原发性眼睑痉挛100例临床分析

目的　分析原发性眼睑痉挛患者临床特点及治疗情况，提高临床医师对该病的临床诊治率。方法　回顾性分析我院收治的１００例原发性眼睑痉挛患者的一般资料、早期表现、诊断及治疗情况。结果　１００例原发性眼睑痉挛患者的发病年龄为（５６．４±２．７）岁，确诊时病程为２～１２０个月，平均３０个月。１００例患者中眼干涩是最常见的早期非痉挛症状（５４例），其后依次是眼睑睁开费力（３９例）、眨眼次数增多（３２例）、畏光（３２例）。１００例患者中仅１０例初次就诊时被正确诊断，有９０例早期诊断为其他疾病，包括干眼症、结膜／角膜炎、重症肌无力、神经症等。结论　原发性眼睑痉挛的早期临床表现多样，早期识别率低，大多数病例未得到及时正确的治疗，眼科医师应提高对该病的认识。

Clinical analysis of primary blepharospasm : A report of 100 cases

Objective To analyze the clinical characteristics and treatment of primary blepharospasm, and improve the rate of diagnosis and treatment. Methods A retrospective analysis of clinical date of 100 blepharospasm patients in our hospital was performed, including general information, early manifestations, diagnosis and treatments. Results The age at onset of the 100 patients was (56. 4 +2. 7 ) years.the duration was from 2 months t0 120 months , averaged 30 months. Dry eye was the most common of early non-spasm symptoms ( 54 cases) .followed by eyelid open laborious ( 39 cases) .increased blink frequency ( 32 cases) , photophobia ( 32 cases ) . In the 100 cases . while only 10 cases were correctly diagnosed at the initial visit ,90 cases were early diagnosed for other diseases , such as dry eye , conjunctival / keratitis , myasthenia gravis , mental disorders . etc. Conclusion Early clinical manifestations of blepharospasm diverse , early recognition is low , the majority of cases have not gotten timely and correct treatment . and the clinical physician should pay attention to this disease.