李　萍，孙　燕，余　晶，乔瑞华



CCU护士眼部症状、眼表损害与睑板腺功能的现状调查

李萍，孙燕，余晶，乔瑞华

摘要：[目的]调查冠心病监护单元(CCU)护士眼部症状、眼表损害与睑板腺功能的现状，为制定有针对的干预措施提供依据。[方法]将CCU护士设为CCU组，同期选择在非CCU工作的同科室护理人员为对照组，分别评估两组干眼症(DES)患病率、眼表疾病指数问卷(OSDI)评分、角膜荧光素染色积分(CFS)、泪河高度(TMH)、基础泪液分泌试验(SIt)、泪膜破裂时间(BUT)以及睑板腺功能。[结果]CCU护士组DES患病率、OSDI 总分和CFS积分高于对照组，而TMH、SIt、BUT检测值均低于对照组；睑板腺功能指标评估中，CCU组睑缘异常评分及睑脂评分均高于对照组，而睑板腺缺失评分低于对照组，差异均有统计学意义(P<0.05)。[结论]CCU护士DES患病率高，眼部症状较多，眼表损害及睑板腺功能障碍特征突出，应给予足够的重视。

关键词：冠心病监护单元；护士；干眼症；眼部症状；眼表损害；睑板腺功能

Survey of status quo of ocular symptoms,ocular surface damage and meibomian gland function of CCU nurses

Li Ping,Sun Yan,Yu Jing,et al(No.202 Hospital of PLA,Liaoning 110003 China)

AbstractObjective:To survey the status quo of ocular symptoms,ocular surface damage and meibomian gland function of CCU nurses,so as to provide evidences for making targeted intervention measures.Methods:The CCU nurses were taken as CCU group,the same period and department nurses in non CCU woke were taken as the control group,respectively to assess the prevalence of dry eye syndrome(DES),ocular surface disease index questionnaire(osdi)score,corneal fluorescein staining(CFS)score,tear meniscus height(TMH),basal tear secretion test(SIT),tear break-up time(BUT)and function of the meibomian gland between two groups.Results:The prevalence of DES,total OSDI score and CFS score in CCU nurse group were higher than that in control group,while detection values of TMH,SIT,BUT were lower than that in control group;meibomian gland function evaluation index ,eyelid anomaly score and eyelid fat score in CCU nurse group were higher than control group,while meibomian gland missing score was below than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The prevalence rate of DES in CCU nurses was high and the ocular symptoms,ocular surface damage and meibomian gland dysfunction were prominent,which should be given enough attention.

Key wordscoronary care unit,CCU;nurses；dry eye;ocular symptoms；ocular surface damage;meibomian gland function

干眼症(dry eye syndrome，DES)是指一组多样眼表状态，主要表现为病人有视觉障碍及泪膜不稳定，同时还有其他眼部不适症状，并伴有泪液渗透压升高和眼表炎症反应阳性表达。DES已成为全球高发性疾病，流行病学数据证实我国DES患病率为23.6%～30.5%。近年来陆续可见关于职业紧张、应激和视屏终端(vissual display terminai，VDT)连续作业者DES患病率高、眼部症状多及眼表损害指标特征突出的报道[1-3]。冠心病监护单元(coronary care unit，CCU)是医治各种心脏危重症的地方，其护理从业特点为工作节奏快、临床护理任务重、视屏前连续作业时间长、注意力高度集中、白班和夜班轮转频繁等，这些常导致CCU从业护士群体职业紧张、疲倦感及各类眼部症状明显增加[4-5]。……