过度用眼与干眼相关性研究
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摘要
干眼是目前临床上最常见的眼表疾病,近年来随着国内外多项研究表明干眼的产生与过度用眼密切相关。干眼与过度用眼在中医病因病机方面具有相关性,均可因肝阴、肾阴耗损产生。干眼与过度用眼在西医方面亦有相关性,过度用眼可导致泪液分泌减少,从而产生干眼。越来越多的流行病学调查发现干眼与过度用眼密切相关。中医在治疗干眼方面有显著的疗效。
Dry eye is the most common ocular surface disease in clinic at present. In recent years,many studies at home and abroad show that dry eye is closely related to overuse of eyes. Dry eye and overuse of eyes are related in the etiology and pathogenesis of traditional Chinese medicine,both of which can be related to the depletion of liver Yin and kidney Yin. Dry eyes and excessive use of eyes are also related to Western medicine. Excessive use of eyes can lead to reduced tear secretion,resulting in dry eyes. An increasing number of epidemiological studies have found that dry eye are closely related to excessive use of the eyes. TCM has remarkable achievements in the treatment of dry eye.
Dry eye is the most common ocular surface disease in clinic at present. In recent years,many studies at home and abroad show that dry eye is closely related to overuse of eyes. Dry eye and overuse of eyes are related in the etiology and pathogenesis of traditional Chinese medicine,both of which can be related to the depletion of liver Yin and kidney Yin. Dry eyes and excessive use of eyes are also related to Western medicine. Excessive use of eyes can lead to reduced tear secretion,resulting in dry eyes. An increasing number of epidemiological studies have found that dry eye are closely related to excessive use of the eyes. TCM has remarkable achievements in the treatment of dry eye.
引文
[1]陈淑惠,王瞬杏.干眼的中医证型及其影响因素的相关性分析[D].广州:广州中医药大学,2007.
[2]祁媛媛,赵少贞.大学生干眼状况和黏蛋白mRNA表达量相关性研究[D].天津:天津医科大学,2015.
[3]贾松,马鹏创,季晓燕,等.苏州市2014-2015年高等职业院校在校大学生干眼的流行病学调查[J].中国初级卫生保健,2016,30(5):55-57.
[4]丁玲玲,凯文,王乐三,等.中南大学在校生十眼患病现状及相关因素分析[J].实用预防医学,2017,24(12):1534-1538.
[5]魏茜敏,邹文进.视频显示终端使用时间及睡眠时间对干眼患者泪液代谢的影响[J].广东医学,2016,37(5):744-746.
[6]Lee YB,Koh JW,Hyon JY,et al. Sleep deprivation reduces tear secretion and impairs the tear film[J]. Invest Ophth Vis Sci,2014,55(6):3525-3531.
[7]NascimentoDC,AndersenM,Hip6lideDC,etal.Pain hypersensitivity induced by paradoxical sleep deprivation is not due to altered binding to brain mu-opioid receptors[J]. Behav Brain Res,2007,178(2):216-220.
[8]冯国双,陈景武,杨秀珍.某医学院校学生睡眠质量调查及其影响因素分析[J].中华流行病学杂志,2005,26(5):328-331.
[9]朱琳,何慧琴.干眼患者中医证型与焦虑抑郁的相关性研究[D].南京:南京中医药大学,2017.
[10]刘祖国,彭娟.干眼的诊断与治疗规范.眼科研究[J].2008.03,26(3):161-164.
[11]蒋凯婷,谢亚男,叶宇峰.杭州某校大学生干眼病患病及相关因素分析[J].中国学校卫生,2015,36(10):1570-1571.
[12]石常宏,余金明,王继伟,等.中国眼科门诊干眼的流行病学调查[J].中国初级卫生保健,2014,28(7):119-122.
[13]肖秀林,韦福邦,韦礼友,等.广西柳州市普通人群干眼症流行病学的调查[J].国际眼科杂志,2009,9(5):947-949.
[14]张宏,安晓,陈雪艺.眼科门诊干眼的流行病学调查及相关危险因素分析[J].眼科新进展,2008,28(3):214-217.
[15]何玉萍,张文芳,律鹏,等. Prevalence of symptomatic dry eye disease among Chinese college students with associated risk factors[J].国际眼科杂志,2016,16(6):1019-1025.
[16]石常宏,余金明.中国眼科门诊干眼的流行病学调查及干眼诊断问卷临床使用价值分析[D].上海:复旦大学,2014.
[17]王慧娟,刘善珍,沙立娜,等.1127例老年人眼健康检查结果分析[J].中国医疗设备,2017,32(2):55-56.
