摘要
目的调查上海市奉贤区奉城镇60岁以上老年人群干眼的患病率及相关影响因素。方法 2013年6～12月对上海市奉贤区奉城镇60岁以上人群采用随机整群分组抽样法,进行问卷调查,对有阳性症状的受检者做裸眼视力、裂隙灯、基础泪液分泌试验（SⅠt）、泪膜破裂时间（BUT）、角膜荧光素染色（FL）、睑板腺功能检查。结果随机抽取受检者2 387例,实际受检者2 058例,应答率为86.2%。受检者中干眼患者295例,患病率为14.3%,女性患病率为18.0%（208/1 153）,男性患病率为9.6%（87/905）,女性高于男性（χ^2=29.22,P〈0.05）;80岁以上人群的干眼患病率为21.3%,70～79岁为15.8%,60～69岁为9.2%（χ^2=36.61,P〈0.005）。结论上海市奉贤区奉城镇60岁以上人群中,女性的干眼患病率高于男性。干眼患病率随年龄增长而升高,眼干涩、视疲劳、异物感为最常见症状,局部及全身多种因素均影响干眼的发生。干眼的社区防治对郊区眼病防治工作有着重要的意义。
Objective To investigate the prevalence and risk factors of dry eye in over-60s in Fengcheng Town, Fengxian District, Shanghai. Methods From June to December 2013, random cluster sampling was used to investigate dry eye prevalence in over 60 years old people in Fengcheng Town. Every participant completed questionnaire about the symptoms of dry eye. Those persons with positive symptom were examined of visual acuity, slit lamp examination, tear film break up time test （BUT）, Schirmer I test （Sit）, fluorescein staining and meibomian gland function. Results Totally 2 058 subjects were enrolled in this survey and the inclusion ratio was 86.2%. Two hundred and ninety-five persons （ 14.3% ） were diagnosed as dry eye. Two hundred and eight persons （18%, 208/ 1 153） were female and the other 87 persons （9.6%, 87/905） were male. The prevalence rate in female was higher than that in male （χ2 = 29.22, P 〈 0. 05） . The prevalence rate of the group of 60 ～ 69 years older people was 9.2% and the group of 70 ～ 79 years older people was 15.8% （χ2 =36.61, P 〈0.005）. The incidence of dry eye in over-80s was 21.3% which was the highest among the three groups. Conclusions In Fengcheng Town, the prevalence of dry eye in female was higher than that in male and the incidence increased with age. Dry eye, asthenopia and foreign body sensation were the most common symptoms. The occurrence of dry eye was related with topical and systemic factors. Community prevention was important for the prevention and treatment of dry eye in suburban and rural areas.
出处
《中国眼耳鼻喉科杂志》
2016年第1期33-35,39,共4页
Chinese Journal of Ophthalmology and Otorhinolaryngology
基金
上海市奉贤区科委基金资助项目(20111204)
关键词
老年人
干眼
患病率
流行病学调查
Elderly people
Dry eye
Prevalence rate
Epidemiological investigation
