摘要
目的观察人工泪液和眼保健操干预对飞行人员干眼症的治疗效果。方法采用偶遇抽样法,以86例被诊断为干眼症的飞行人员为调查对象,予人工泪液或人工泪液+眼保健操治疗,调查其治疗前、后的眼不适症状,记录其泪膜破裂时间(BUT)和泪液分泌试验(SIT)结果。结果 86例干眼症患者主要症状为视疲劳(占82. 6%)、眼干涩感(占60. 5%)、眼痒(占29. 1%);单纯采用人工泪液治疗者(人工泪液组) 28例(占32. 6%),采用人工泪液+眼保健操治疗者(联合治疗组) 58例(占67. 4%);治疗时间<4周、4～周、6～9周者分别有25、36、25例。经治疗后,71例(占82. 6%)患者自诉干眼症状有所缓解。与同组治疗前比较,人工泪液组与联合治疗组患者治疗后的SIT、BUT均有所升高(P <0. 01)。但治疗后人工泪液组、联合治疗组患者的SIT和BUT分别比较,差异均无统计学意义(P> 0. 05)。治疗后,SIT变化仅在治疗时间主效应上有统计学意义(P <0. 01),在治疗措施主效应及两者交互效应上均无统计学意义(P> 0. 05); BUT变化在治疗措施主效应、治疗时间主效应及两者交互效应上均无统计学意义(P> 0. 05)。结论飞行人员干眼症经单纯人工泪液或联合眼保健操干预后,主观症状均有所缓解,SIT、BUT有所提高。
Objective To evaluate the effectiveness of using artificial tears and eye exercise for intervention of dry eye disease in aircrew members. Methods A accidental sampling method was used and 86 patients diagnosed with dry eye disease were selected as study subjects. Artificial tears or artificial tears plus eye exercise were used in patients. Symptoms of dry eye disease were investigated. Results of break up time( BUT) and schirmer I test( SIT) were recorded.Results The main symptoms of these 86 aviators diagnosed with dry eye disease were visual fatigue( 82. 6%),dry feeling( 60. 5%),and itchy eyes( 29. 1%). Among them,28 patients( 32. 6%) were treated with artificial tears only( artificial tears group) and 58 patients( 67. 4%) were treated with artificial tears plus eye exercise( combined treatment group). The duration of treatment of less than 4 weeks,4-weeks,and 6-9 weeks were 25,36 and 25 cases,respectively.After treatment,the symptoms improved in 71 patients( 82. 6%). All patients of these two groups showed improved SIT and BUT compared with the same group before treatment( P < 0. 01). There was no significant difference in the change of SIT and BUT between the artificial tears group and the combined treatment group after treatment( P > 0. 05). There was statistical significance in the change of SIT in the main effect of treatment time( P < 0. 01),but no significant difference in the main effect of treatment measures and the interaction effect( P > 0. 05). There was no statistical significance in the change of BUT in the main effect of treatment measures,treatment time and the interaction effect( P > 0. 05).Conclusion The intervention using artificial tears or artificial tears combined with eye exercise improved the subjective symptoms of dry eye disease in aircrew members. The SIT and BUT also improved after intervention.
作者
王益蓉
齐亚娜
刘欢
WANG Yirong;QI Yana;LIU Huan(Hospital of Civil Aviation Flight University of China,Guanghan,Sichuan 618307,China)
出处
《中国职业医学》
CAS
北大核心
2018年第6期744-747,共4页
China Occupational Medicine
基金
中国民航飞行学院科研项目(J2015-80)
关键词
干眼症
临床特征
泪膜破裂时间
泪液分泌试验
干预
结局
民航
飞行人员
Dry eye disease
Clinical characteristics
Break up time
Schirmer I test
Intervention
Medical outcome
Civil aviation
Aircrew
