国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
11期
2098-2100
,共3页
干燥综合征%干眼%泪膜破裂时间%泪膜分泌试验
榦燥綜閤徵%榦眼%淚膜破裂時間%淚膜分泌試驗
간조종합정%간안%루막파렬시간%루막분비시험
Sj?gren's syndrome%dry eye%tear film %break-up time%SchiemerⅠtest
目的：分析干燥综合征( Sj?gren's syndrome,SS)患者干眼的临床特点。
<br> 方法：回顾性分析2011-07/2014-06我院风湿免疫科SS患者136例272眼的干眼诊断性检查数据。
<br> 结果：在136例患者中：(1)干眼症状中最常见的症状是干燥感,有88例,34例有两种以上的干眼症状；(2)睑缘情况：232眼发现睑缘变化；(3)泪河高度检测：244眼<0.3mm,平均值为0.19±0.11mm；(4)泪膜破裂时间(BUT)检查：206眼BUT≤5s,40眼5s<BUT≤10s,26眼BUT>10s,平均值为3.5±1.6s；(5)SchiemerI试验(SIt)：200眼SIt≤5mm/5min,72眼5<SIt≤10mm/5min；(6)角膜荧光素(CF)染色：平均得分为5.0±2.5；(7)睑板腺功能评分：平均值为2.7±0.8。
<br> 结论：SS 干眼患者可见干燥感等干眼的常见症状,且BUT缩短、SIt减少、CF染色阳性,同时泪河高度降低、睑缘变化、睑板腺功能障碍,应密切关注SS患者中干眼的诊断和治疗。
目的：分析榦燥綜閤徵( Sj?gren's syndrome,SS)患者榦眼的臨床特點。
<br> 方法：迴顧性分析2011-07/2014-06我院風濕免疫科SS患者136例272眼的榦眼診斷性檢查數據。
<br> 結果：在136例患者中：(1)榦眼癥狀中最常見的癥狀是榦燥感,有88例,34例有兩種以上的榦眼癥狀；(2)瞼緣情況：232眼髮現瞼緣變化；(3)淚河高度檢測：244眼<0.3mm,平均值為0.19±0.11mm；(4)淚膜破裂時間(BUT)檢查：206眼BUT≤5s,40眼5s<BUT≤10s,26眼BUT>10s,平均值為3.5±1.6s；(5)SchiemerI試驗(SIt)：200眼SIt≤5mm/5min,72眼5<SIt≤10mm/5min；(6)角膜熒光素(CF)染色：平均得分為5.0±2.5；(7)瞼闆腺功能評分：平均值為2.7±0.8。
<br> 結論：SS 榦眼患者可見榦燥感等榦眼的常見癥狀,且BUT縮短、SIt減少、CF染色暘性,同時淚河高度降低、瞼緣變化、瞼闆腺功能障礙,應密切關註SS患者中榦眼的診斷和治療。
목적：분석간조종합정( Sj?gren's syndrome,SS)환자간안적림상특점。
<br> 방법：회고성분석2011-07/2014-06아원풍습면역과SS환자136례272안적간안진단성검사수거。
<br> 결과：재136례환자중：(1)간안증상중최상견적증상시간조감,유88례,34례유량충이상적간안증상；(2)검연정황：232안발현검연변화；(3)루하고도검측：244안<0.3mm,평균치위0.19±0.11mm；(4)루막파렬시간(BUT)검사：206안BUT≤5s,40안5s<BUT≤10s,26안BUT>10s,평균치위3.5±1.6s；(5)SchiemerI시험(SIt)：200안SIt≤5mm/5min,72안5<SIt≤10mm/5min；(6)각막형광소(CF)염색：평균득분위5.0±2.5；(7)검판선공능평분：평균치위2.7±0.8。
<br> 결론：SS 간안환자가견간조감등간안적상견증상,차BUT축단、SIt감소、CF염색양성,동시루하고도강저、검연변화、검판선공능장애,응밀절관주SS환자중간안적진단화치료。
AIM:To analyze the clinical characteristics of Sj?gren's syndrome ( SS) patients with dry eye.
<br> METHODS:The diagnostic data in 136 SS patients (272 eyes) with dry eye were retrospectively analyzed. All patients were admitted to the Department of Rheumatology and Immunology from July 2011 to June 2014 in our hospital.
<br> RESULTS: In all 136 patients, the most commonly symptom in 88 dry eye patients was dry sensation, two or more symptoms were found in 34 patients; 232 eyes with eye lids margin were changed. The tear meniscus height of 244 eyes were <0. 3mm, with the average of 0.19±0. 11mm. The tear film break-up time ( BUT) of 206 eyes were ≤5s, 40 eyes were between 5 ~10s, 26 eyes were >10s, and with the average of 3. 5±1. 6s; The SchiemerItest ( SIt) of 200 eyes were ≤5mm/5min, 72 eyes were between 5~10mm/5min;The average score of cornea fluorescein ( CF ) staining was 5. 0± 2. 5; The average score of the meibomian gland function was 2. 7±0. 8.
<br> CONCLUSION: In SS patients with dry eye, the symptoms such as dry sensation are usually found, meanwhile the BUTs are shorted, SIt s are reduced, CF staining are positive, tear meniscus. height are reduced, changes of eye lids margin, and the meibomian gland dysfunction, we should pay attention to the diagnosis and treatment in SS patients with dry eye.
