CAJ | 학술논문

背景随着干眼患病率的增加,干眼的问题越来越受到人们的关注.目前中国仍缺乏基于大样本量人群的流行病学资料.目的了解广东省惠东县某社区14岁及以上人群的干眼患病率,并探讨可能的发病危险因素.方法 2010年9月至2011年1月利用问卷调查和干眼的相关检查对随机抽取的2800人进行横断面调查.对有干眼症状者进行泪液分泌试验(SⅠT)、泪膜破裂时间(BUT)和角膜荧光素染色(FL)检查.结果在有效的2475份调查问卷中被诊断为干眼者154例,患病率为6.22％,其中女性占8.06％,男性占4.14％；随年龄的增长,患病率增加.SⅠT、BUT值随年龄的增加而下降,女性SⅠT、BUT值低于男性.异物感为患者的首要主诉.回归分析显示,干眼发病与年龄、性别、全身及眼部疾病、用眼疲劳和暴露在粉尘环境中有关.结论广东省惠东县人群中干眼患病率随着年龄的增长呈上升趋势,女性患病率较高.干眼发病的有关因素包括年龄、性别、全身及眼部疾病、职业、工作环境等.
배경 수착간안환병솔적증가,간안적문제월래월수도인문적관주.목전중국잉결핍기우대양본량인군적류행병학자료.목적 료해광동성혜동현모사구14세급이상인군적간안환병솔,병탐토가능적발병위험인소.방법 2010년9월지2011년1월이용문권조사화간안적상관검사대수궤추취적2800인진행횡단면조사.대유간안증상자진행루액분비시험(SⅠT)、루막파렬시간(BUT)화각막형광소염색(FL)검사.결과재유효적2475빈조사문권중피진단위간안자154례,환병솔위6.22％,기중녀성점8.06％,남성점4.14％；수년령적증장,환병솔증가.SⅠT、BUT치수년령적증가이하강,녀성SⅠT、BUT치저우남성.이물감위환자적수요주소.회귀분석현시,간안발병여년령、성별、전신급안부질병、용안피로화폭로재분진배경중유관.결론 광동성혜동현인군중간안환병솔수착년령적증장정상승추세,녀성환병솔교고.간안발병적유관인소포괄년령、성별、전신급안부질병、직업、공작배경등.
Background With the increasing prevalence of dry eye and the continuous improvement of living standards,the problem of dry eye more and more get the attention of people.At present,China still lacks the large population-based epidemiological data of dry eye. Objective To investigate the prevalence and possible risk factors of dry eye in a community of Huidong County of population aged 14 and over. Methods From September 2010 to January 2011,using questionnaires and examination of dry eye related,2800 people were selected randomly for cross-sectional survey.Those suspected as dry eye were examed by the Schirmer Ⅰ test ( S Ⅱ T),tear-film breakup time(BUT),corneal fluorescein staining(F1). Results In the 2475 questionnaire effectively,154 persons were diagnosed as dry eye,and the prevalence rate of dry eye was 6.22％,8.06％ in females,4.14％ in males.The prevalence rate increases with age.The S Ⅰ T and BUT decreased with increasing age.S Ⅰ T and BUT in females are less than males.Foreign body sensation is the primary complaints of patients.Logistic analysis showed that the most common risk factors in dry eye are age and gender.The system disease and eye diseases,eye fatigue and long exposure to dust are also main determinants. Conclusions The population prevalence rate of dry eye increased with age,the prevalence rate of dry eye in females is higher than that in males.The key factors associated with dry eye are age,gender,systemic disease and eye diseases,occupation,working environment.