首页|沿海地区干眼发病的流行病学特征及相关危险因素——以烟台市为例

沿海地区干眼发病的流行病学特征及相关危险因素——以烟台市为例

Epidemiological characteristics and related risk factors of dry eye in coastal areas-a case study of Yantai city

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目的 分析烟台地区的干眼发生率,并探讨干眼发病的危险因素.方法 随机选取烟台市 9 个小区,以自愿原则对小区内>20岁人群进行干眼问卷调查及干眼相关检查,最终纳入调查对象共5 520例.分析影响调查对象干眼发生的因素.结果 男性、女性调查对象的干眼患病率比较,差异有统计学意义(P=0.01).年龄<40岁与≥40岁调查对象的干眼患病率比较,差异具有统计学意义(P=0.00).不同季度调查对象的干眼患病率比较,差异具有统计学意义(P=0.00).不同职业调查对象的干眼患病率比较,差异具有统计学意义(P<0.05).有高血压、糖尿病、风湿性疾病史与无高血压、糖尿病、风湿性疾病史调查对象的干眼患病率比较,差异具有统计学意义(P<0.05).有隐形眼镜佩戴史与无隐形眼镜佩戴史调查对象的干眼患病率比较,差异具有统计学意义(P=0.00).每日视频终端使用时间≤8h与每日视频终端使用时间>8h调查对象的干眼患病率比较,差异具有统计学意义(P=0.00).多因素Logistic回归分析显示,女性、年龄≥40 岁、室外工作(渔民、建筑工人)、既往史(高血压、糖尿病、风湿性疾病史)、隐形眼镜佩戴史、每日视频终端使用时间>8h是影响干眼发生的危险因素(P<0.05).结论 性别、年龄、长时间室外工作、既往史、隐形眼镜佩戴史、长时间视频终端使用都是影响干眼发生的危险因素.
Objective To analyze the incidence of dry eye in Yantai area and to explore the risk factors of dry eye.Methods A total of 9 communities in Yantai city were randomly selected,and a dry eye questionnaire survey and dry eye-related examinations were conducted among people over 20 years old in the community on a voluntary basis.Finally,a total of 5 520 subjects were included in the survey.The factors affecting the occurrence of dry eye were analyzed.Results There was a statistically significant difference in the prevalence of dry eye between male and female survey subjects(P=0.01).There was a statistically significant difference in the prevalence of dry eye between survey subjects aged<40 years and≥40 years(P=0.00).There was a statistically significant difference in the prevalence of dry eye among survey subjects in different quarters(P=0.00).There was a statistically significant difference in the prevalence of dry eye among survey subjects in different occupations(P<0.05).There were a statistically significant differences in the prevalence of dry eye between survey subjects with a history of hypertension,diabetes,and rheumatic diseases and those without a history of hypertension,diabetes,and rheumatic diseases(P<0.05).There was a statistically significant difference in the prevalence of dry eye between survey subjects with and without contact lens wearing history(P=0.00).There was a statistically significant difference in the prevalence of dry eye between subjects with daily video terminal use time≤8 h and those with daily video terminal use time>8 h(P=0.00).Multivariate Logistic regression analysis showed that female,age≥40 years old,outdoor work(fishermen,construction workers),past history(history of hypertension,diabetes,rheumatic diseases),contact lens wearing history,daily video terminal use time>8 h were risk factors for dry eye(P<0.05).Conclusion Gender,age,long-term outdoor work,past history,history of wearing contact lenses,and long-term use of video terminals are all risk factors for dry eye.

dry eyeYantai areaepidemiologyrisk factorprevalence rate

周贤慧、徐炳文、王显江、姜文科

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烟台业达医院,山东 烟台,264006

干眼症 烟台地区 流行病学 危险因素 患病率

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(2)
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