摘要
目的掌握现阶段南海某驻岛部队官兵在特殊环境下干眼症的流行病学特点并分析其发病影响因素。方法 2021年1月1日至3月31日对南海某驻岛部队官兵做随机抽样调查,研究对象填写Salisbury眼睛评价问卷调查表(Salisbury Eye Evaluation Questionnaire,SEEQ)并接受眼科常规检查、泪膜破裂时间测定(tear film break-up time,BUT)试验、泪液分泌功能测定(schirmer I test,SIT)试验、角膜荧光素钠染色(fluorescein stain test,FLT)试验,根据干眼症诊断确定官兵干眼症患病率。通过单因素和多因素Logistic分析干眼症患病的影响因素。结果在随机抽样的612名研究对象中,545名规范有效地完成了干眼症问卷调查表、眼科检查以及各项试验,有效参与率为89.05%。问卷调查显示,每个症状的出现频率与其持续时间均呈负相关,其中有100名(18.35%)表现为频繁甚至持续出现眼干涩症状,部分研究对象可同时表现为多种症状。在BUT试验中,有415只眼(38.08%)<10 s;SIT试验中,有416只眼(38.16%)<10 mm/min;FLT试验中,有174只眼(15.96%)>0分。根据干眼症诊断标准,共175名(32.11%)被确诊患有干眼症,通过干眼症危险因素的单因素和多因素Logistic回归分析显示,驻岛时间>3年(P=0.018)、工作环境高热(P<0.001)、日晒(P=0.048)、长期注视电子屏幕(P=0.004)和吸烟史(P=0.033)等因素差异有统计学意义。结论南海某驻岛部队官兵干眼症患病率高。驻岛时间>3年、工作环境高热、日晒、长期注视电子屏幕和吸烟史为干眼症危险因素。
Objective To investigate the epidemiological characteristics of dry eye disease in soldiers located on an island in South China Sea and to analyze its influencing factors.Methods From January 1 to March 31,2021,a random sample survey was conducted on the soldiers and officers of a military unit located on the island.The subjects were required to fill Salisbury Eye Evaluation Questionnaire(SEEQ),and subsequently given routine ophthalmological examination as well as tear film break-up time test(BUT),Schirmer Ⅰ test(SIT) and fluorescein stain test(FLT),so as to calculate the prevalence of dry eye among the subjects.Univariate and multivariate logistic regression models were performed to identify the influencing factors for dry eye.Results Among the 612 sampled subjects,545 participants completed the questionnaire and underwent ophthalmological examination and other tests effectively,with a survey response rate of 89.05%.The questionnaire indicated that the frequency of each symptom was negatively correlated with its duration.One hundred subjects(18.35%) showed frequently and even persistent dryness of eyes,and some presented multiple dry eye symptoms simultaneously.In the BUT test,415 eyes(38.08%) were <10 s;In the SIT test,416 eyes(38.16%) showed <10 mm/min;In the FLT test,174 eyes(15.96%) scored >0.According to the diagnosis standard of dry eye disease,175 subjects(32.11%) were consequently identified as dry eye.Univariate and multivariate logistic regression analyses indicated that station duration on an island >3 years(P=0.018),high temperature during working(P<0.001),sun exposure(P=0.048),longtime staring at digital screens(P=0.004) and smoking history(P=0.033) were of statistical significances.Conclusion The prevalence of dry eye is quit high among the soldiers stationing on the island in South China Sea.Station time on an island longer than 3 years,high temperature during working,sun exposure,overuse of digital screens and smoking history are the risk factors for dry eye disease.
作者
李辰跃
黄鹏
谭泽宇
谈伟峰
刘阳
王灏
LI Chenyue;HUANG Peng;TAN Zeyu;TAN Weifeng;LIU Yang;WANG Hao(Hospital of Navy Troop 91892 of Southern Theater Command,Sansha,Hainan Province,573100,China)
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2021年第24期2603-2608,共6页
Journal of Third Military Medical University
关键词
干眼症
南海
患病率
问卷调查
影响因素
dry eye disease
South China Sea
prevalence
questionnaire
influencing factors
