眼科门诊青年患者干眼症病因、症状调查

Investigation on Etiology and Symptoms of Clinic Youth Patients with Dry Eye

目的调查我院眼科门诊就诊的青年患者干眼症的患病情况,并分析病因。方法 2005年5月～2011年4月来我院眼科就诊的青年患者(20～40岁)共846人,记录这些患者是否有干眼症及相关病史和症状,按有无干眼症将患者分为两组,比较两组各项检测指标的差异。结果干眼症组患者久视屏幕、戴隐形眼镜、近距离看书、全身性疾病、频繁应用滴眼液人数均高于对照组(P<0.05)。干眼症组患者的自觉症状如眼镜干涩感、视力疲劳、异物感亦高于对照组(P<0.05)。两组的schirmer试验、泪膜破裂时间比较也有统计学意义(P<0.05)。结论青年患者患干眼症的比例很高,其病因与各种不良用眼习惯有关,且干眼症患者的眼部不适症状明显高于未患干眼症的患者,青年患者应在日常生活中注意用眼卫生,预防干眼症的发生。

Objective To study cases of young patients with xeroma in department of ophthalmology and analyze the etiology. Methods All 846 patients were treated in hospital from May 2005 to April 2011,medical records and symptoms were recorded. Patients were divided into two groups by xeroma and non-xeroma and difference was compared among various tests. Results The population of longtime screen watching, using lenses, short distance reading, systemic disease, using eyedrop frequently in xeroma group is more than non-xeroma group （P〈0.05）. Subjective symptoms of xeroma group, such as sensation of dryness, asthenopia, foreign body sensation, are also more than non-xeroma group. The comparison of schirmer test, breakup time of tear film is statistically significant （P〈0.05）. Conclusion Proportion of young patients with xeroma is high and related to incorrect habits, uncomfortable symptoms are significantly more than non-xeroma patients, young patients should pay attention to eye health in daily life in order to prevent xeroma.