中、青年眼睑结石形成影响因素分析

Analysis of factors influencing eyelid stones in youth and middle-age people

目的分析中、青年眼睑结石形成的影响因素。方法回顾性分析中、青年眼科体检者1412例的临床资料,依据是否存在眼睑结石,分为眼睑结石组与无眼睑结石组。分析中、青年眼睑结石形成的影响因素。结果 1412例中,患眼睑结石104例,患病率为7.37%。单因素分析结果显示,两组在年龄、野外工作、个人用眼卫生习惯、长期佩戴隐形眼镜、合并慢性结膜炎、荧光屏接触时间和LDL-C等方面差异均有统计学意义(P<0.05)。多因素logistic回归分析显示,年龄>45岁、野外工作、个人用眼卫生习惯差、长期佩戴隐形眼镜、合并慢性结膜炎和LDL-C>3.63 mmol/L是中、青年眼睑结石发生的危险因素(P<0.05)。结论中、青年眼睑结石的发生与年龄、野外工作、个人用眼卫生习惯、长期佩戴隐形眼镜、合并慢性结膜炎及血脂高等因素有关,提示应针对上述因素做好有效的防控措施,以降低眼睑结石的发生。

Objective To analyze the factors influencing the formation of eyelid stones in youth and middle-age people.Methods The clinical data of 1412 youth and middle-age physical examiners were retrospectively analyzed,who were divided into two groups of A(with eyelid stone) and B(without eyelid stone).The factors influencing the formation of eyelid stones were analyzed.ResultsOf 1412 cases,104(7.37%) cases suffered from eyelid stones.The univariate analysis showed that there were significant differences in age,fieldwork,personal eye hygiene habits,long-term wearing of contact lenses,complicated with chronic conjunctivitis,fluorescent screen contact time,and LDL-C levels between two groups(P<0.05).Multivariate logistic regression analysis showed that age>45 years old,fieldwork,poor personal eye hygiene habits,long-term wearing of contact lenses,complicated with chronic conjunctivitis,and LDL-C>3.63 mmol/L were the risk factors for the occurrence of eyelid stones in youth and middle-age people(P<0.05).Conclusion The occurrence of eyelid stones in youth and middle-age people is related to age,fieldwork,personal eye hygiene habits,long-term wearing of contact lenses,complicated with chronic conjunctivitis and high blood lipids,suggesting that effective prevention and control measures should be taken to reduce the risk for eyelid stones.