商丘市高职高专学生眼干燥症患病情况及危险因素分析  

Analysis of the Prevalence and Risk Factors of Dry Eye among Students of Higher Vocational Colleges in Shangqiu City

作　　者：魏抗抗[1] 董伟华[1] 何章彪[1] WEI Kangkang;DONG Weihua;HE Zhangbiao(Department of Five Senses Teaching and Research,Shangqiu Medical College Clinical School of Medicine,Shangqiu Henan 476100,China)

机构地区：[1]商丘医学高等专科学校临床医学院五官教研室,河南商丘476100

出　　处：《河南医学高等专科学校学报》2022年第5期545-549,共5页Journal of Henan Medical College

摘　　要：目的调查商丘市高职高专学生眼干燥症患病情况,分析其危险因素。方法2021年10-12月利用分层整群随机抽样法从就读于商丘市高职高专的在校生中抽取1150名学生作为研究对象,发放问卷1150份,有效问卷1122份。采用自行设计调查表和眼表疾病指数(ocular surface disease index,OSDI)量表调查学生眼干燥症患病情况,根据调查结果分为眼干燥症组(233例)与非眼干燥症组(889例)。应用多因素logistic回归分析筛选影响商丘市高职高专学生眼干燥症患病的危险因素。结果1122名商丘市高职高专学生中,检出眼干燥症233名,检出率20.77%,其中,轻度118名(50.64%),中度104名(44.64%),重度11名(4.72%)。眼干燥症组与非眼干燥症组在性别、是否近视、是否佩戴美瞳或隐形眼镜、屈光矫正不足、视屏时间、自行使用眼药水频率、睡眠时间方面比较,差异有统计学意义(P<0.05)。多因素回归分析结果显示,近视、佩戴美瞳或隐形眼镜、屈光矫正不足、自行使用眼药水频率(经常/偶尔)、睡眠时间<8 h·d^(-1)是商丘市高职高专学生眼干燥症患病的独立危险因素(P<0.05)。结论商丘市高职高专学生眼干燥症患病率高,建议针对近视、佩戴美瞳或隐形眼镜、屈光矫正不足等危险因素制定针对性预防措施以促进眼健康。Objective To investigate the prevalence of dry eye syndrome in higher vocational college students in Shangqiu City and analyze the risk factors.Methods From October to December 2021,a stratified cluster random sampling method was used to select 1150 students from higher vocational colleges in Shangqiu as the research objects,1150 questionnaires were distributed,and 1122 valid questionnaires were issued.A self-designed questionnaire and ocular surface disease index(OSDI)scale were used to investigate the prevalence of dry eye among students.According to the survey results,they were divided into a dry eye group(233 cases)and a non-dry eye group(889 cases).Multivariate logistic regression analysis was used to screen the risk factors affecting the prevalence of dry eye in Shangqiu higher vocational college students.Results Among the 1122 higher vocational college students in Shangqiu,233 were diagnosed with dry eye syndrome,and the detection rate was 20.77%.Among the 233 dry eye students in higher vocational colleges in Shangqiu City,118 were mild(50.64%),104 were moderate(44.64%),and 11 were severe(4.72%).There were significant differences between the dry eye group and the non-dry eye group in terms of gender,myopia,wearing cosmetic lenses or contact lenses,insufficient refractive correction,screen time,frequency of self-use eye drops,and sleep time(P<0.05).The results of multivariate regression analysis showed that myopia,wearing beauty contact lenses or contact lenses,insufficient refractive correction,frequency of self-use eye drops(often/occasionally),and sleep time<8 h·d^(-1) were the main factors for the students of higher vocational colleges in Shangqiu.Independent risk factors for eye disease(P<0.05).Conclusion The prevalence of dry eye syndrome in higher vocational college students in Shangqiu is high.It is recommended to formulate targeted preventive measures for risk factors such as myopia,wearing cosmetic lenses or contact lenses,and insufficient refractive correction to promote eye health.

关 键 词：眼干燥症 商丘市 高职高专学生 患病情况 危险因素 

分 类 号：R77[医药卫生—眼科]