低龄儿童异常瞬目的相关因素分析

Analysis of Young Children’s Abnormal Blinking

目的:分析低龄儿童异常瞬目的相关因素,指导临床治疗。方法:对门诊以“眨眼频繁”为主诉就诊的183例异常瞬目儿童,用自制《眨眼问卷调查表》详细询问生活习惯及病史,作眼部相关检查,寻找病因并给予相应的治疗。结果:183例异常瞬目症儿童中,男131例(71.58%),女52例(28.42%);有长时间注视视频终端者56例;合并鼻炎82例;屈光不正78例;眼表疾病112例;心理因素者40例;抽动障碍12例。结论:儿童异常瞬目症常见病因有过敏性结膜炎、慢性结膜炎、干眼等眼表疾病及视疲劳,与长时间使用电子产品及心理因素关系较为密切,同一患者会有多因素存在,应进行综合治疗。另外儿童抽动症也是要引起眼科工作者注意的病因,必要时邀请神经内科医生会诊。

Objective: To analyze the cause of young children’s abnormal blinking and to guide clinical treat-ment. Method: The study object is 183 children with the chief complaint of frequent eye-wink. In addition to a detailed inquiry about life habits and medical history, relevant examination of the eyes was taken, in order to look for the cause of the disease and give the appropriate treatment. Results: In the 183 cases of abnormal blinking, 131 patients were male (71.58%), 52 cases were female (28.42%). Among them, 56 cases watched a video terminal for a long time;82 cases were rhinitis;78 cases were ametropia;ocular surface disease was found in 112 patients;psychological factor was found in 40 cases and tic disorder was found in 12 cases. Conclusion: Common causes of children’s abnormal blinking are ocular surface diseases such as allergic conjunctivitis, chronic conjunctivitis, xerophthalmia and visual fatigue. Using electronic products for a long time and psychological factors closely relate to children’s abnormal blinking. Multiple factors can be found in the same patient, treatments should be comprehensive. In addition, children’s tic disorder is also the cause of children’s abnormal blinking which should be pay attention to, if necessary, we should invite nerve physician for a consultation.