2型糖尿病病程对干眼的影响  

Effect of Type 2 Diabetes on Dry Eye

作　　者：吴志航 李淑婷 吴靖怡 潘恂[1] WU Zhi-hang;LI Shu-ting;WU Jing-yi;PAN Xun(The First People's Hospital of Changzhou City,Changzhou,Jiangsu Province,213000 China)

机构地区：[1]常州市第一人民医院,江苏常州213000

出　　处：《糖尿病新世界》2020年第4期9-11,共3页Diabetes New World Magazine

基　　金：2019年省基础研究计划(自然科学基金BK20190162)。

摘　　要：目的探讨2型糖尿病病程对干眼的影响。方法收集苏州大学附属第三医院2019年3—9月内分泌科住院患者中确诊为2型糖尿病的患者共101例202眼,其中糖尿病病程≤5年的有51例102眼(B组),病程>5年的有50例100眼(C组),另外收集同期无糖尿病健康体检者49例98眼(A组),对比测量各组患者的泪膜破裂时间(BUT)、泪液分泌试验(SIt)、角膜荧光素染色(FL)评分,比较不同病程糖尿病患者之间干眼指标的差异。结果ABC 3组的FL评分差异无统计学意义(P>0.05),A组BUT为(6.99±2.15)s,B组为(6.86±2.03)s,C组为(5.97±1.56)s,A、B两组与C组相比差异有统计学意义(P(AvsC)=0.006,P(BvsC)=0.006);A组SIt为(7.4±1.8)mm,B组为(7.0±4.0)mm,C组为(5.9±2.4)mm,A、B两组与C组相比差异有统计学意义(P(AvsC)=0.009,P(BvsC)=0.032)。结论糖尿病干眼的发生与严重程度与糖尿病病程有关,当糖尿病病程>5年时,患者的干眼相关指标明显变差。Objective To explore the effect of type 2 diabetes on dry eye.Methods A total of 101 patients of 202 eyes with type 2 diabetes were diagnosed among inpatients in the endocrinology department of the Third Affiliated Hospital of Soochow University from March 2019 to September 2019.Of these,51 cases of 102 eyes with a course of diabetes≤5 years(group B),50 patients with 100 eyes(group C)with a course of disease>5 years,and 49 patients with 98 eyes(group A)with no diabetes during the same period were collected,and the tear film rupture time(BUT)and tear fluid of the patients in each group were compared and measured.The secretory test(SIt)and corneal fluorescein staining(FL)scores were used to compare the differences in dry eye indicators among patients with different durations of diabetes.Results There was no significant difference in FL scores among the three groups of ABC(P>0.05).The BUT in group A was(6.99±2.15)s,group B was(6.86±2.03)s,and group C was(5.97±1.56)s.Compared with group C,the differences between group A and B are significantly statistically significant.P(AvsC)=0.006,P(BvsC)=0.006;SIt in group A was(7.4±1.8)mm,and group B was(7.0±4.0)mm,group C was(5.9±2.4)mm,and the differences between groups A and B compared with group C were statistically significant(P(AvsC)=0.009,P(BvsC)=0.032.Conclusion The occurrence and severity of diabetic dry eye are related to the duration of diabetes.When the duration of diabetes is more than 5 years,the dry eye-related indicators of patients become significantly worse.

关 键 词：2型糖尿病 病程 干眼 

分 类 号：R587.1[医药卫生—内分泌]