变应性鼻炎患者眼部症状的临床特点分析

发布时间：2018-06-10 20:28

本文选题：鼻炎 + 变应性　；参考：《临床耳鼻咽喉头颈外科杂志》2014年17期

【摘要】：目的:探讨变应性鼻炎(AR)患者眼部症状的临床特点以及眼部症状对患者生活质量的影响。方法:采集AR患者病史及临床资料,从中抽取伴及不伴眼部症状的成年患者各100例,使用鼻结膜炎相关生活质量问卷进行生活质量评估。结果:共收集AR患者1 119例,伴眼部症状859例(有眼症组),其中眼部症状轻度582例,中度234例,重度43例;余260例为无眼症组。眼部症状最常见的为眼痒,其余依次为流泪、充血及肿胀。有眼症组AR病史长于无眼症组(P0.05)。眼部与鼻部症状呈正相关性(P0.01),有眼症组鼻部症状评分高于无眼症组(P0.01),中重度AR患者眼部症状评分高于轻度AR患者(P0.01)。女性患者眼部症状的发生率以及评分高于男性(P0.05)。10岁的患儿眼部症状发生率以及评分较低,而≥50岁患者眼部症状发生率及评分有增高趋势。有眼症组及无眼症组在变应原的分布特点及数量上差异无统计学意义。有眼症组患者的生活质量在非鼻结膜炎症状、相关行为、眼部症状、情感反应4个维度以及总分方面评分高于无眼症组。结论:AR患者多伴有眼部症状,且眼部症状对生活质量有明显的影响,因此在AR的诊疗中,眼部症状的控制不容忽视。
[Abstract]:Objective: to investigate the clinical features of ocular symptoms in patients with allergic rhinitis (ARA) and the effect of ocular symptoms on the quality of life. Methods: the history and clinical data of AR patients were collected, 100 adult patients with and without ocular symptoms were selected from each group, and the quality of life (QOL) was evaluated by rhinoconjunctivitis related quality of life (QOL) questionnaire. Results: a total of 1 119 cases of AR were collected, including 859 cases with ocular symptoms, including 582 cases of mild ocular symptoms, 234 cases of moderate ocular symptoms, 43 cases of severe ocular symptoms, and 260 cases of non-ophthalmic group. The most common eye symptoms are itching, followed by tears, congestion and swelling. The history of AR in the ophthalmic group was longer than that in the non-ophthalmic group (P 0.05). There was a positive correlation between ocular symptoms and nasal symptoms (P 0.01). The score of nasal symptoms in patients with ophthalmopathy was higher than that in patients without eye disease (P 0.01), and the score of ocular symptoms in patients with moderate and severe AR was higher than that in patients with mild AR (P 0.01). The incidence and score of ocular symptoms in female patients were lower than those in male children aged P0.05 and 10 years, while the incidence and score of ocular symptoms in patients aged more than 50 years showed a tendency to increase. There was no significant difference in the distribution and quantity of allergens between the ophthalmic group and the non-ophthalmic group. The quality of life (QOL) scores of patients with ophthalmopathy were higher than those of patients without ophthalmopathy in terms of symptoms of non-nasopharyngeal conjunctivitis, related behavior, ocular symptoms, emotional response and total score. Conclusion the ocular symptoms are often associated with ocular symptoms in patients with AR, and eye symptoms have a significant impact on the quality of life. Therefore, in the diagnosis and treatment of AR, the control of ocular symptoms should not be ignored.
【作者单位】：四川大学华西医院耳鼻咽喉头颈外科;
【基金】：国家科技部十二五攻关计划(No:2014BAI07B04)
【分类号】：R765.21

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