火山灰对眼部症状的影响:一项对学龄儿童10年的调查结果

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:pzl_530
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Objective: To study the effects of volcanic ash on the ocular symptoms of schoolchildren ages 6 to 15 residing near Mt. Sakurajima, an active volcano. Design: Retrospective, crosssectional study. Participants: A total of 10 380 children ages 6 to 15, 1175 in a high- exposure area and 9205 in a low- exposure area, were studied. Methods: High- and low- exposure areas for volcanic ash were selected. All subjects in both areas were examined annually each September in the decade from 1994 to 2003. Main Outcome Measures: The frequency of positive ocular symptoms in years with and without active volcanic eruptions was compared. The association of ocular symptoms with volcanic ash dispersal was assessed with the Mantel- Haenszel test or chi- square test. Results: Subjects in the high- exposure area showed ocular symptoms more often than those in the lowexposure area (P< 0.0001). Years of active volcanic eruptions (volcanic ash of 5000 g/m2/year or more) were closely related to years with a high frequency of ocular symptoms in subjects in the high- exposure area (P< 0.05) but related conversely in subjects in the low- exposure area (P< 0.01). Major ocular symptomswere redness, discharge, foreign body sensation, and itching, all treated effectively with eyedrops. Conclusions: Ocular symptoms in subjects were strongly influenced by volcanic eruptions in the Mt. Sakurajima area, but direct influence was limited to those living in areas very near the volcano (i.e.,4 km from the volcano’ s crater). Objective: To study the effects of volcanic ash on the ocular symptoms of schoolchildren ages 6 to 15 residing near Mt. Sakurajima, an active volcano. Design: Retrospective, crosssectional study. A total of 10 380 children ages 6 to 15, 1175 in a high-exposure area and 9205 in a low-exposure area, were studied. Methods: High- and low-exposure areas for volcanic ash were selected. All subjects in both areas were examined annually each September in the decade from 1994 to 2003 Main Outcome Measures: The frequency of positive ocular symptoms in years with and without active volcanic eruptions was compared. The association of ocular symptoms with volcanic ash dispersal was assessed with the Mantel-Haenszel test or chi- square test. Results: Subjects in the high exposure area showed ocular symptoms more often than those in the lowexposure area (P <0.0001). Years of active volcanic eruptions (volcanic ash of 5000 g / m2 / year or more) were closely related to years with a hig h frequency of ocular symptoms in subjects in the high exposure area (P <0.05) but related conversely in subjects in the low-exposure area (P <0.01). Major ocular symptomswere redness, discharge, foreign body sensation, and itching, all treated effectively with eyedrops. Conclusions: Ocular symptoms in subjects were strongly influenced by volcanic eruptions in the Mt. Sakurajima area, but direct influence was limited to those living in areas very near the volcano (ie, 4 km from the volcano’s crater) .
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