干眼症筛查及相关因素的调查分析

Investigation and analysis of related factors of dry eye screening

目的研究本地区干眼症的发病情况以及临床导致患者发病的相关因素,为干眼症的临床治疗和预防提供数据支持和相关参考.方法选取2010年12月～2012年12月本院门诊收治的有干眼症相关症状的663例患者作为研究对象,通过问卷调查的形式按照被调查对象年龄情况、眼部手术情况、眼部用药情况以及接触视频情况进行分组,比较发病率之间的差异.结果＞50岁人群的干眼症发病率显著高于其他年龄段人群的发病率（P＜0.05）,长期使用眼药水组人群的于眼症发病率显著高于未长期使用眼药水组（χ^2=85.7064,P=0.000）,长期接触视频组人群的干眼症发病率显著高于未长期接触视频组（χ^2=43.9001,P=0.000）,实施准分子激光手术组人群的干眼症发病率显著高于未实施准分子激光手术组（χ^2=24.2019,P=0.000）.结论本地区干眼症发病率较高,患者发病受年龄、是否长期使用眼药水、是否经常接触视频以及是否行激光准分子治疗术等因素的影响,临床上应针对上述因素积极给予相关人群以预防和干预措施.

Objective To study the incidence of dry eye in our region as well as in patients with clinically relevant fac- tors leading to the disease,so as to provid support and related reference data for the clinical treatment and prevention of dry eye. Methods 663 cases of dry eye patients admitted to our hospital in our region from December 2010 to Decem- ber 2012 as the study objects,and they were divided into different groups according to the age cases,eye surgery,the eye drug use and exposure to video comparison by the form of the questionnaire. Results The incidence of dry eye popula- tion which greater than the 50 years old was significantly higher than the incidence of other age groups （P〈0.05）.The incidence of dry eye which with long-term use of eye drops group was significant higher than the non long-term use of eye drops group （χ^2=85.7064,P=0.000）.The incidence of dry eye which with long-term dry eye contact with the crowd video group was significantly higher than that of not long-term dry eye contact with the crowd video group（χ^2=43.9001, P=0.000）.The incidence of dry eye which with the implementation of laser surgery group was significantly higher than the crowd did not implement the excimer laser surgery group （χ^2=24.2019,P=0.000）. Conclusion The incidence of dry eye level in the region is higher,and it is related to the age of onset,whether long-term use of eye drops,whether regular contact with the video,and whether the line affect excimer laser therapy and other factors,prevention and intervention measures should be actively given to the relate population for the above factors.