-994.

LUO Chengli, LIU Fangjing, PENG Xiang, LI Shimei, WU Qiaohui, MAO Li, DONG Yuan, SUN Xianfu, LI Shuangle. Prevalence and influencing factors of cataract among the elderly in Zigong City[J]. South China Journal of Preventive Medicine, 2023, 49(8): 990-994.

参考文献

[1] Xu T,Wang B,Liu H,et al.Prevalence and causes of vision loss in China from 1990 to 2019: Findings from the Global Burden of Disease Study 2019[J].Lancet Public Health,2020,5(12):e682-e691.
[2] Hashemi H,Pakzad R,Yekta A,et al.Global and regional prevalence of age-related cataract: A comprehensive systematic review and meta-analysis[J].Eye(Lond),2020,34(8):1357-1370.
[3] Hugosson M,Ekström C.Prevalence and risk factors for age-related cataract in Sweden[J].Ups J Med Sci,2020,125(4):311-315.
[4] 中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.肥胖症基层诊疗指南(2019年)[J].中华全科医师杂志,2020,19(2):95-101.
[5] 钟丽,张涛.饮酒模式的评估及分类[J].四川精神卫生,2015,5(5):485-488.
[6] 何权瀛,高莹慧.关于吸烟问题若干名词定义[J].中华结核和呼吸杂志,2009,32(1):26.
[7] 《中国高血压防治指南》修订委员会.中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.
[8] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中国实用内科杂志,2018,38(4):292-344.
[9] 中华医学会,中华医学会全科医学分会,中华医学会《中华全科医师杂志》编辑委员会,等.血脂异常基层诊疗指南(实践版·2019)[J].中华全科医师杂志,2019,18(5):417-421.
[10] 马远征,王以朋,刘强,等.中国老年骨质疏松症诊疗指南(2018)[J].中国实用内科杂志,2019,39(1):38-61.
[11] Curcio G,Tempesta D,S Scarlata S,et al.Validity of the Italian version of the Pittsburgh Sleep Quality Index (PSQI)[J].Neurol Sci,2013,34(4):511-519.
[12] 高涵,刘堃.老年人营养量表中文版的信效度评价[J].中国全科医学,2014,17(17):2045-2047.
[13] 杨培增,范先群.眼科学[M].9版.北京:人民卫生出版社,2018:133-136.
[14] Chen X, Zhou DY, Shen J, et al.Prevalence and risk factors on age-related cataract and surgery in adults over 50 years old in Binhu District, Wuxi, China[J].Int J Ophthalmol,2020,13(3):445-451.
[15] Flieger J,Dolar-Szczasny J,Rejdak R,et al.The multi-elemental composition of the aqueous humor of patients undergoing cataract surgery,suffering from coexisting diabetes,hypertension,or diabetic retinopathy[J].Int J Mol Sci,2021,22(17):9413.
[16] Jee D,Kang S,Huang S, et al.Polygenetic-risk scores related to crystallin metabolism are associated with age-related cataract formation and interact with hyperglycemia,hypertension,western-style diet,and Na intake[J].Nutrients,2020,12(11):3534.
[17] 陈雪红,吴子东.糖尿病合并年龄相关性白内障与年龄相关性白内障术后并发症的对比分析[J].中国全科医学,2021,24(5):592-596.
[18] Jee D,Park S.Hyperglycemia and hypo-HDL-cholesterolemia are primary risk factors for age-related cataract,and a Korean-style balanced diet has a negative association,based on the Korean genome and epidemiology study[J].J Korean Med Sci,2021,36(23):e155.
[19] Lee HJ,Kim CH,Lee JS,et al.Association between cataract and cotinine-verified smoking status in 11 435 Korean adults using Korea National Health and Nutrition Examination Survey data from 2008 to 2016[J].J Cataract Refract Surg,2020,46(1):45-54.
[20] Deng Y,Yang D,Yu JM,et al.The association of socioeconomic status with the burden of cataract-related blindness and the effect of ultraviolet radiation exposure: An ecological study[J].Biomed Environ Sci,2021,34(2):101-109.
[21] Braakhuis AJ,Donaldson CI,Lim JC,et al.Nutritional strategies to prevent lens cataract: Current status and future strategies[J].Nutrients,2019,11(5):1186.