儿童异常瞬目症215例研究.docVIP

儿童异常瞬目症215例研究【摘要】 目的 研究2009年2月至2010年2月我院门诊儿童多瞬症患者的临床资料，分析治疗小儿异常瞬目症的方法和效果。方法 观察患儿临床表现、治疗方法和疗效，并进行裂隙灯检查、SchirmerⅡ试验、BUT试验。结果 屈光不正141 例(66%)，给予指导用眼卫生，综合治疗。两周后症状好转或消失的有135例，1个月后100%患儿症状消失。结、角膜炎56例(26%)，其他18例，占总数8%(包括倒睫、眼睑结石等)，该74例在去除局部刺激因素后，两周后症状改善或消失者69例，一个月后72例症状改善或消失。结论 近年来频繁瞬目患儿逐渐增多,儿童瞬目症是儿童发育过程中一种生理心理疾病, 其病因、临床表现、疗效等应引起现代眼科医生重视。? 【关键词】 儿童瞬目症;治疗 Analysis in 215 cases of childrens? a bnormal Blink MA Song-feng. The Preparation Room,the First Affiliated Hospital of Henan University of Science and Tecnology，Henan 471003,China ? 【Abstract】 Objective To investigate Clinical data of215 pediatric cases of blink in our hospital from May 2007 to May 2009， to find the best treatment. MethodsObserved the children with clinical manifestations, treatment methods and effect,examinations including slit-lamp examination, BUT test and SchirmerⅡtest, et al. Results Refractive errors in 141 cases (66%), mentor with eye health, comprehensive treatment.Symptoms improved or disappeared of the 135 cases after two weeks, 100% of patients symptoms disappeared after one month completely. Keratitis/Conjunctivitis in 56 cases (26%). Other in 18 cases (8%),including Trichiasis/Eyelid stone et al. After the removal of local incentive factors, symptoms improved or disappeared of the 69 cases after two weeks, 72 cases after one month. Conclusion In recent years,the frequent of blinking children cases increased gradually.Frequent blink in children is one of the physiological-psychology diseases during child development process. The studies on the etiology,clinical manifestation, and treatment of the disease should be pay more attention by ophthalmologist.? 【Key words】 Childrens? blink; Treatment;Physical and emotional illness 正常瞬目频率为10~15次/min。异常瞬目症是指多见阵发性频繁眨眼动作但实验室检查并无明显眼病的一类病症。该病症目前属于儿科、眼科的常见病和多发病。不仅影响患儿日常生活及学习，也给家长带来很大的心理压力。通过我院门诊收治的215例患儿临床诊治，疗效良好。现把病例分析报告如下。? 1 临床资料? 1.1 一般资料 随机收集2009年2月至2010年2月在我院眼科门诊频繁瞬目患儿215例,男126例,女89例,年龄3.5~13岁,平均6.58岁,起病时间1周~1年。所有患儿均表现为单纯