青年视屏终端工作者干眼症的患病因素分析及治疗

Prevalence factors analysis and treatment of dry eye syndrome in youth video terminals workers

目的:分析青年视屏终端工作者干眼症的患病因素,探讨人工泪液治疗干眼症的疗效。方法:对136例长期视屏终端接触的青年干眼症患者进行临床调查,包括常见症状(眼干、视疲劳、异物感等),泪膜破裂时间(BUT)、SⅠt试验。共发放136份问卷,有效问卷130份,有效率95.6%。将130例随机分组,治疗组65例应用人工泪液(泪然),3次/d,1滴/次。对照组65例口服四环素,2次/d,250mg/次,连续服用3mo。结果:常见症状依次是:眼干燥异物感(治疗组89.2%、对照组80.0%)、灼热感(治疗组33.9%、对照组30.8%)、视疲劳(治疗组72.3%、对照组67.7%)、视物模糊(治疗组30.8%、对照组35.4%)、眼痛(治疗组24.6%、对照组21.5%);两组无显著性差异。治疗前后两组BUT、SⅠt试验存在明显统计学差异。结论:视屏终端综合征(video display terminals,VDT)是引起青年干眼症的主要原因,局部使用人工泪液组明显优于口服四环素组。

AIM：To analyze the prevalence factors of dry eye syndrome in youth video terminals workers,and to explore the efficacy of artificial tear for the treatment of dry eye syndrome.METHODS：Totally 136 cases with dry eye syndrome due to long-term video terminal contacts were clinically investigated,including common symptoms（dry eye,visual fatigue,foreign body sensation etc.）,breaking-up time（BUT）,Schirmer test.Then 130 cases were selected and randomly divided into two groups.Treatment group 65 cases were treated by artificial tears,3 times a day,one drop each time.Control group 65 cases were treated with oral tetracycline 250mg,twice a day,continuous for 3 months.RESULTS：：Common symptoms：dry eye and foreign body sensation（89.2% in the treatment group,control group 80.0%）,burning sensation（33.9% in the treatment group,control group 30.8%）,asthenopia（treatment group 72.3%,control group 67.7%）,blurred vision（30.8% in the treatment group,control group 35.4%）,eye pain（therapy group,24.6% control group 21.5%）;the two groups had no significant difference.Before and after the treatment,the two experiments of BUT and Schirmer had significantly statistical difference.CONCLUSION：Video display terminals（VDT）is the main reason for youth dry eye syndrome.Local artificial tears using is significantly better than oral tetracycline.