眼科门诊儿童干眼发生现状及其危险因素分析  

Current Status and Risk Factor Analysis of Dry Eye in Children at Ophthalmology Outpatient Department

作　　者：李菲菲 李渤 王恒俊 LI Feifei;LI Bo;WANG Hengjun(Department of Ophthalmology,Affiliated Hospital of Yangzhou University,Yangzhou Jiangsu 225000,China)

机构地区：[1]扬州大学附属医院眼科,江苏扬州225000

出　　处：《临床研究》2024年第12期8-11,共4页Clinical Research

摘　　要：目的分析儿童眼科门诊干眼病发生现状及其危险因素。方法回顾性分析2022年6月至2023年5月期间扬州大学附属医院眼科门诊诊治的210例患儿临床资料,采用自制调查问卷分析本院眼科门诊儿童干眼的发生现状,并应用多因素Logistic回归分析发生干眼病的危险因素。结果210例患儿中发生干眼病62例,发生率为29.52%;据此分为干眼组(62例)和非干眼组(148例),单因素分析显示,两组年龄、过敏性结膜炎、屈光不正、配戴隐形眼镜、使用非医嘱滴眼液、近1个月每日使用电子产品的时间、每日户外活动时间、每日睡眠时间、学习姿势等差异均有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄13~15岁、存在过敏性结膜炎、经常使用非医嘱滴眼液、每日使用电子产品时间>2 h、每日睡眠时间<8 h是发生儿童干眼病的危险因素(OR>1,P<0.05)。结论本院眼科门诊儿童干眼发生率较高,年龄13~15岁、过敏性结膜炎、经常使用非医嘱滴眼液、每日使用电子产品时间>2 h、每日睡眠时间<8 h是发生儿童干眼病的危险因素。Objective To analyze the occurrence of dry eye disease in children at the ophthalmology outpatient department and its risk factors.Methods A retrospective analysis was conducted on the clinical data of 210 children treated at the ophthalmology outpatient department of the Affiliated Hospital of Yangzhou University from June 2022 to May 2023.A self-made questionnaire was used to analyze the incidence of dry eye among children,and multifactorial logistic regression analysis was applied to identify the risk factors for the occurrence of dry eye disease.Results Among the 210 children,62 cases of dry eye disease were identified,resulting in an incidence rate of 29.52%.Based on this,they were divided into a dry eye group(62 cases)and a non-dry eye group(148 cases).Univariate analysis showed statistically significant differences between the two groups in age,allergic conjunctivitis,refractive errors,contact lens use,use of non-prescription eye drops,daily electronic device usage time in the past month,daily outdoor activity time,daily sleep duration,and study posture(P<0.05).Multifactorial logistic regression analysis revealed that the risk factors for dry eye disease in children included age 13-15 years,presence of allergic conjunctivitis,frequent use of non-prescription eye drops,daily electronic device usage time greater than 2 hours,and daily sleep duration of less than 8 hours(OR>1,P<0.05).Conclusion The incidence of dry eye in children at our hospital's ophthalmology outpatient department is relatively high.The identified risk factors for the occurrence of dry eye disease in children are age 13-15 years,allergic conjunctivitis,frequent use of non-prescription eye drops,daily electronic device usage time greater than 2 hours,and daily sleep duration of less than 8 hours.

关 键 词：儿童 眼科门诊 干眼病 现状 危险因素 

分 类 号：R777.34[医药卫生—眼科]