视频显示终端使用时间及睡眠时间与儿童干眼的关系  

A study on the correlaions between time of using VDT or sleeping time and dry eye in children

作　　者：黄桦 邹文进[1] HUANG Hua, ZOU Wen -fin(Department of Ophtalmology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China)

机构地区：[1]广西医科大学第一附属医院眼科,广西南宁530021

出　　处：《广东医学》2018年第5期701-704,709,共5页Guangdong Medical Journal

基　　金：国家自然科学基金资助项目(编号:81160119);广西自然科学基金资助项目(编号:2016GXNSFAA380280)

摘　　要：目的探讨儿童干眼的临床特点及其与不同视频显示终端(VDT)使用时间、睡眠时间之间的关系。方法收集符合成人干眼诊断标准的儿童89例(178眼)作为观察组,无眼部不适症状的儿童38例(76眼)作为对照组,进行双眼泪膜破裂时间(BUT)、角膜荧光素染色(CFS)、泪液分泌试验(SIT)检查,比较两组间不同VDT(分别为手机、电脑、电视)使用时间及睡眠时间的差异。结果 89例干眼儿童中频繁眨眼51例(57.3%),眼痒29例(32.6%),异物感15例(16.9%),眼红15例(16.9%)。观察组BUT值明显低于对照组(P<0.05);观察组CFS阳性率明显高于对照组(P<0.05);两组间SIT结果差异无统计学意义(P>0.05);观察组平均每天睡眠时间低于对照组,平均每天使用电脑时间高于对照组,差异有统计学意义(P<0.05);二元logistic回归模型结果 :平均每天使用电脑时间较长的儿童更容易患干眼(OR=1.851,P<0.05),而平均每天睡眠时间较长的儿童更不容易患干眼(OR=0.621,P<0.05)。结论使用电脑可能是儿童干眼的危险因素,睡眠可能是儿童干眼的保护因素。Objective To investigate the clinical characteristics of dry eye in children and its correlation with the time of use of different video display terminals （VDT） and sleeping time. Methods Eighty - nine children （ 178 eyes） accordant to the adult dry eye diagnostic criteria were enrolled as the observation group. Thirty -eight children （76 eyes） with no eye symptoms were treated as control group. The tear film break - up time （ BUT）, corneal fluorescing staining （CFS）, and Schirmer test I （SIT） were compared between the 2 groups. The times of using different VDTs （mobile phones, computers, televisions） and the sleep time were also compared. Results Among the 89 cases of dry eye, fre- quent blinking, itchy eyes, foreign body sensation and red eyes were presented in 51 cases （57.3%）, 29 cases （ 32. 6% ）, 15 cases （ 16. 9% ） and 15 cases （ 16. 9% ）, respectively. The BUT value of the observation group was signif- icantly lower than that of the control group （ P 〈 0.05 ）. The positive rate of CFS in the observation group was significantly higher than that in the control group （ P 〈 0. 05 ）. There was no significant difference in SIT between the two groups （ P 〉 0. 05 ）. The average daily sleep time of the observation group was significantly lower than that of the control group ; and the average daily use of computer time was significantly higher than that of the control group （ P 〈 0. 05 ）. The longer daily use of computer was a risk factor of dry eye （ OR = 1. 851, P 〈0. 05） ; and longer daily sleep duration was a protective factor from dry eye （ OR = 0. 621, P 〈 0. 05）. Conclusion The use of computers may be a risk factor for dry eye in children, and sleep may be a protective factor.

关 键 词：儿童 干眼 视频显示终端 睡眠时间 

分 类 号：R777.34[医药卫生—眼科]