视频显示终端使用时间及睡眠时间与儿童干眼关系的研究

发布时间：2018-09-12 09:11

【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2014年6月至2017年2月,在我院眼科门诊就诊的符合成年人干眼诊断标准的儿童89例(178眼)作为儿童干眼的观察组,在我院视光部就诊的无明显眼部不适症状的儿童38例(76眼)作为对照组,分析病史及症状,进行双眼泪膜破裂时间(tear film break-up time,BUT)、角膜荧光素染色(corneal fluorescing staining,CFS)、泪液分泌试验(Schirmer test I,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%)。观察组与对照组间儿童性别和年龄没有显著性差异(P0.05)。观察组BUT值:右眼[1(0,2)],左眼[1(0,2)]均明显低于对照组BUT值:右眼[2(0,4)],左眼[2(0,3.3)],差异均有统计学意义(P0.05);观察组CFS阳性率(双眼28.1%)明显高于对照组CFS阳性率(双眼10.5%),差异有统计学意义(P0.05);两组间SIT结果无统计学差异(P0.05);平均每日睡眠时间观察组[8.5(8.0,9.0)]低于对照组[9.0(8.5,9.6)],平均每日使用电脑时间观察组[0(0,1)]高于对照组[0(0,0.25)],且差异均有统计学意义(P0.05);二元Logistic回归模型结果:平均每日使用电脑时间较长的儿童更容易患干眼(OR=1.851,P0.05),而平均每日睡眠时间较长的儿童更不容易患干眼(OR=0.621,P0.05)。[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。
[Abstract]:Objective: to investigate the clinical characteristics of dry eye in children and its relationship with (VDT) time and sleep time of different video display terminals. [methods] from June 2014 to February 2017, 89 children (178 eyes) who met the criteria of dry eye diagnosis in our hospital were selected as the observation group. Thirty-eight children (76 eyes) without obvious ocular discomfort were treated in our hospital as control group. The history and symptoms were analyzed, the time of tear film rupture (tear film break-up time,BUT), corneal fluorescein staining (corneal fluorescing staining,CFS) and tear secretion test (Schirmer test ISIT) were examined. Use time and sleep time of different VDT (cell phone, computer, TV) were compared between the two groups. [results] among 89 children with dry eye, 51 cases (57.3%) had frequent blink, 29 cases (32.6%) had itching, 15 cases (16.9%) had foreign body sensation, 15 cases (16.9%) had eye red. There was no significant difference in gender and age between the observation group and the control group (P0.05). The BUT values of the observation group were significantly lower than those of the control group in the right eye [1 (0 ~ 2)], the left eye [1 (0 ~ 2)], the right eye [2 (0 ~ 4)], the left eye [2 (0 3)] (P0.05), the positive rate of CFS in the observation group (28. 1%) was significantly higher than that in the control group (10. 5%), the difference was statistically significant (P < 0. 05), and the positive rate of CFS in the observation group (28. 1%) was significantly higher than that in the control group (10. 5%). There was no significant difference in SIT results between the two groups (P0.05); the average daily sleep time in the observation group [8.5 (8.0 卤9.0)] was lower than that in the control group [9.0 (8.5 卤9.6)], and the average daily computer time in the observation group [0 (00.25)] was higher than that in the control group [0 (00.25)], and the difference was statistically significant (P0.05); the binary Logistic gyrus was significantly higher in the observation group than in the control group (P0.05). The results showed that children with longer daily computer use were more likely to develop dry eye (OR=1.851,P0.05), while those with longer daily sleep were less likely to develop dry eye (OR=0.621,P0.05). Conclusion: the use of computer may be the risk factor of dry eye in children, and sleep may be the protective factor of dry eye in children.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R777.34

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