论文部分内容阅读
目的:讨论睑缘炎的临床表现、分型、诊断、发病机制、并发症以及治疗。方法:本研究包括在眼科门诊通过裂隙灯检查确诊为睑缘炎的患者300例,针对每位患者完成一份调查问卷,在了解患者患病原因的基础上给予治疗。通过随访评价患者的治疗效果和并发症。结果:本研究中,脂溢性睑缘炎多表现为鳞屑样病变(62.5%),但感染型或混合型睑缘炎多表现为溃疡样病变(P<0.001)。此外,脂溢性睑缘炎的病程多为慢性,而感染型病程多为急性(P<0.001)。由不同类型睑缘炎而引起麦粒肿、霰粒肿、上皮型角膜炎、结膜炎及干眼症等并发症的几率不同(P<0.05)。其中,干眼症和上皮型角膜炎的临床病程多为慢性病程(P<0.05)。一些潜在的全身疾病如脂溢性皮炎、特异性皮炎、糖尿病、过敏、红斑痤疮等与睑缘炎的发生之间有密切的关系。结论:睑缘炎是眼科的常见疾病,需要注意预防该病的并发症。
Objective: To discuss the clinical manifestations, classification, diagnosis, pathogenesis, complications and treatment of blepharitis. Methods: This study included 300 patients diagnosed with blepharitis at the Ophthalmology Clinic by slit lamp examination. A questionnaire was completed for each patient and treated on the basis of knowing the cause of the disease. Follow-up evaluation of the patient’s treatment and complications. Results: In this study, seborrheic blepharitis was mostly manifested as scale-like lesions (62.5%), but most of the infected or mixed blepharitis showed ulcer-like lesions (P <0.001). In addition, the duration of seborrheic blepharitis is mostly chronic, while the infection-type course of mostly acute (P <0.001). Different types of blepharitis caused by the sty, chalazion, epithelial keratitis, conjunctivitis and dry eye syndrome and other complications (P <0.05). Among them, the clinical course of dry eye and epithelial keratitis mostly chronic course (P <0.05). Some underlying systemic diseases such as seborrheic dermatitis, atopic dermatitis, diabetes, allergies, rosacea and the like have a close relationship with blepharitis. Conclusion: Blepharitis is a common ophthalmological disease, need to pay attention to prevent the complications of the disease.