中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
5期
542-544
,共3页
儿童%干眼
兒童%榦眼
인동%간안
Children%Dry eye
目的 了解儿童干眼的临床特点及相关因素.方法 临床病例对照研究.对2011年2月至2012年2月在江西省人民医院眼科中心以干眼的诊断标准将112例疑似干眼儿童的病因、临床特点进行分析；并对病例治疗前后追踪半年分别做Schirmer Test(泪液分泌试验)、BUT(泪膜破裂时间)、FL(角膜荧光素染色)及视力及屈光检查.结果 112例患儿的主要症状为频繁瞬目40例(35.7％),眼痒36例(32％),眼红16例(14.3％),干涩感12例(10.7％),畏光10例(9％),对风、烟、空调敏感8例(7％),分泌物增多6例(5.3％),丝状角膜炎2例(1.8％).治疗前后BUT检查有显著性改善差异有统计学意义(P＜0.01),而Schirmer试验比较差异无统计学意义(P＞0.05).112例患儿就诊时95例(85％)视力在0.8以上,6例(5％)近视配戴着眼镜,追踪半年后,65例(58％)视力在0.8以上,36例近视(32％)配戴上了眼镜(P＜0.01).结论 儿童干眼的主要症状为频繁瞬目,主要体征是泪膜稳定性下降；干眼是否引起或加速近视发展,值得进一步研究.
目的 瞭解兒童榦眼的臨床特點及相關因素.方法 臨床病例對照研究.對2011年2月至2012年2月在江西省人民醫院眼科中心以榦眼的診斷標準將112例疑似榦眼兒童的病因、臨床特點進行分析；併對病例治療前後追蹤半年分彆做Schirmer Test(淚液分泌試驗)、BUT(淚膜破裂時間)、FL(角膜熒光素染色)及視力及屈光檢查.結果 112例患兒的主要癥狀為頻繁瞬目40例(35.7％),眼癢36例(32％),眼紅16例(14.3％),榦澀感12例(10.7％),畏光10例(9％),對風、煙、空調敏感8例(7％),分泌物增多6例(5.3％),絲狀角膜炎2例(1.8％).治療前後BUT檢查有顯著性改善差異有統計學意義(P＜0.01),而Schirmer試驗比較差異無統計學意義(P＞0.05).112例患兒就診時95例(85％)視力在0.8以上,6例(5％)近視配戴著眼鏡,追蹤半年後,65例(58％)視力在0.8以上,36例近視(32％)配戴上瞭眼鏡(P＜0.01).結論 兒童榦眼的主要癥狀為頻繁瞬目,主要體徵是淚膜穩定性下降；榦眼是否引起或加速近視髮展,值得進一步研究.
목적 료해인동간안적림상특점급상관인소.방법 림상병례대조연구.대2011년2월지2012년2월재강서성인민의원안과중심이간안적진단표준장112례의사간안인동적병인、림상특점진행분석；병대병례치료전후추종반년분별주Schirmer Test(루액분비시험)、BUT(루막파렬시간)、FL(각막형광소염색)급시력급굴광검사.결과 112례환인적주요증상위빈번순목40례(35.7％),안양36례(32％),안홍16례(14.3％),간삽감12례(10.7％),외광10례(9％),대풍、연、공조민감8례(7％),분비물증다6례(5.3％),사상각막염2례(1.8％).치료전후BUT검사유현저성개선차이유통계학의의(P＜0.01),이Schirmer시험비교차이무통계학의의(P＞0.05).112례환인취진시95례(85％)시력재0.8이상,6례(5％)근시배대착안경,추종반년후,65례(58％)시력재0.8이상,36례근시(32％)배대상료안경(P＜0.01).결론 인동간안적주요증상위빈번순목,주요체정시루막은정성하강；간안시부인기혹가속근시발전,치득진일보연구.
Objective To investigate the clinical features and the related factors of dry eye disease.Methods The symptom and pathogeny of 112 suspected dry eye children were analyzed; and the Schirment Test,BuT,FL and eye examination on those children for half a year before and after the therapy were examined.Results The main clinical symptoms of the 112 children was:frequent blinking (40 cases,35.7％),eye itching (36 cases,32％),redness (16 cases,14.3％),dryness (12 cases,10.7),photophobia (10 cases,9％),wind,smoke and air conditioners sensations (8 cases,7％),excretions-increased (6 cases,5.3％),filamentary keratitis (2 cases,1.8％).The results of BUT was improved significantly after the therapy (P ＜0.01),while the improvement of Schirmer was not remarkable (P ＞0.05).Among the 112 children,95 cases (85％) came to the doctor with the vision beyond 0.8,36 cases (32％) were wearing glasses (P ＜0.01).Conclusions The main symptom of children dry eye is frequent blinking,the main sign is the stable decrease of tear films; whether dry eye disease has led and deteriorated myopia needs further research.
