济南市上网青少年泪膜质量调查

山东大学耳鼻喉眼学报

济南市上网青少年泪膜质量调查

王旭¹,张华¹,吕丽萍¹,崔磊¹,李淼²

1. 济南市第二人民医院济南眼科医院，济南 250001； 2. 济南市第五人民医院眼科，济南 250004

收稿日期:2008-02-25 修回日期:2008-03-12 出版日期:2008-06-16 发布日期:2008-06-16
通讯作者: 王旭

Quality of tear film of adolescence during internet terminal use

WANG Xu¹,ZHANG Hua¹,LV Li-ping¹, CUI Lei¹, LI Miao²

1. Jinan Second People′s Hospital, Jinan Hospital of Ophthalmology, Jinan 250001, China; 2. Department of Ophthalmology, Jinan Fifth People′s Hospital, Jinan 250004, China

Received:2008-02-25 Revised:2008-03-12 Online:2008-06-16 Published:2008-06-16
Contact: WANG Xu

摘要/Abstract

摘要： 目的了解网龄、上网时间等因素对青少年的泪膜质量的影响。方法对济南市7家大型网吧的533名上网青少年进行流行病学调查，调查项目包括双眼Schirmer 1试验（Schirmer1 test，S1T）、泪膜破裂时间（Break-up time, BUT）检查和含有网龄、上机时间等九项内容的问卷调查。Schirmer 1试验和BUT数据与以上其他调查项目的多因素分析采用多元线性回归的逐步回归法。结果① 男性Shirmer 1试验异常者占40%，其中双眼者占21.33%， BUT 异常者占96%，其中双眼者占84%；女性Shirmer 1试验异常者都为双眼，占57.12%， BUT 异常者都为双眼，占85.71%；② 52.81%被调查者，有视觉疲劳的症状；③ 对眼表影响最大的因素是网龄长短（Schirmer试验为+0.19,BUT+0.20）。结论① 网龄久和上网时间长是导致泪液分泌量减少首要原因；② 上网青少年普遍存在BUT的异常；③ 网络游戏的种类和显示器磁场辐射是影响泪膜质量的重要因素；④ 女性网民一般双眼泪膜质量都较差。

关键词: 基础泪液分泌试验, 泪膜破裂时间, 泪膜, 青少年, 上网

Abstract: To investigate internet-related factors on quality of tear film in adolescence. MethodsEpidemiological questionnaires were used by 533 young people in 7 net bars in Jinan City. The Schirmer1 test and break -up time (BUT) were determined. Multiple linear regression and stepwise regression were used to analyze the data. Results1. 40% of the males had abnormal Schirmer test results and 21.33% of them occurred in both eyes. 96% of the males had abnormal BUT and 84% of them occurred in both eyes. 57.12% of the females had abnormal Schirmer test results and 85.71% had abnormal BUT, and all occurred on binoculus. 2. 52.81% of them had visual fatigue. 3. The greatest risk factor is time of using the internet. The Schirmer test result was 0.19 and the BUT 0.20. Conclusions1. A long internet terminal use history and long time on net are key reasons for the decrease of tear secretion. 2. Abnormal BUT is common in adolescence during internet terminal use. 3. Internet games and monitors are important factors influencing quality of the tear film. 4. Most female net users have poor quality of tear film on binoculus.

Key words: Break-up time, Tear film, Schirmer1 test, Adolescence, Online

中图分类号:

R772.2

王旭,张华,吕丽萍,崔磊,李淼 . 济南市上网青少年泪膜质量调查[J]. 山东大学耳鼻喉眼学报, 2008, 22(3): 265-268 .

WANG Xu,ZHANG Hua,LV Li-ping,CUI Lei,LI Miao . Quality of tear film of adolescence during internet terminal use[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 265-268 .

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