台灣門診及住院眼睛手術處置之流行病學：2012－2019年

眼部疾病常威脅著人們的視力，其中漸進的視網膜細胞死亡以及失調的發炎反應常為主要的病理原因，其與全身性疾病之間的關聯在臨床上非常重要。例如在一些臨床環境中，患者近視度數的變化會導致發現糖尿病，或者年輕患者莫名其妙的大量結膜下出血會導致發現潛在的惡性高血壓，可以根據相應的眼部表現及時發現或診斷全身性疾病，依次減輕疾病負擔，促進醫療資源的更好利用，拓寬病因知識，全面了解疾病的表現。本研究使用2012－2019年衛生福利資料庫分析住院和門診治療比例，比較處置及手術的人次趨勢，並使用衛生福利部統計處所公布的青光眼及白內障門住診就診率進行趨勢分析，以做為未來預防保健的參考依據。研究結果顯示，總體而言，接受眼睛相關處置與手術人次有逐年上升的趨勢，其中女性於處置比例較男性高，在各年齡層分布中，在高年齡層有上升的趨勢，其原因之一可以歸咎於人口結構的老化，而青光眼及白內障就診率在低年齡層有上升的趨勢，可能原因為過度使用3C產品造成近視年齡層的下降。

關鍵字

眼睛疾病；流行病學；青光眼；白內障

並列摘要

Eye diseases often threaten people's vision, among which progressive retinal cell death and dysregulated inflammatory response are often the main pathological causes, and the relationship between it and systemic diseases is clinically very important. For example, in some clinical settings, changes in the degree of myopia in patients can lead to the discovery of diabetes, or the inexplicable large number of subconjunctival hemorrhages in young patients can lead to the discovery of potentially malignant hypertension, and systemic diseases can be detected or diagnosed in time based on the corresponding ocular manifestations. In turn, reduce the burden of disease, promote better utilization of medical resources, broaden knowledge about the cause of disease, and fully understand the manifestations of diseases. This study uses the 2012-2019 health and welfare database to analyze the proportion of inpatient and outpatient treatment, compares the trend of treatment and operation, and uses the outpatient rate of glaucoma and cataract published by the Statistics Department of the Ministry of Health and Welfare for trend analysis. Reference basis for future preventive health care. The results of the study show that, in general, the number of eye-related treatments and surgeries has an increasing trend year by year. Among them, women have a higher proportion of treatments than men. Among all age groups, there is a rising trend in the senior age group. One of the reasons can be attributed to the aging of the population structure, and the rate of visits to glaucoma and cataracts is increasing in the lower age group. The possible reason is that the excessive use of 3C products has caused the decline in the age group of myopia.

並列關鍵字

Eye diseases ； epidemiology ； glaucoma ； cataract

參考文獻

Chen, P. P. (2003). Blindness in patients with treated open-angle glaucoma. Ophthalmology, 110(4), 726-733. doi:https://doi.org/10.1016/S0161-6420(02)01974-7

Ernest, P. J., Schouten, J. S., Beckers, H. J., Hendrikse, F., Prins, M. H., & Webers, C. A. (2013). An evidence-based review of prognostic factors for glaucomatous visual field progression. Ophthalmology, 120(3), 512-519. doi:10.1016/j.ophtha.2012.09.005

GBD 2019 Blindness and Vision Impairment Collaborators, & Vision Loss Expert Group of the Global Burden of Disease Study (2021). Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. The Lancet. Global health, 9(2), e144-e160. https://doi.org/10.1016/S2214-109X(20)30489-7

Ho, J. D., Xirasagar, S., Kao, L. T., & Lin, H. C. (2018). Neovascular age-related macular degeneration is associated with cataract surgery. Acta Ophthalmol, 96(2), e213-e217. doi:10.1111/aos.13511

Jaadane, I., Boulenguez, P., Chahory, S., Carré, S., Savoldelli, M., Jonet, L., Behar-Cohen, F., Martinsons, C., & Torriglia, A. (2015). Retinal damage induced by commercial light emitting diodes (LEDs). Free radical biology & medicine, 84, 373-384. https://doi.org/10.1016/j.freeradbiomed.2015.03.034

國際替代計量

台灣門診及住院眼睛手術處置之流行病學：2012－2019年

全文下載

主題瀏覽