[18]温艳美,林小勇.惠州市眼科门诊干眼症流行病学调查和相关危险因素分析[J].牡丹江医学院学报,2018,39(4):120-123.
[19]黄巧枝,陈振超,任庆芬.松岗街道干眼症病人流行病学调查分析[J].黑龙江医学,2017,41(7):689-690.
[20] Behrens A,Doyle JJ,Stern L,et al. Dysfunctional tear syndrome:a Delphi approach to treatment recommendations[J].Cornea,2006,25(8):900-907.
[21]宿梦苍,郝晓琳,张仲臣.干眼症眼表损害炎症机制[J].国际眼科杂志,2015,15(5):821-824.
[22]刘祖国,杨文照.干眼症的发病机制[J].眼科,2005,14(5):342-345.
[23] Wickham LA,Gao J,Toda I,et al. Identification of and rogen,estrogen and progesterone receptor mRNAs in the eye[J]. Acta Ophthalmol Scand,2000(78):146-153.
[24]邵毅,余瑶,余静,等.鬼针草滴眼液治疗兔围绝经期干眼症的实验研究[J].中国中药杂志,2015,40(6):1151-1155.
[25]彭清华.中医眼科学[M].北京:中国中医药出版社,2016:119-120.
[26]宋立,王笑莲.明目地黄丸治疗干眼症临床观察[J].中华中医药杂志,2008,23(8):747-749.
[27]周婉瑜,李越虹,寇秋爱.滋阴润目汤治疗干眼症的临床观察[J].中国中医眼科杂志,2006,16(4):202-204.
[28]陈建峰,冯燕敏,陈娇英.八汤珍治疗干眼症的临床观察[J].中国中医眼科杂志,2007,17(3):163.
[29]祖冬梅.滋肾养肝润目汤治疗干眼症65例[J].河南中医,2015,35(1):111-113.
[30]魏立新,杨威,王宏才,等.针灸治疗干眼40例临床观察[J].中国中医药信息杂志,2010,17(5):65-66.
[31]徐兴华,方晓丽.温通针法治疗干眼症疗效观察[J].中国针灸,2012,32(3):233-236.
[32]金明,王晓娟,宋海妓,等.中药及熏灸治疗干眼症的临床观察[J].中国中医眼科杂志,2006,16(2):71-73.
[33]宋立,张南,矫红,等.雷火灸治疗干眼症的临床观察[J].中华中医药杂志,2007,22(10):726-729.
[34]陈陆泉.雷火灸治疗泪液缺乏性干眼症疗效观察[J].中国针灸,2008,28(8):585-588.
[35]郭继援.中药内服联合熏蒸治疗干眼症临床观察[J].中医药临床杂志,2009,21(1):19-20.
[36]李钟睿,张晓梅,刘丽娟.中药熏眼联合人工泪液治疗干眼症的临床观察[J].哈尔滨医科大学学报,2012,46(2):184-185.
[37]王湘娟.中药熏眼联合玻璃酸钠滴眼液治疗严重干眼症临床观察[J].中国中医急症,2014,23(5):954-955.
[38]石继荣.中药熏眼治疗干眼的临床效果分析[J].世界最新医学信息文摘,2017,17(48):85.
[39]季玉玲.观察中医熏眼治疗干眼症的临床疗效[J].中国继续医学教育,2017,9(11):191-193.
[2]祁媛媛,赵少贞.大学生干眼状况和黏蛋白mRNA表达量相关性研究[D].天津:天津医科大学,2015.
[3]贾松,马鹏创,季晓燕,等.苏州市2014-2015年高等职业院校在校大学生干眼的流行病学调查[J].中国初级卫生保健,2016,30(5):55-57.
[4]丁玲玲,凯文,王乐三,等.中南大学在校生十眼患病现状及相关因素分析[J].实用预防医学,2017,24(12):1534-1538.
[5]魏茜敏,邹文进.视频显示终端使用时间及睡眠时间对干眼患者泪液代谢的影响[J].广东医学,2016,37(5):744-746.
[6]Lee YB,Koh JW,Hyon JY,et al. Sleep deprivation reduces tear secretion and impairs the tear film[J]. Invest Ophth Vis Sci,2014,55(6):3525-3531.
[7]NascimentoDC,AndersenM,Hip6lideDC,etal.Pain hypersensitivity induced by paradoxical sleep deprivation is not due to altered binding to brain mu-opioid receptors[J]. Behav Brain Res,2007,178(2):216-220.
[8]冯国双,陈景武,杨秀珍.某医学院校学生睡眠质量调查及其影响因素分析[J].中华流行病学杂志,2005,26(5):328-331.
[9]朱琳,何慧琴.干眼患者中医证型与焦虑抑郁的相关性研究[D].南京:南京中医药大学,2017.
