[关键词]
[摘要]
目的:探讨A型性格与干眼的相关性,为干眼的预防和诊治提供新思路。
方法:本研究采用病例对照研究的方法,按照年龄、性别1:1匹配,选取100例干眼新发患者为干眼组,100例健康志愿者为对照组。使用“A型性格问卷调查表”统一调查获取临床资料,先用χ2检验对干眼组与健康对照组的性格类型分布进行比较,再运用单因素和多因素条件Logistic回归分析统计数据。
结果:干眼组与对照组性格类型分布情况比较,差异有统计学意义(χ2=6.494,P=0.011),单因素Logistic回归分析中A型性格者患干眼的OR值为2.296(95%CI:1.202~4.384,P=0.012); 每天面对视频终端时间≥6h患干眼的OR值为2.992(95%CI:1.668~5.369,P<0.01); 长期处于空调环境中患干眼的OR值为2.631(95%CI:1.472~4.702,P=0.001)。多因素条件Logistic回归分析中A型性格者患干眼的OR值为2.659(95%CI:1.335~5.295,P=0.005); 每天面对视频终端时间≥6h患干眼的OR值为2.264(95%CI:1.166~4.396,P=0.016); 长期处于空调环境中患干眼的OR值为2.053(95%CI:1.048~4.020,P=0.036)。
结论:A型性格、每天面对视频终端时间≥6h、长期处于空调环境中可能是干眼发生的独立危险因素。
[Key word]
[Abstract]
AIM: To study the correlation between type A behavior and dry eye.
METHODS: Here we used case-control study,100 dry eye patients and 100 healthy persons all completed the questionnaire of type A behavior and unified questionnaire. The results were analyzed by univariate and multivariate conditional logistic regression analysis.
RESULTS: There was significant difference on distribution of behavior pattern between dry eye group and normal group(χ2=6.494,P=0.011). After one factor logistic regression analysis, the risk of dry eye for people with type A behavior was higher(OR=2.296, 95%CI:1.202-4.384, P=0.012); that for people using visual display terminal more than 6h was 2.992(95%CI:1.668-5.369, P<0.01); that for people staying in air condition room was 2.631(95%CI: 1.472-4.702, P=0.001). After multivariate conditional logistic regression analysis, compared with type B behavior, type A behavior pattern(OR=2.659,95%CI:1.335-5.295,P=0.005), people using visual display terminal more than 6h(OR=2.264, 95%CI: 1.166-4.396, P=0.016), people staying in air condition room(OR=2.053, 95%CI: 1.048~4.020, P=0.036)were more significantly associated with dry eye.
CONCLUSION: Type A behavior pattern, using visual display terminal more than 6h and staying in air condition room may be independent risk factors for dry eye.
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[基金项目]
国家自然科学基金资助项目(No.81070715); 中国卫生部科研基金项目(No.WKJ2008-2-61); 福建省创新平台基金项目(No.2010Y2003)