中国斜视与小儿眼科杂志
中國斜視與小兒眼科雜誌
중국사시여소인안과잡지
CHINESE JOURNAL OF STRABISMUS & PEDIATRIC OPHTHALMOLOGY
2014年
2期
28-30
,共3页
儿童%干眼%分析
兒童%榦眼%分析
인동%간안%분석
children%dry eye%analysis
目的：探讨儿童干眼的相关因素及临床特点。方法收集我院眼科确诊的420例儿童干眼的临床资料及统计数据，进行回顾性研究分析。结果420例确诊干眼的患儿中每天持续看电脑、电视超过2h者380例(90.47%)，有偏食习惯者224例(53.33%)，有过敏性结膜炎病史者72例(17.14%)，有急、慢结膜炎病史者106(37.17%)，使用抗菌素滴眼超过1个月者182例(43.33%)。临床主要症状为瞬目频繁者190例(45.2%)、眼痒134例(31.9%)、异物感88例(20.95%)、分泌物多者39例(9.28%)、眼红134例(31.9%)、畏光55例(13.09%)、干涩者41例(9.76%)。Schirmer Test：340例为阳性(<10mm/5min)，80例为强阳性(<5mm/5min)。BUT：420例全部<5s为强阳性。100例角膜上皮点状着染1-4象限。干眼仪检查：320例图像为3级以上。经过正规系统的抗干眼治疗，患儿不适症状缓解，检查结果均有所改善，随访3个月未见复发。结论儿童干眼的发病是多因素相互作用的结果，小儿眼科医生应给予足够的重视，准确的诊断和针对病因的联合治疗是防治儿童干眼的关键。
目的：探討兒童榦眼的相關因素及臨床特點。方法收集我院眼科確診的420例兒童榦眼的臨床資料及統計數據，進行迴顧性研究分析。結果420例確診榦眼的患兒中每天持續看電腦、電視超過2h者380例(90.47%)，有偏食習慣者224例(53.33%)，有過敏性結膜炎病史者72例(17.14%)，有急、慢結膜炎病史者106(37.17%)，使用抗菌素滴眼超過1箇月者182例(43.33%)。臨床主要癥狀為瞬目頻繁者190例(45.2%)、眼癢134例(31.9%)、異物感88例(20.95%)、分泌物多者39例(9.28%)、眼紅134例(31.9%)、畏光55例(13.09%)、榦澀者41例(9.76%)。Schirmer Test：340例為暘性(<10mm/5min)，80例為彊暘性(<5mm/5min)。BUT：420例全部<5s為彊暘性。100例角膜上皮點狀著染1-4象限。榦眼儀檢查：320例圖像為3級以上。經過正規繫統的抗榦眼治療，患兒不適癥狀緩解，檢查結果均有所改善，隨訪3箇月未見複髮。結論兒童榦眼的髮病是多因素相互作用的結果，小兒眼科醫生應給予足夠的重視，準確的診斷和針對病因的聯閤治療是防治兒童榦眼的關鍵。
목적：탐토인동간안적상관인소급림상특점。방법수집아원안과학진적420례인동간안적림상자료급통계수거，진행회고성연구분석。결과420례학진간안적환인중매천지속간전뇌、전시초과2h자380례(90.47%)，유편식습관자224례(53.33%)，유과민성결막염병사자72례(17.14%)，유급、만결막염병사자106(37.17%)，사용항균소적안초과1개월자182례(43.33%)。림상주요증상위순목빈번자190례(45.2%)、안양134례(31.9%)、이물감88례(20.95%)、분비물다자39례(9.28%)、안홍134례(31.9%)、외광55례(13.09%)、간삽자41례(9.76%)。Schirmer Test：340례위양성(<10mm/5min)，80례위강양성(<5mm/5min)。BUT：420례전부<5s위강양성。100례각막상피점상착염1-4상한。간안의검사：320례도상위3급이상。경과정규계통적항간안치료，환인불괄증상완해，검사결과균유소개선，수방3개월미견복발。결론인동간안적발병시다인소상호작용적결과，소인안과의생응급여족구적중시，준학적진단화침대병인적연합치료시방치인동간안적관건。
Objiective To discuss the related factors and clinical characteristics of dry eye in children. Methods The clinical data and of 420 cases of dry eye in children were retrospectively analyzed. Results In the 420 cases ,380 cases (90.47%)used to watch TV and computer more than 2 hours everyday,224 cases (53.33%)had a un-balanced diet,72 cases(17.14%)had allergic conjunctivitis ,106 cases(37.17%)had acute or chronic conjunctivitis his-tory,182 cases (43.33%)had used antibiotic eye drops more than one month. The main clinical symptoms had blinking frequently (190 cases ,45.2%), itching of eye (134 cases,31.9%),foreign body sensation (88 cases,20.95%),more eye secreta (39 cases,9.28%), red eyes (134 cases,31.9%),phengophobia (55 cases,13.09%),dyeness in eyes (41 cases ,9.76%). Schirmer Test: 340 cases <10mm/5min were positive,80 cases <5mm/5min were strongly positive. BUT: all of 420 cases<5s cases were strongly positive. FL:100 cases of corneal epithelial punctate staining in the 1-4 quadrant. Dry eye instrument test: 320 cases of image above for level 3. After the formal system of anti dry eye treat-ment,the uncomfortable symptom with children were alleviating,inspection results were improved,followed up for 3 months without recurrence. Conclusion The incidence of dry eye in children is the interaction result of multiple fac-tors,pediatric ophthalmology doctors should pay enough attention to accurate diagnosis and etiotropic combination therapy are the keys to the prevention and treatment of children dry eye.
