中老年患者干眼症临床分析.pdfVIP

蝗压!垦型盘圭塑!生筮!垒鲞筮!甥』Q塑坐丛￡!世!堂生b!塾些塑旦＆：垫堡：!丛：!垒：堕竺：! ·245· ·临床研究· 中老年患者干眼症临床分析 王又冬马立威许军孔琚张劲松 【摘要】 目的 探讨中老年患者干眼症的l临床特点及诊治要点。方法 通过问卷调查、泪膜破裂时间 (BUT)、SchirmerI试验、角膜荧光素染色以及DR．1泪膜干涉成像仪的检查，分析了印例(97只眼)中老年干眼症 患者的临床资料。结果干眼症患者主要的眼部不适症状依次为眼疲劳(50．49％)、眼红(49．48％)、异物感(47． 的敏感度为63．75％，特异度为49．84％。泪液蒸发过强型、泪液分泌减少合并泪液蒸发过强型、单纯泪液分泌减少 医生应掌握中老年患者干眼症的临床特点，重视症状、病史的询问以及传统的三项检查(SehirmerI试验、BUT试 验、角膜荧光素染色)，避免误诊误治。 【关键词】 干眼症；SehirmerI试验；泪膜破裂时间；荧光素染色 [临床眼科杂志．2008，16：245] Clinical of ineldersWANG analysisdryeyepafients You一幽，lg．MA厶-wei。XUJun．KONGJun。ZHANG五渺 Medical China song．DepartmentofOphthalmology。theFourth颇如ledHospitalof University．Shenyang11005，China To theefiniccharacteristicsand of inelders． 【Abstract】Ojbeictveprobe diagnosticpointsdryeyesyndrome MethodsA in60elder were in selectedtheclinic studyw鹊performed dryeyepatients(≥45yearsold)whorandomly ofour from 15to to film hospitalJanuaryJuly15，2007．Questionnairepertainingdryeyesymptoms。DR·tearlipidlayer I teatandFluoreseeintestwereunderwent．Treatmentswere on interferometry-Schirmer’Stest-BUT staining performed the Themain ofdry were patients．Resultssymptomseyesyndromered-foreignbody drationand sensation．Theand ofDR-Itearfilm were63．75％and burning sensitivityspecificity lipidlayerinterfemmetry all excessivetear