沈阳地区普通高等院校学生干眼症现况调查

Epidemiologic Survey of Dry Eye Syndrome among Students in Colleges and Universities in Shenyang

目的:调查沈阳地区普通高等院校学生干眼症的患病率及危险因素。方法:采用以普通高等院校学生为基础的横断面调查。2017年3月至7月对沈阳市32所普通高等院校学生进行调查。每所院校每个年级采用随机抽样方法抽取10名学生。对受检人群进行干眼症问卷调查和临床检查,包括裂隙灯检查、角膜荧光素染色检查、泪膜破裂时间检查和基础泪液分泌试验检查,计算干眼症的患病率,并对临床资料进行统计学分析。结果:共1 210名学生完成了检查,干眼症患病率为3.14%(38/1 210),其中男22例,女16例。主要临床症状为干涩感(78.95%)、异物感(73.68%)。主要诱发因素为熬夜、长期使用电脑、吸烟。不同年级、性别、受教育程度学生干眼症患病率比较差异无统计学意义(P>0.05)。结论:干眼症患者年轻化,年轻干眼症患者临床症状具有多样性特点,尤以眼干涩感、异物感最为多见。熬夜、长期使用电脑、吸烟是其最常见的诱因。

Objective:To investigate the prevalence and risk factors of dry eye syndrome among students in colleges and universities in Shenyang.Methods:From Mar to Jul 2017,students from 32 colleges and universities in Shenyang were investigated.Using a random sampling method,10 students were selected for each grade in each school.The survey was preceded by a pilot study in which operational methods were refined and quality assurance evaluation was carried out.Students were investigated by questionnaire and clinical examination which included slit-lamp examination,corneal fluorescent stain test,tear break-up time(BUT)test and Schirmer I tear test.The prevalence of dry eye syndrome was calculated and the clinical data were statistically analyzed.Results:A total of 1 210 students were enrolled in this study.The incidence of dry eye syndrome were 3.14%(38/1 210).Dryness(78.95%)and foreign body sensation(73.68%)were the most common symptoms.Staying up late orinsomnia,long-term use of computer and smoking were risk factors of dry eyesyndrome.There was no significance in the incidence of dry eye syndrome in different grade students,different sex students,undergraduate and college students(P>0.05).Conclusions:Patients with dry eye syndrome are younger,and the most common clinical symptoms are dryness and foreign body sensation.Staying up late orinsomnia,long-term use of computer and smoking are the most common causes of dry eye syndrome.