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目的了解三门县中小学生角结膜干燥症的发生情况并分析相关因素。方法以随机抽样法在三门县人民医院门诊体检的10 354名在校学生中抽取1 040名学生纳入本次研究范围,对入组学生采取眼表疾病指数量表进行角结膜干燥症筛查,通过分析筛查结果分析与角结膜干燥症发生具有相关性的因素。结果共发放1 040份问卷,回收有效问卷为1 025份,全部1 025名学生中干眼症发生率为31.12%(319例);其中轻度54.55%,中度43.89%,重度1.57%。经单因素与多因素分析发现:高年级(OR=1.962)、毕业班(OR=1.684)、视频终端使用时间长(OR=1.706)、佩戴隐形或美瞳(OR=1.861)、滴眼液使用频率高(OR=1.735)、角结膜炎病史(OR=1.828)、近视(OR=1.459)为干眼症的独立危险因素。结论中小学生中的角结膜干燥症应引起广泛重视,针对上述影响因素积极预防,及时发现、正确治疗,避免或减轻干眼症对中小学生眼部健康的损伤。
Objective To understand the incidence of keratoconjunctivitis in primary and secondary school students in Sanmen County and analyze the related factors. Methods A total of 1040 students from 10 354 in-patient medical examinations in Sanmen County People’s Hospital were included in the study by random sampling. The patients were enrolled and screened for xerophthalmia , By analyzing the screening results analysis and keratoconjunctivitis xerostomia associated with the factors. Results A total of 1 040 questionnaires were distributed and 1 025 valid questionnaires were returned. The incidence of dry eye in all 1,025 students was 31.12% (319 cases), with mild 54.55%, moderate 43.89% and severe 1.57%. According to univariate and multivariate analysis, we found that in the senior grade (OR = 1.962), the graduation class (OR = 1.684), the video terminal used for a long time (OR = 1.706) High frequency of use (OR = 1.735), history of keratoconjunctivitis (OR = 1.828) and myopia (OR = 1.459) were independent risk factors for dry eye. Conclusions Primary and secondary school students should pay more attention to the keratoconjunctivitis xerophthalmia, actively prevent the above-mentioned factors, discover and correct the treatment in time, and avoid or reduce the eye health damage of primary and secondary school students.