顽固性睑缘炎患者眼睑蠕形螨感染调查与分析  

The prevalence of Demodex folliculorum in blepharitis padents

作　　者：林宝涛[1] 郭萍[1] 邹仲良[1] 潘裕锦[1] 

机构地区：[1]暨南大学附属深圳眼科医院深圳市眼科医院深圳眼科学重点实验室,深圳518040

出　　处：《中国实用眼科杂志》2015年第8期918-920,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的了解顽固性睑缘炎患者眼睑人体蠕形螨感染情况，为睑缘炎患者的诊治提供帮助。方法选取2012年6月至2014年1月在深圳市眼科医院门诊确诊为顽固性睑缘炎患者44例作为试验组，无睑缘炎但以眼痒、异物感为主要症状的患者37例作为对照组。通过裂隙灯下睫毛根部形态观察及活体共聚焦显微镜检查，了解眼睑蠕形螨感染情况。结果蠕形螨性睑缘炎患者睫毛根部多有圆柱状鳞屑或袖套状鳞屑，非睑缘炎患者鳞屑常呈片状。共聚焦显微镜下，睑缘炎患者蠕形螨感染率为93．1％（41／44），显著高于对照组29．7％（11／37）。结论顽固性睑缘炎患者眼睑蠕形螨感染率较高，眼科医生在作顽同性睑缘炎诊治时，可以通过睫毛形态观察结合眼睑蠕形螨检查确诊蠕形螨感染，必要时予以抑菌联合抗螨治疗。Objective To investigate the infection of Demodex folliculomm in intractable blepharitis patients, and provide help for the diagnosis and treatment. Methods Forty-four outpatients diag- nosed with intractable blepharitis in the Department of Ophthalmology were selected, 37 patients with itchy and foreign body sensation as controls. The morphology of eyelash roots through the slit lamp and the infection of Demodex folliculomm of eyelid with confocal microscopy were observed. Results Scales located in the root of eyelashes in Demodex infected blepharitis patients was cylindrical or cuffqike, scales of non-blepharitis patients was flaky. With the observation of confocal micro- scope, the infection rate of Demodex in blepharitis patients was 93.1% （41/44）, which was significantly higher than 29.7% （11/37） of the control group. Conclusions The infection rate of Demodex in intractable blepharitis patients is high, ophthalmologists can diagnose the infection of demodex via observing the morphology of eyelashes and examining the demodex of eyelid when diagnose and treat the intractable blepharitis, combine the antibacterial treatment with anti-mite treatment when necessary joint anti mite treatment.

关 键 词：顽固性睑缘炎 蠕形螨 感染率 

分 类 号：R276.771[医药卫生—中医五官科学]