中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
3期
234-237
,共4页
王柏敏%余敏斌%李劲嵘%林羡钗%向晖
王柏敏%餘敏斌%李勁嶸%林羨釵%嚮暉
왕백민%여민빈%리경영%림이차%향휘
计算机终端%眼表性状%休息方案
計算機終耑%眼錶性狀%休息方案
계산궤종단%안표성상%휴식방안
Computer-terminal work%Ocular surface%Work-rest schedule
目的 研究使用计算机终端及不同的休息方案对眼表性状的影响.方法 30名受试者均接受5种不同阅读方案:1.连续计算机终端阅读2h后休息10min.(2)连续书本阅读2h后休息10min.(3)连续计算机终端阅读1h后休息10min(休息1方案).(4)计算机终端阅读总时间1h,每30min间隔休息5min(休息2方案).(5)计算机终端阅读总时间1h,每15min间隔休息2min(休息3方案).每次阅读前后分别检查眼部泪膜破裂时间(Brakup Time,BUT)、基础泪液分泌试验(Schirmer I test,Sit)、角膜荧光素染色(Fluorescein Staining,FL)、虎红(Rose Bangle,Rb)染色、结膜印迹细胞(Imprssion Cytology,IC)检查.结果 (1)连续2h计算机终端阅读后较书本阅读更易出现BUT缩短、Sit值减少、FL及Rb染色评分增加(P<0.05).(2)连续计算机终端阅读2h较1h更易出现BUT缩短Sit值减少、FL及Rb染色评分增加(P<0.05).(3)3种休息方案之间的BUT、FL、Rb染色之间的差异具统计学意义(P<0.05),休息3方案优于其它方案.结论 使用计算机终端阅读较书本阅读更易对眼表性状产生影响,并随时间的不同出现差异.三种不同休息方案比较,每使用计算机终端阅读15min间隔休息2min(休息3方案)对眼表性状影响最小.
目的 研究使用計算機終耑及不同的休息方案對眼錶性狀的影響.方法 30名受試者均接受5種不同閱讀方案:1.連續計算機終耑閱讀2h後休息10min.(2)連續書本閱讀2h後休息10min.(3)連續計算機終耑閱讀1h後休息10min(休息1方案).(4)計算機終耑閱讀總時間1h,每30min間隔休息5min(休息2方案).(5)計算機終耑閱讀總時間1h,每15min間隔休息2min(休息3方案).每次閱讀前後分彆檢查眼部淚膜破裂時間(Brakup Time,BUT)、基礎淚液分泌試驗(Schirmer I test,Sit)、角膜熒光素染色(Fluorescein Staining,FL)、虎紅(Rose Bangle,Rb)染色、結膜印跡細胞(Imprssion Cytology,IC)檢查.結果 (1)連續2h計算機終耑閱讀後較書本閱讀更易齣現BUT縮短、Sit值減少、FL及Rb染色評分增加(P<0.05).(2)連續計算機終耑閱讀2h較1h更易齣現BUT縮短Sit值減少、FL及Rb染色評分增加(P<0.05).(3)3種休息方案之間的BUT、FL、Rb染色之間的差異具統計學意義(P<0.05),休息3方案優于其它方案.結論 使用計算機終耑閱讀較書本閱讀更易對眼錶性狀產生影響,併隨時間的不同齣現差異.三種不同休息方案比較,每使用計算機終耑閱讀15min間隔休息2min(休息3方案)對眼錶性狀影響最小.
목적 연구사용계산궤종단급불동적휴식방안대안표성상적영향.방법 30명수시자균접수5충불동열독방안:1.련속계산궤종단열독2h후휴식10min.(2)련속서본열독2h후휴식10min.(3)련속계산궤종단열독1h후휴식10min(휴식1방안).(4)계산궤종단열독총시간1h,매30min간격휴식5min(휴식2방안).(5)계산궤종단열독총시간1h,매15min간격휴식2min(휴식3방안).매차열독전후분별검사안부루막파렬시간(Brakup Time,BUT)、기출루액분비시험(Schirmer I test,Sit)、각막형광소염색(Fluorescein Staining,FL)、호홍(Rose Bangle,Rb)염색、결막인적세포(Imprssion Cytology,IC)검사.결과 (1)련속2h계산궤종단열독후교서본열독경역출현BUT축단、Sit치감소、FL급Rb염색평분증가(P<0.05).(2)련속계산궤종단열독2h교1h경역출현BUT축단Sit치감소、FL급Rb염색평분증가(P<0.05).(3)3충휴식방안지간적BUT、FL、Rb염색지간적차이구통계학의의(P<0.05),휴식3방안우우기타방안.결론 사용계산궤종단열독교서본열독경역대안표성상산생영향,병수시간적불동출현차이.삼충불동휴식방안비교,매사용계산궤종단열독15min간격휴식2min(휴식3방안)대안표성상영향최소.
Objective To evaluate the effects of work-rest schedules on ocular surface for computer terminal readers.Methods Thirty participants underwent 5 reading assignments:(1)2-hourcontinuous com-puter-based reading,followed by 10 minutes rest;(2)2-hour continuous book-based reading,followed by 10minutes rest;(3) 1 hour continuous computer-based reading followed by 10 minutes rest (work-rest schedule 1,WS1);(4) 1-hour computer-based reading with a 5-min breakin every 30 mins (WS2) ;(5)1-hour com-puter-based reading with a 2-min break in every 15 mins (WS3).Before and after reading assignments (afterthe rest),Break-Up time (BUT),Sehirmer I test(SIt),Fluorescent test (FL),rose bangle(Rb),conjuncti-val impression cytology (IC) were measured.Results After reading assignment,people with assignment 1 were more likely to have a shorter BUT,decreased SIt,increased FL and Rb score than in people with assign- ment 2(all with P<0.05).These changes were more profound in people with assignment 1 than in people with assignment 3 (WS1)(all with P<0.05).These changes were more profound in people with WS1/WS2 than inpeople with WS3 (all with P<0.05).Conclusions Computer-based reading is more likely to affect the stabili- ty of ocular Surface than book-based reading.The stability decreases with longer reading time.Compared with WS1 and WS2,WS3 is the optimal reading schedule with least impact on ocular surface.