2114例麻风兔眼的分析  

Analysis of 2114 Lagophthalmos Cases in Leprosy

作　　者：严良斌[1] 张国成[1] 李文忠[1] 叶干运[1] 郑治菊[1] 杨忠民[1] 陶明波 陈文华 邵玉生 莫焕春 吕绍泉 贺庭书 吴家庆 乔延郡 陶朗 余炳兴 王厚峥 郑逖生 

机构地区：[1]中国医学科学院皮肤病研究所 [2]江苏扬州市皮肤病防治所及协作医院 [3]东台市皮肤病防治所

出　　处：《中国麻风杂志》1993年第1期6-8,共3页

摘　　要：分析了扬州及东台11个县市14257例麻风中2114例兔眼。单侧兔眼1214例,双侧900例,共占病人总数的14.83％,占麻风眼损害的72.92％。兔眼组中下睑外翻、暴露性角膜病变及视力丧失,明显高于无兔眼组。年龄、型别和病期与兔眼有明显的关联。少菌型患者发生兔眼时,麻风病期不超过4年者占58.93％,以单侧为主(972/1500);多菌型发生兔眼时,麻风病期超过10年者占69.95％,以双侧为主,(371/609)。双侧发生兔眼的间隔时间在6个月之内的占90.88％。兔眼与面瘫同时存在者占72.23％。60％的兔眼发生于不知不觉之中。作者强调兔眼引起的暴露性角膜病变及失明是完全可以预防的。Among 14257 cases of leprosy in 11 counties and cities of Yanzhou and Dongtai, Jiangsu Province, 2114 cases of lagophthalmos were found, including 1214 unilateral and 900 bilateral, accounting for 14. 83% of all the cases and 72. 92% of leprosy eye diseases. In those with lagophthalmos, paralytic ectropion, exposure keratitis and loss of sight were significantly more than in those without lagophthalmos. Age ,leprosy type and the disease duration of the patients are significantly related to lagophthalmos. When lagophthalmos occurs, their disease duration of less than four years for PB patients is 58. 93% with the majority being unilateral ,and the duration of more than 10 years is in 69. 95% of MB patients with the majority being bilateral. The interval between occurrences of lagophthalmos on two sides is less than two months in 90. 88%. Lagophthalmos with mimetic paralysis is in 72. 23%. 60% of lagophthalmos occur unconsciously. The authors emphasize that the majority of exposure keratitis and blindness caused by lagophthalmos is preventable.

关 键 词：麻风 兔眼 眼部表现 

分 类 号：R755[医药卫生—皮肤病学与性病学]