青年干眼症患者临床观察及病因研究.doc

青年干眼症患者临床观察及病因研究【摘要】目的：对青年人群干眼症患者进行临床资料统计，分析青年干眼症的相关发病因素。方法：收集笔者所在医院眼科门诊175例20~40岁干眼症患者的临床病史资料，包括Schirmer Ⅰ试验，泪膜破裂时间(break-up time， BUT)，角膜荧光素染色检查等。结果：在青年干眼症患者中，女性略多于男性，长期使用电脑或用眼过度者，有慢性结膜炎、睑缘炎、睑板腺炎者，戴角膜接触镜、准分子激光术后的患者，所占比例较高。结论：干眼症的发病年龄逐渐呈年轻化趋势，其发病与多种因素有关，加强眼科保健知识的宣传与教育，积极去除诱因或接受相关治疗，对减少干眼症的发生有重要意义。 【关键词】青年；干眼症；病因 Clinical Observation and Causes Analysis of Dry Eye Disease Among Young People/WANG He-ping.//Medical Innovation of China，2012，9(15)：030-031 【Abstract】Objective： To conduct clinical statistics and analyze the factors associated with dry eye disease among the young people. Methods： The clinical data of 175 patients from 20 to 40 years old with dry eye syndrome were collected and analyzed， including Schirmer Ⅰ test， break-up time (BUT) and corneal fluoresce in staining. Results： Women were more than men among young people with eye dry syndrome. The main factors were long time using computer. Chronic conjunctivitis， blepharitis， meibomianitis， wearing contact lenses and excimer laser surgery. Conclusion： The age of suffering from eye dry syndrome tends to be young. Dry eye is the symptom of eye diseases caused by many factors. It is urgent to strengthen publicity and education of eye care knowledge， actively remove related incentives and accept treatment. And these have important significance for reducing the eye dry syndrome. 【Key words】Young people；Dry eye disease；Disease cause First-authors address： The Fourth Peoples Hospital of Shenyang， Liaoyang 110031， China doi：10.3969/j.issn.1674-4985.2012.15.017 多数牙缺失伴孤立残根冠的病变临床上比较常见，通常操作方法是拔除残根冠。而采用卡环固位的传统方法是局部义齿修复，此修复弊端甚多，出现固位、不稳定和美观不佳的情况，卡环对基牙产生过大的侧向力，可能导致基牙疼痛、松动、甚至脱落[1]。笔者收集20例多数牙缺失患者，采用磁性附着体与冠外附着体联合应用，效果确切，现报道如下。 1资料与方法 1.1一般资料收集2009年4月-2011年多数牙缺失伴残根冠患者20例作为研究对象，其中男9例，女11例；年龄45~68岁；20例患者共制作24件修复体，其中肯氏Ⅰ类修复体12例，肯氏Ⅱ类缺失7例，肯氏Ⅲ类缺失1例；24件修复体使用磁性附着体27枚，冠外附着体20件；对于冠外附着体基牙，要求牙合龈高度大于6 mm，松动度不超过Ⅰ度；牙周炎症处于静止期或经完善牙周治疗，有牙髓炎或根尖周炎症者进行根管治疗，伸长及倾斜的活髓牙行根管治疗。根管治疗后的患牙均行桩核修复。 1.2材料镍铬烤瓷合金(德国)，钴铬支架合金(德国)，日本松风塑