糖尿病患者睑板腺功能障碍引起干眼的研究  

A Study of Dry Eye by Meibomian Gland Dysfunction in Patients with Diabetes

作　　者：李方园[1] 贾晓丹[1] 王炳亮[1] 李秋菊 

机构地区：[1]河南省安阳地区医院,河南安阳455000

出　　处：《航空航天医学杂志》2017年第12期1446-1449,共4页Journal of Aerospace medicine

摘　　要：目的研究糖尿病干眼患者中睑板腺功能障碍(MGD)的发病率。方法临床病例对照研究。收集2016年7月-2017年1月眼科门诊因干眼症状就诊的患者。研究组糖尿病患者95例190只眼睛,对照组98例无糖尿病患者196只眼睛;两组患者的性别和年龄匹配;分析睑板腺功能障碍发病率与糖尿病的关系。结果糖尿病患者MGD发病率达到66%;在睑板腺堵塞评分、睑板腺分泌物评分、角膜荧光素染色评分和泪膜破裂时间的评分分析中,两组之间差异均有统计学意义(P<0.05),糖尿病组MGD的临床表现比对照组更严重。结论糖尿病与睑板腺功能障碍相关联,在治疗睑板腺功能障碍的同时应关注血糖的监控。Objective To study the meibomian gland dysfunction （MGD）in diabetic patients with dry eye, the inci- dence of a disease. Methods The clinical case - control study. Collected in July 2016 to January 2017 in anyang area hospital ophthalmology clinic patients the symptoms of dry eye treatment. Group 95 cases with 190 eyes in diabetic pa- tients, the control group of 98 patients without diabetes meibomian gland dysfunction in patients with 196 eyes; Two groups of patients with gender and age matching;Analysis of the meibomian gland dysfunction incidence of a disease and diabetes. Results The incidence of diabetes MGD reached 66% ; In the meibomian gland jam a grade, meibomian gland secretion, corneal fluorescein staining scores and appears rupture time score analysis, differences between the two groups have statistical significance （ P 〈 0. 05 ）, The clinical manifestations of diabetes group MGD is more serious than the con- trol group. Conclusions Diabetes is associated with meibomian gland dysfunction, at the same time in the treatment of meibomian eland dysfunction should pay attention to blood sugar monitoring.

关 键 词：干眼 睑板腺功能障碍 糖尿病 

分 类 号：R777.34[医药卫生—眼科]