眼科门诊青年患者干眼症病因、症状调查(1)
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[摘要] 目的 调查我院眼科门诊就诊的青年患者干眼症的患病情况,并分析病因。方法 2005年5月~2011年4月来我院眼科就诊的青年患者(20~40岁)共846人,记录这些患者是否有干眼症及相关病史和症状,按有无干眼症将患者分为两组,比较两组各项检测指标的差异。结果 干眼症组患者久视屏幕、戴隐形眼镜、近距离看书、全身性疾病、频繁应用滴眼液人数均高于对照组(P<0.05)。干眼症组患者的自觉症状如眼镜干涩感、视力疲劳、异物感亦高于对照组(P<0.05)。两组的schirmer试验、泪膜破裂时间比较也有统计学意义(P<0.05)。结论 青年患者患干眼症的比例很高,其病因与各种不良用眼习惯有关,且干眼症患者的眼部不适症状明显高于未患干眼症的患者,青年患者应在日常生活中注意用眼卫生,预防干眼症的发生。
[关键词] 干眼症;Schirmer试验;泪膜破裂时间
[中图分类号] R777 [文献标识码] B [文章编号] 1673-9701(2011)34-19-02
Investigation on Etiology and Symptoms of Clinic Youth Patients with Dry Eye
XIE Meijuan
Department of Ophthalmology, Quzhou Hospital of Chinese Medicine in Zhejiang Province,Quzhou 324002, China
[Abstract] Objective To study cases of young patients with xeroma in department of ophthalmology and analyze the etiology. Methods All 846 patients were treated in hospital from May 2005 to April 2011,medical records and symptoms were recorded. Patients were divided into two groups by xeroma and non-xeroma and difference was compared among various tests. Results The population of longtime screen watching, using lenses, short distance reading, systemic disease, using eyedrop frequently in xeroma group is more than non-xeroma group(P<0.05). Subjective symptoms of xeroma group, such as sensation of dryness, asthenopia, foreign body sensation, are also more than non-xeroma group. The comparison of schirmer test, breakup time of tear film is statistically significant (P<0.05). Conclusion Proportion of young patients with xeroma is high and related to incorrect habits, uncomfortable symptoms are significantly more than non-xeroma patients, young patients should pay attention to eye health in daily life in order to prevent xeroma.
[Keyword] Xeroma; Schirmer test; Breakup time of tear film
一般来说,泪液的质量发生异常或流体动力学发生异常均会造成干眼症。其主要表现为泪膜不稳定及眼睛表面损害导致的一系列不适症状[1]。引起干眼的原因有很多,外在原因主要为环境污染,内在原因包括药物、其他疾病、先天眼睑位置异常等。近年来,干眼症的发病率逐年上升,尤其是青年人,这与网络科技的发展、环境污染等密切相关。本文目的是调查来我院眼科门诊就诊的青年患者患干眼症的情况及可能造成干眼症原因,现将调查报道如下。
1 资料与方法
1.1 一般资料
2005年5月~2011年4月来我院眼科就诊的青年患者(20~40岁)共846人,按有无干眼症将患者分为两组(干眼症组和对照组),比较两组各项检测指标的差异。通过认真记录与诊断,干眼症组患者共487人,对照组359人。两组患者的平均年龄分别为(31.89±6.15)岁和(32.56±5.29)岁,两组男女比例分别为272/215和206/153 ......
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