儿童异常瞬目多因素分析  

Analyze the multiple pathogenic factors of children's abnormal blinking

作　　者：何路 冉敏 崔琨明 李红艳 李拓 

机构地区：[1]湖北恩施土家族苗族自治州中心医院眼科中心,445000

出　　处：《中国斜视与小儿眼科杂志》2017年第3期42-44,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨儿童异常瞬目的眼科及儿科常见原因,观察治疗效果。方法分析我院眼科与儿科门诊共同诊治并回访的异常瞬目儿童共124例。分析各种疾病所占比例及总体治疗效果。结果 124例患儿中,角、结膜炎症(包括倒睫)的患儿占54.03%;屈光不正的患儿占15.32%;干眼及每日连续注视屏幕时间>2小时的患儿占41.13%;过敏性眼表疾病的患儿占16.13%;儿童抽动障碍的患儿占57.26%;风湿舞蹈病的患儿占8.87%;眼睑肌阵挛的患儿占0.81%。具有2种或2种以上的发病原因的患儿占79.84%。所有患儿经过眼科或联合儿科综合治疗,总有效率100%,治愈率67.74%。结论 (1)溶血性链球菌感染的因素不能忽视。(2)多因素致病的患儿占大多数。(3)重视非眼科疾病所致的异常瞬目。(4)对于常规检查不能确诊的患儿应考虑特殊疾病。Objective To investigate the common causes of children＇s abnormal blinking from ophthalmology and pediatrics ,observed the treatment effect.Methods Analyze the total 124 children outpatients who were diagnosed、treated and return visit by both ophthalmology and pediatrics. Analysis the proportions of various disease and totally curative effect .Results in 124 cases, proportion of corneal and conjunctival inflammation （including trichiasis） is 54.03%; proportion of ametropia is 15.32%;proportion of dry eye and looking at the screen time〉2 hours a day is 41.13%; proportion of allergic disease of ocular surface is 16.13%;proportion of ticdisorders is 57.26%; proportion of chorea minor is 8.87%;proportion of eyelid myoclonia with absences is 0.81%.With two or more than two causes of disease account for 79.84%.All children were treated by ophthalmology or connected with pediatrics ,the total effective rate was 100%,the cure rate was 67.74%.Conclusions （1） hemolytic streptococcus infection factors cannot be ignored.（2） multiple pathogenic factors accounted for most of the children.（3） pay attention to the abnormal blinking which were not caused by ophthalmology reasons.（4） specific diseases should be considered when we have no idea after routine inspections.

关 键 词：儿童 异常瞬目 多因素 

分 类 号：R779.7[医药卫生—眼科]