过敏性结膜炎的临床特点及与其他过敏性疾病的.docVIP

精品论文 参考文献 过敏性结膜炎的临床特点及与其他过敏性疾病的 范虹 (天津市眼科医院 300020) 【中图分类号】R777.31 【文献标识码】A 【文章编号】1672-5085（2010）28-0028-03 【摘要】 目的了解各种过敏性结膜炎的临床特点与其他过敏性疾病的相关性。方法回顾性系列病例研究。连续收集从2009年8月—2009年11月间，来我院门诊就诊且诊断为过敏性结膜炎的病例217例，收集临床资料并进行了相关性调查。结过性结膜炎男女患者比例相当,无统计学差异； 平均年龄35.61+15.61岁，其中以30-50岁最为常见，占80.2%。217例患者中只有过敏性结膜炎而无其他过敏性疾病者117例，占53.91%；合并过敏性鼻炎者共100例，占46.08%；合并支气管哮喘22例，占10.13%；这其中19例同时合并过敏性鼻炎，占总人数8.75%，仅3例单纯哮喘而无鼻炎，占1.38%；合并过敏性皮炎13例，占5.99%，其中接触性皮炎8例，占3.68%，剩下5例为荨麻疹，占2.30%，其中有2例同时合并过敏性鼻炎及哮喘及过敏性结膜炎。结论过敏性结膜炎近年来发病率有明显增高的趋势，已成为影响患者生活质量的重要疾病之一，过敏性结膜炎与过敏性鼻炎、过敏性皮肤病、哮喘等疾病有密切关系，是特应性综合征（Atopysyndrome）的临床特点。提示眼科医生诊治过敏性结膜炎的同时，勿疏忽其他过敏性疾病的诊断治疗。 【关键词】 结膜炎 过敏 临床 【Abstract】 Objective To understand the clinical characteristics of allergic conjunctivitis and investigate the relativity of other allergic disease. Methods In this retrospective case series, a clinical analysis of 217 subjects who came to our hospital from August to November in 2009 was carried out. Results The sex (х2=2.241， P=0.134gt;0.05) has no significant difference in this case series, patients aged 2-74 years old (35.61+15.61),and 80.2% of them were between 30-50yeas old. In this case series, there were 117 cases (53.91%) with allergic conjunctivitis and without other allergic diseases, there were 100cases (46.08%)with allergic rhinitis, there were 22 cases (10.31%) with allergic asthma, there were 13cases (5.99%) with allegic dermatitis.Conclusions Allergic conjunctivitis has a close relationship with other allergic diseases such as allergic rhinitis , allergic asthma, allegic dermatitis and so on. Therefore ,it need to be given high attention ,and ophthalmologists do not neglect to treat other allergic diseases when treating allergic conjunctivitis.【key words】 Allergy Conjunctivitis Clinic 过敏性结膜炎是外界过敏原引起的一组结膜变态反应性疾病。包括季节过敏性结膜炎(seasonal allergic conjunctivitis,SAC)、常年过敏性结膜炎(perennial allergic conjunctivitis,PAC)、春季卡他性角结膜炎(vernalc atarrh keratoconjunctivitis,VKC)、巨乳头性结膜炎(giant papilaryconjunctivitis,GPC)及特应性角结膜炎(atopic kerato