学龄前儿童过敏性结膜炎临床症状分析

发布时间：2017-12-28 16:32

本文关键词：学龄前儿童过敏性结膜炎临床症状分析　出处：《解放军医学院学报》2016年03期 　论文类型：期刊论文

【摘要】：目的了解学龄前儿童过敏性结膜炎的临床症状特点。方法回顾性分析2014年1月-2015年6月于北京儿童医院眼科就诊的过敏性结膜炎患儿的临床表现。结果在所有169例学龄前过敏性结膜炎患儿中,年龄最小5个月,最大6岁。季节性及常年性过敏性结膜炎是最常见的类型。揉眼(85.2%)、眼痒(69.8%)、眨眼(69.2%)、畏光(42%)、眼痛(33.7%)、流泪(20.7%)是最常见的临床症状。临床体征主要表现为结膜充血(91.1%)、视盘增生(29.6%)、结膜水肿(12.4%)、滤泡增生(14.8%)、分泌物增多(26.7%),角膜症状(1.8%)少见。过敏性鼻炎(60.9%)、湿疹(36.1%)、哮喘(3.6%)、倒睫(16.7%)、泪道阻塞(8.9%)、干眼症(54.4%)是最常见的眼部及全身并发症。结论学龄前儿童过敏性结膜炎临床症状与成人过敏性结膜炎略有不同,病史、眼部刺激症状、揉眼等症状具有重要的诊断价值。
[Abstract]:Objective to understand the clinical symptoms of anaphylactic conjunctivitis in preschool children. Methods the clinical manifestations of allergic conjunctivitis in the Department of Ophthalmology of Beijing Children's Hospital in January 2014, -2015, in June, were analyzed retrospectively. Results in all 169 children with anaphylactic conjunctivitis before school age, the minimum age was 5 months and the maximum was 6 years. Seasonal and perennial hypersensitivity conjunctivitis are the most common types. Rouyan (85.2%), (69.8%) the blink of an eye, eye itching, photophobia (69.2%) (42%) (33.7%), eye pain, tears (20.7%) is the most common clinical symptoms. The clinical signs were mainly conjunctival congestion (91.1%), optic disc hyperplasia (29.6%), conjunctival edema (12.4%), follicular hyperplasia (14.8%), increased secretion (26.7%), and corneal symptoms (1.8%) were rare. Allergic rhinitis, eczema (60.9%) (36.1%), asthma (3.6%), trichiasis, lacrimal duct obstruction (16.7%) (8.9%), dry eye (54.4%) is the most common ocular and systemic complications. Conclusion the clinical symptoms of allergic conjunctivitis in preschool children are slightly different from those of adult allergic conjunctivitis. History, eye irritation and rubbing are important diagnostic values.
【作者单位】：首都医科大学附属北京儿童医院眼科;
【基金】：北京市医管局青苗人才培训项目(QML20151103)~~
【分类号】：R777.31
【正文快照】： 过敏性结膜炎(allergic conjunctivitis,AC)是临床上儿童常见的一种非感染性眼表疾病。近年来,随着环境污染的日益严重,雾霾的频繁发生,过敏性疾病发病率呈逐年增长趋势。在欧洲,2007年其发病率为15%~20%[1-3],有报道甚至预测2015年这个比例可能高达50%[2-5]。儿童作为一个特

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