Prevalence and influencing factors of dry eye syndrome among community residents in Shenyang city, 2017
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摘要:
目的 了解辽宁省沈阳市社区居民干眼症患病现状及其影响因素,为采取相应的干预措施提供参考依据。 方法 于2017年3月采取分层随机抽样方法在沈阳市皇姑、沈河、浑南、沈北、于洪5个区抽取1 789名社区居民进行问卷调查和眼部检查。 结果 沈阳市1 789名社区居民中,干眼症患者450例,干眼症患病率为25.15 %;多因素非条件logistic回归分析结果显示,学生、教师及公务人员、户外工人、每日戴隐形眼镜时间 ≥ 8 h和患糖尿病是沈阳市社区居民干眼症患病的危险因素,无关节炎和每日看手机/电脑/电视 < 6 h是沈阳市社区居民干眼症患病的保护因素。 结论 职业、每日戴隐形眼镜时间、每日看手机/电脑/电视时间及糖尿病和关节炎患病情况是沈阳市社区居民干眼症患病的主要影响因素。 Abstract:Objective To examine the prevalence of and factors associated with dry eye syndrome (DES) in community residents in Shenyang city for providing evidences to interventions on DES incidence. Methods We conducted an eye examination and a questionnaire survey on symptoms of and medical history relevant to DES among 1 869 residents aged 8 – 90 years in communities selected with stratified random sampling in five districts of Shenyang city in May 2017. Results Among the participants, totally 450 DES patients were diagnosed and the prevalence rate of DES was 25.15%. Multivariate unconditional logistic regression analysis revealed that the risk factors for DES included being a student/teacher/civil servant, engaged in outdoor work, wearing contact lenses for more than 8 hours per day, and suffering from diabetes; while the protective factors against DES included with arthritis and watching display screen of cell phone, computer, or television set for less than 6 hours per day. Conclusion Occupation, time of wearing contact lenses wear per day, time of watching screen of cell phone, computer, or television set per day, and suffering from diabetes or arthritis are major influencing factors of dry eye syndrome among community residents of Shenyang city. -
Key words:
- dry eye syndrome /
- prevalence /
- influencing factor /
- community residents
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表 1 沈阳市不同特征社区居民干眼症患病率情况比较
特征 调查人数 干眼症患者 患病率(%) χ2值 P值 性别 男性 821 205 25.0 0.36 > 0.05 女性 968 245 25.3 年龄(岁) < 40 539 137 25.4 0.57 > 0.05 40~59 875 215 24.6 ≥ 60 375 98 26.1 文化程度 高中及以下 948 230 24.3 1.43 > 0.05 大专/本科 527 137 26.0 硕士及以上 314 83 26.4 职业 室内工人 769 164 21.3 89.65 < 0.05 户外工人 353 99 28.0 教师及公务人员 562 145 25.8 学生 105 42 40.0 糖尿病患病 否 1 481 324 21.9 76.47 < 0.05 是 308 126 40.9 高血压患病 否 1 267 310 24.5 1.70 > 0.05 是 522 140 26.8 关节炎患病 是 295 87 29.5 12.64 < 0.05 否 1 494 363 24.3 每日戴隐形眼镜时间(h) < 8 1 365 313 22.9 57.14 < 0.05 ≥ 8 424 137 32.4 每日看手机/电脑/电视时间(h) ≥ 6 680 218 32.1 34.11 < 0.05 < 6 1 109 232 20.9 表 2 沈阳市社区居民干眼症患病影响因素非条件logistic回归分析
因素 参照组 β $S_{\overline x}$ Wald χ2值 P值 OR值 95 % CI 职业 户外工人 室内工人 0.42 0.19 6.24 0.02 1.74 1.11~1.93 教师及公务人员 0.11 0.31 0.12 0.02 1.48 1.20~1.98 学生 1.08 0.31 13.90 0.00 2.95 1.52~3.09 糖尿病患病 否 是 0.57 0.21 7.18 0.01 1.96 1.25~1.99 关节炎患病 否 是 – 0.26 0.23 4.97 0.03 0.79 0.51~0.92 每日戴隐形眼镜时间(h) ≥ 8 < 8 0.36 0.13 5.95 0.02 1.50 1.01~1.73 每日看手机/电脑/电视时间(h) < 6 ≥ 6 – 0.75 0.27 7.82 0.01 0.54 0.46~0.94 -
