上海市北新泾社区60岁及以上人群干眼的流行病学调查

目的 调查上海市北新泾社区60岁及以上人群干眼的患病情况,从而了解社区人群干眼的患病特征,更好地制定干眼的防治措施.方法 2008年1～5月对上海市北新泾社区60岁及以上人群作抽样调查,所有样本均进行问卷调查并进行裂隙灯、Schirmer I test、BUT、荧光素染色及DR-1干眼仪等检查.依据目前公认的国内干眼诊断标准进行诊断,并对其结果运用SPSS统计软件包进行分析处理.结果在800分问卷中,共746人参与答卷,应答率为93.25%.其中诊断为干眼者185例,男性65例,女性120例.并得出本课题社区调查对象中干眼的患病率为24.8%(185/746),男性患病率为22.0%,女性患病率为26.6%.全身疾病(高血压、糖尿病、冠心病、哮喘、过敏、吸烟)及用药可能促进干眼的发生. 结论 干眼是多因素导致的疾病,60岁及以上人群干眼的发病与老年人泪液分泌功能下降、睑板腺功能障碍有关.

The epidemiologic study of dry eye in Beixinjing district of Shanghai

Objective To estimate the prevalence of dry eye in the senile population older than 60 years in Shanghai,China.Methods Cluster sampling selected 800 people over 60 years old and administered a dry eye symptoms questionnaire.Everyone was performed slit-lamp examination,DR-1,tear film breakup time(TBUT),fluorescent corneal staining,Schirmer I tests and meibomian gland evaluation to determine whether they have dry eye symptoms or not.Use SPSS for analysis.Results Of 746 completed questionnaires,the response rate was 93.25%.Among them,185 were final diagnosed through examination,65 were male and 120 were female.The prevalence of dry eye in people over 60 years old was 24.8%,the male were 22.0% and the female were 26.6%.Conclusions A lot of factors could induce dry eye.Main factors of dry eye in people over 60 years old are the decreasing of tear secretion,especially the dysfunction of meibomian gland.