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1、儿童异常瞬目症645例病因分析及诊治进展*基金项目：南京市医学科技发展项目基金资助（编号：YKK11073）作者单位：210000江苏省南京市，南京医科大学附属南京儿童医院（作者1，作者2，作者3）通信作者：程海霞E-mail：706467430@qq.com作者简介:周青(1979年7月出生)，性别，女，博士，主治医师，主要研究领域为儿童眼科E-mail：qingzhou112@sina.com；详细通讯地址：南京医科大学附属南京儿童医院（南京市鼓楼区广州路72号眼科，联系手机：13813943164周青1陈志钧2程海霞3目的:了解异常瞬目患儿的病因
2、，探讨眼部疾患与异常瞬目的可能原因，从而采取相应的诊疗措施。方法:对2013年1月至2014年3月来院的645名异常瞬目患儿，详细的询问病史，进行视力检测，裂隙灯、屈光检测，必要时转诊神经科进行必要的检查。结果:在异常瞬目患儿中，过敏性角结膜炎最为多见，其他病因有倒睫、沙眼、结膜结石、霰粒肿、屈光不正，595例经1周～2月眼科治疗后治愈，35例经眼科治疗无效转诊神经内科后确诊抽动症，经内科治疗后治愈，15例眼科治疗无明显效果内科排除抽动症后建议改善用眼及饮食习惯后自愈。结论:儿童异常瞬目的病因多样，以过敏性结膜炎和倒睫较为多见，必须结合患儿的病史和体检
3、检查找出病因针对性治疗，必要时及时转诊内科治疗。关键词：儿童异常瞬目过敏性结膜炎Analysisofreasonsfor645casesofchildrenwithfrequenteyeblinkandthedevelopmentoftreatmentsZhouQing,ChenZhi-jun,ChengHai-xiaDepartmentofOphthalmology,NanjingChildren’sHospital,Nanjing,210000,ChinaObjective:Toinvestigatetheeyedisordersrelatedto
4、frequenteyeblinkinchildrenandthetreatmentofthecorrespondingeyedisorders.Methods:645casesinourhospitalfromJanuaryin2013toMarchin2014werestudied.Theseexaminationsweremadeinthesecasesincludingthecollectionofhistory,thevisualacuity,slit-lightmicroscope,eyesposition,thecorneaandconju
5、nctiva,ocularfundus,ophthalmometry,BUT,Wefoundpathogenesisandmadetreatments.Afewpatientsshouldgotoseeneurologydoctorwhennecessary.Results:Allergicconjunctivitiswasthemostcommonreasonoffrequenteyeblink,otherswereentropiontrichiasis,multiplechalazion,trachoma,hordeolum,ametropia,e
6、tc.595caseswerecuredafter1weekto2months’treatment.35caseswerefoundaticdisorderandcuredwithmedicaltreatments.15caseswhichhadneithereyedisordersnorticdisorderrecoveredthemselveswhenimprovedthehabits.Conclusions:Frequenteyeblinkisacommoneyedisordercausedbymultiplefactorssuchasocula
7、rdiseases,physiology,medicine,environmentandsoon,allergicconjunctivitisandtrichiasiswerethemostcommoncause.Socorrectanalysisofthereasonsforchoosinganeffectivetreatmentcansignificantlyrelievesymptomsandimprovetheclinicalcurerate,askforthehelpofphysicianswhennecessary.Keywords:Chi
8、ldren,Frequenteyeblink,Allergicconjunctivitis引言