[1] Bron AJ, Smith JA, Calonge M. Methodologies to diagnose and monitor dry eye disease: report of the Diagnostic Methodology Subcommittee of the International Dry Eye Workshop(2007)[J]. Ocul Surf, 2007, 5(2): 108 – 152. doi: 10.1016/S1542-0124(12)70083-6 [2] Tsubota K, Yokoi N, Shimazaki J. New perspectives on dry eye definition and diagnosis: a consensus report by the Asia Dry Eye Society[J]. Ocul Surf, 2017, 15(1): 65 – 76. doi: 10.1016/j.jtos.2016.09.003 [3] Yu J, Asche CV, Fairchild CJ. The economic burden of dry eye disease in the United States: a decision tree analysis[J]. Cornea, 2011, 30(4): 379 – 387. doi: 10.1097/ICO.0b013e3181f7f363 [4] Jie Y, Xu L, Wu YY. Prevalence of dry eye among adult Chinese in the Beijing Eye Study[J]. Eye (Lond), 2009, 23(3): 688 – 693. doi: 10.1038/sj.eye.6703101 [5] Ma A, Mak MS, Shih KC. Association of long-term glycaemic control on tear break up times and dry eye symptoms in Chinese patients with type 2 diabetes[J]. Clin Exp Ophthalmol, 2018, doi: 10.1111/ceo.13146. [6] 李金全. 针灸治疗干眼症临床研究进展[J]. 湖南中医杂志, 2017, 33(4): 182 – 184. [7] Dieckow J. 6th International Conference on the Tear Film and Ocular Surface: basic science and clinical relevance[J]. Ocul Surf, 2011, 9(1): 3 – 12. doi: 10.1016/S1542-0124(11)70004-0 [8] 王淑兰. 干眼症研究进展的综述[J]. 世界最新医学信息文摘, 2018, 18(11): 32 – 33. [9] Shah S, Jani H. Prevalence and associated factors of dry eye: our experience in patients above 40 years of age at a Tertiary Care Center[J]. Oman J Ophthalmol, 2015, 8(3): 151 – 156. doi: 10.4103/0974-620X.169910 [10] 于佳明, 王亚洲, 王芳. 西昌和绍兴眼紫外线暴露其强度差异比较[J]. 中国公共卫生, 2017, 33(4): 588 – 591. [11] 夏旭霞, 刘扬. 环境紫外线辐射与老年性白内障[J]. 中国公共卫生, 2012, 28(7): 992 – 994. [12] Manaviat MR, Rashidi M, Afkhami-Ardekani M. Prevalence of dry eye syndrome and diabetic retinopathy in type 2 diabetic patients[J]. BMC Ophthalmol, 2008, 8(1): 1 – 5. doi: 10.1186/1471-2415-8-1 [13] Kaiserman I, Kaiserman N, Nakar S. Dry eye in diabetic patients[J]. Am J Ophthalmol, 2005, 139(3): 498 – 503. doi: 10.1016/j.ajo.2004.10.022 [14] Sánchez-Piedra C, Andreu JL. Factors associated with severe dry eye in primary Sjögren's syndrome diagnosed patients[J]. Rheumatol Int, 2018, doi: 10. 1007/s00296 – 018 – 4013 – 5. [15] Chung JK, Kim MK, Wee WR. Prognostic factors for the clinical severity of keratoconjunctivitis sicca in patients with Sjögren's syndrome[J]. Br J Ophthalmol, 2012, 96(2): 240 – 245. doi: 10.1136/bjo.2011.202812 [16] Nichols JJ, Sinnott LT. Tear film, contact lens, and patient-related factors associated with contact lens-related dry eye[J]. Invest Ophth-almol Vis Sci, 2006, 47(4): 1319 – 1328. doi: 10.1167/iovs.05-1392 [17] Moon JH, Kim KW, Moon NJ. Smartphone use is a risk factor for pediatric dry eye disease according to region and age: a case control study[J]. Bmc Ophthalmology, 2016, 16(1): 188 – 195. doi: 10.1186/s12886-016-0364-4
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