[10]刘祖国,彭娟.干眼的诊断与治疗规范.眼科研究[J].2008.03,26(3):161-164.
[11]蒋凯婷,谢亚男,叶宇峰.杭州某校大学生干眼病患病及相关因素分析[J].中国学校卫生,2015,36(10):1570-1571.
[12]石常宏,余金明,王继伟,等.中国眼科门诊干眼的流行病学调查[J].中国初级卫生保健,2014,28(7):119-122.
[13]肖秀林,韦福邦,韦礼友,等.广西柳州市普通人群干眼症流行病学的调查[J].国际眼科杂志,2009,9(5):947-949.
[14]张宏,安晓,陈雪艺.眼科门诊干眼的流行病学调查及相关危险因素分析[J].眼科新进展,2008,28(3):214-217.
[15]何玉萍,张文芳,律鹏,等. Prevalence of symptomatic dry eye disease among Chinese college students with associated risk factors[J].国际眼科杂志,2016,16(6):1019-1025.
[16]石常宏,余金明.中国眼科门诊干眼的流行病学调查及干眼诊断问卷临床使用价值分析[D].上海:复旦大学,2014.
[17]王慧娟,刘善珍,沙立娜,等.1127例老年人眼健康检查结果分析[J].中国医疗设备,2017,32(2):55-56.
[18]温艳美,林小勇.惠州市眼科门诊干眼症流行病学调查和相关危险因素分析[J].牡丹江医学院学报,2018,39(4):120-123.
[19]黄巧枝,陈振超,任庆芬.松岗街道干眼症病人流行病学调查分析[J].黑龙江医学,2017,41(7):689-690.
[20] Behrens A,Doyle JJ,Stern L,et al. Dysfunctional tear syndrome:a Delphi approach to treatment recommendations[J].Cornea,2006,25(8):900-907.
[21]宿梦苍,郝晓琳,张仲臣.干眼症眼表损害炎症机制[J].国际眼科杂志,2015,15(5):821-824.
[22]刘祖国,杨文照.干眼症的发病机制[J].眼科,2005,14(5):342-345.
[23] Wickham LA,Gao J,Toda I,et al. Identification of and rogen,estrogen and progesterone receptor mRNAs in the eye[J]. Acta Ophthalmol Scand,2000(78):146-153.
[24]邵毅,余瑶,余静,等.鬼针草滴眼液治疗兔围绝经期干眼症的实验研究[J].中国中药杂志,2015,40(6):1151-1155.
[25]彭清华.中医眼科学[M].北京:中国中医药出版社,2016:119-120.
[26]宋立,王笑莲.明目地黄丸治疗干眼症临床观察[J].中华中医药杂志,2008,23(8):747-749.
[27]周婉瑜,李越虹,寇秋爱.滋阴润目汤治疗干眼症的临床观察[J].中国中医眼科杂志,2006,16(4):202-204.
[28]陈建峰,冯燕敏,陈娇英.八汤珍治疗干眼症的临床观察[J].中国中医眼科杂志,2007,17(3):163.
[29]祖冬梅.滋肾养肝润目汤治疗干眼症65例[J].河南中医,2015,35(1):111-113.
[30]魏立新,杨威,王宏才,等.针灸治疗干眼40例临床观察[J].中国中医药信息杂志,2010,17(5):65-66.
[31]徐兴华,方晓丽.温通针法治疗干眼症疗效观察[J].中国针灸,2012,32(3):233-236.
[32]金明,王晓娟,宋海妓,等.中药及熏灸治疗干眼症的临床观察[J].中国中医眼科杂志,2006,16(2):71-73.
[33]宋立,张南,矫红,等.雷火灸治疗干眼症的临床观察[J].中华中医药杂志,2007,22(10):726-729.
[34]陈陆泉.雷火灸治疗泪液缺乏性干眼症疗效观察[J].中国针灸,2008,28(8):585-588.
[35]郭继援.中药内服联合熏蒸治疗干眼症临床观察[J].中医药临床杂志,2009,21(1):19-20.
[36]李钟睿,张晓梅,刘丽娟.中药熏眼联合人工泪液治疗干眼症的临床观察[J].哈尔滨医科大学学报,2012,46(2):184-185.
[37]王湘娟.中药熏眼联合玻璃酸钠滴眼液治疗严重干眼症临床观察[J].中国中医急症,2014,23(5):954-955.
[38]石继荣.中药熏眼治疗干眼的临床效果分析[J].世界最新医学信息文摘,2017,17(48):85.
[39]季玉玲.观察中医熏眼治疗干眼症的临床疗效[J].中国继续医学教育,2017,9(11):191-193.