眼科门诊干眼患病状况及相关因素调查分析
干眼;,泪膜破裂时间;,影响因素,,干眼;,泪膜破裂时间;,影响因素,关键词:干眼;泪膜破裂时间;影响因素,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的: 了解眼科门诊患者中干眼患病状况及相关因素。方法: 以2005年4~6月及9~11月间眼科门诊就诊的650例患者作为研究对象,年龄>30岁,在获得知情同意以后进行问卷调查和干眼相关检查,先对干眼症状阳性者进行泪膜破裂时间(BUT)试验,再对其中BUT<10 s者进行角结膜荧光素染色、睑板腺功能检查、基础泪液分泌试验及虎红染色4项客观检查。 结果: 干眼总患病率为20.6%,女性(26.2%)高于男性(15.0%)(P<0.001);眼部不适症状中最多见的是干涩感182例(28.0 %),其次为疲劳感158例(24.3 %),最少见的症状为眼痛42例(6.5%);泪膜破裂时间平均为(9.93±2.91) s,男性为(10.55±2.30) s,长于女性的 (9.30±3.30)s, P<0.001;泪膜破裂时间随年龄增长而缩短, 60岁以上年龄组泪膜破裂时间短于60岁以下年龄组(P<0.05),70岁以上年龄组泪膜破裂时间最短,为(7.16±3.52) s,与60~69岁组相比差异有统计学意义(P<0.05)。结论: 眼科门诊干眼的患病率与年龄、性别相关。关键词: 干眼; 泪膜破裂时间; 影响因素
Investigation of dry eye in ophthalmic outpatients
ZHANG Hong, AN Xiao, CHEN Xueyi
(Department of Ophthalmology, First Affiliated Hospital, Xinjing Medical University, Urumqi 830054, China)
Abstract: Objective: To study the prevalence of dry eye in a hospitalbased population and analyze the causes of dry eye. Methods: A total of 600 new outpatients age above 30 years were screened for dry eye from April to May 2005 and Sectember to Octorbor 2005. After informed consent was obtained from subjects, a questionnaire was done. When a respondent indicated the presence of symptom, BUT test was performed, subjects whose the value of BUT<10 s were undergone the dry eye test including: fluorescein staining test, meibomian gland function ......
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