中华灾害救援医学
中華災害救援醫學
중화재해구원의학
Chinese Journal of Disaster Medicine
2015年
5期
258-260
,共3页
干眼%眼表综合分析仪%SchirmerⅠ试验
榦眼%眼錶綜閤分析儀%SchirmerⅠ試驗
간안%안표종합분석의%SchirmerⅠ시험
dry eye%ocular surface analyzer%SchirmerⅠtest
目的：对比眼表综合分析仪方法与传统SchirmerⅠ试验方法的检查结果，评价两种方法在干眼诊断中的作用。方法对36例（72只眼）干眼患者依次询问症状，行眼表综合分析仪检查和SchirmerⅠ试验检查。采用Spearman秩相关分析眼表综合分析仪与SchirmerⅠ试验检查方法之间的相关性（双侧检验）。结果观察的患者中，SchirmerⅠ试验滤纸条湿长≤5 mm／5 min的10只患眼中，9只眼眼表综合分析仪测试分级＞2级。 SchirmerⅠ试验湿长＞5 mm／5 min的62只患眼中，40只眼眼表综合分析仪检查分级＞2级。23只眼眼表综合分析仪测试分级为2级，但患者有明显的干眼症状。相关回归分析显示干眼患者的眼表综合分析仪检测等级越高，SchirmerⅠ试验滤纸条湿长越短，两者呈负相关（rS ＝－0．314，P ＜0．05）。结论眼表综合分析仪和SchirmerⅠ试验都能从不同的角度诊断干眼，并客观反映病情的严重程度。其中，眼表综合分析仪检查的指标更多，而且无创伤、重复性强，有较高的临床应用价值。
目的：對比眼錶綜閤分析儀方法與傳統SchirmerⅠ試驗方法的檢查結果，評價兩種方法在榦眼診斷中的作用。方法對36例（72隻眼）榦眼患者依次詢問癥狀，行眼錶綜閤分析儀檢查和SchirmerⅠ試驗檢查。採用Spearman秩相關分析眼錶綜閤分析儀與SchirmerⅠ試驗檢查方法之間的相關性（雙側檢驗）。結果觀察的患者中，SchirmerⅠ試驗濾紙條濕長≤5 mm／5 min的10隻患眼中，9隻眼眼錶綜閤分析儀測試分級＞2級。 SchirmerⅠ試驗濕長＞5 mm／5 min的62隻患眼中，40隻眼眼錶綜閤分析儀檢查分級＞2級。23隻眼眼錶綜閤分析儀測試分級為2級，但患者有明顯的榦眼癥狀。相關迴歸分析顯示榦眼患者的眼錶綜閤分析儀檢測等級越高，SchirmerⅠ試驗濾紙條濕長越短，兩者呈負相關（rS ＝－0．314，P ＜0．05）。結論眼錶綜閤分析儀和SchirmerⅠ試驗都能從不同的角度診斷榦眼，併客觀反映病情的嚴重程度。其中，眼錶綜閤分析儀檢查的指標更多，而且無創傷、重複性彊，有較高的臨床應用價值。
목적：대비안표종합분석의방법여전통SchirmerⅠ시험방법적검사결과，평개량충방법재간안진단중적작용。방법대36례（72지안）간안환자의차순문증상，행안표종합분석의검사화SchirmerⅠ시험검사。채용Spearman질상관분석안표종합분석의여SchirmerⅠ시험검사방법지간적상관성（쌍측검험）。결과관찰적환자중，SchirmerⅠ시험려지조습장≤5 mm／5 min적10지환안중，9지안안표종합분석의측시분급＞2급。 SchirmerⅠ시험습장＞5 mm／5 min적62지환안중，40지안안표종합분석의검사분급＞2급。23지안안표종합분석의측시분급위2급，단환자유명현적간안증상。상관회귀분석현시간안환자적안표종합분석의검측등급월고，SchirmerⅠ시험려지조습장월단，량자정부상관（rS ＝－0．314，P ＜0．05）。결론안표종합분석의화SchirmerⅠ시험도능종불동적각도진단간안，병객관반영병정적엄중정도。기중，안표종합분석의검사적지표경다，이차무창상、중복성강，유교고적림상응용개치。
Objective To compare the test results of SchirmerⅠtest and ocular surface analyzer, evaluating two methods for diagnosis in dry eye.Methods Symptoms of 36 patients (72 eyes) were asked in turn, 36 cases of dry eyes (72 eyes) were esti-mated by ocular surface analyzer and SchirmerⅠtest.The correlations of measuring outcomes of ocular surface analyzer and SchirmerⅠtest were analyzed with Spearman’ s rank correlation analysis on both sides.Results Among those 10 patients who tested by Schirmer I test with wet lengths less than 5 mm/5 min, 9 were greater than grade 2.Among the 62 eyes, of which the wet lengths tested by SchirmerⅠtest were more than 5 mm/5 min, 40 eyes were in grades 2, 3, 4 and 5.23 eyes were in grades 2 with dry eye symptoms apparently.Spearman’ s rank correlation analysis showed that patients with higher dry eye grades, the wet length of SchirmerⅠtest was shorter on the contrary.It showed a negative correlation (rS =-0.314,P<0.05).Conclusions Both ocular surface analyzer and SchirmerⅠtest can diagnose dry eye from a different view, and reflect the severity of dry eye objectively.But ocular surface analyzer has more examination index, and its operation without trauma, its repeatability is strong.Ocular surface analyzer is an effective clinical method to diagnose dry eye.
