騫茬溂鐨勭棁鐘舵湁鍝簺

騫茬溂鐨勭棁鐘舵湁鍝簺錛熷共鐪?dry eye)鏄寚鐢變簬娉恫鐨勯噺鎴栬川鐨勫紓甯稿紩璧風殑娉啘涓嶇ǔ瀹氬拰鐪艱〃闈㈢殑鎹熷錛屼粠鑰屽鑷寸溂涓嶉€傜棁鐘剁殑涓€綾葷柧鐥呫€俒1]瀹冩槸鏈€涓哄父瑙佺殑鐪艱〃鐤劇棶銆傚湪鏂囩尞涓叧浜庡共鐪肩殑鍚嶈瘝鏈変袱涓細keratoconjunctivitis sicca(KCS)鍙奷ry eye銆備負浜嗙粺涓€錛?995騫寸編鍥藉浗絝嬬溂縐戠爺絀舵墍騫茬溂鐮旂┒緇勮璁哄悗灝哾ry eye涓巏eratoconjunctivitis sicca浣滀負鍚屼竴姒傚康錛屽潎縐頒負騫茬溂銆傚湪涓浗鍏充簬騫茬溂鐨勫悕璿嶆湁錛氬共鐪煎共鐪肩棁銆佸共鐪肩棶銆佺粨鑶滃共鐕ョ棁絳夈€傚彂鐥呭師鍥?br />騫茬溂鐥囧彲鍒嗕負娉吅鍒嗘硨涓嶈凍鍜屾唱鑵哄垎娉屽姛鑳芥甯告€у共鐪間袱澶х被銆傚悗鑰呯敱浜庢唱娑叉帓澶辮繃澶氾紝鎴栫О钂稿彂鎬у共鐪肩棁

騫茬溂鐨勭棁鐘舵湁鍝簺錛熷師鍥犱竴鑸湁錛屾唱鑵哄垎娉屼笉瓚蟲€у共鐪?娉吅鍒嗘硨涓嶈凍鎬у共鐪?Tear Deficiency Dry Eye錛孴DDE)銆傚彲鍐嶅垎涓篠S鎬у拰闈濻S鎬у共鐪箋€係S騫茬溂(Sj?gren鈥檚 syndrome Dry Eye錛孲SDE)錛氭槸涓€縐嶅鍒嗘硨鑵鴻嚜韜厤鐤€х柧鐥呭張鍙啀鍒嗕負鍘熷彂鎬S(騫茬溂鍔犲彛騫?鍜岀戶鍙戞€S(鍐嶅姞鍏ㄨ韓鑳跺師鐥咃紝濡傜被椋庢箍鎬у叧鑺傜値銆佺孩鏂戠嫾鐤€佸鍏寵妭鐐庣瓑)銆傞潪SS鎬у共鐪?Non-Sj?gren鈥檚 Dry Eye錛孨SDE)錛氭垨縐癒CS銆傚畠鍖呮嫭涓嬪垪鐥呭彉錛?br />鈶犳唱鑵虹棶鍙橈細A.鍘熷彂鎬ф唱娑蹭笉瓚?PrimarylacrimalDeficiency錛孭LD)錛屼負鍏堝ぉ鎬ф棤娉棁錛屾棤鎴栨湁娉吅錛屼絾緙轟箯鍒嗘硨錛溳潪SS鎬CS錛屾湁鏃剁О浣滃悗澶╂€LD錛屾垨綆€縐癒CS銆侭.緇у彂鎬ф唱娑蹭笉瓚?Secondary Lacrimal DeficiencySLD)濡傜淮鐢熺礌A緙轟箯銆佹穻宸寸槫銆佺被鑲夌槫鐥呫€佷漢綾誨厤鐤己闄風棶姣?HIV)鎰熸煋鍙婂ぇ閮ㄦ唱鑵哄垏闄ゆ湳鍚庛€?br />

騫茬溂鐨勭棁鐘舵湁鍝簺錛熻捀鍙戞€у共鐪?br />(1)鐫戞澘鑵虹棶鍙橈細闃誨鎬х潙鏉胯吅鐐庝負鏈€甯歌鍘熷洜甯鎬負鍘熷彂鎬э紝涔熷彲緇у彂浜庣儳浼ょ粨鑶滅値鎴栧叏韜€х柧鐥呭鐨剛鑵烘€х毊鐐庨厭緋熼薊銆侀奔槌炵櫍銆佺墰鐨櫍銆佺潙鏉胯吅鍥婅偪鍐呯潙鑵虹値銆佺粨鐭崇瓑銆傛湁鏃剁潙鏉胯吅鍏堝ぉ鎬х己濡傦紝緇у彂鎬т綆鍒嗘硨銆佸弻鐫棁銆佸寲鑴撴€х値鐥囥€佽偪鐦ょ瓑銆傛湁鏃剁潙鏉胯吅綆″唴娌矽剛婊炵Н鐫戞澘鑵哄垎娉屽姛鑳戒技涔庢甯革紝浣嗘補鑴備笉瓚?br />(2)鐬洰寮傚父錛氱灛鐩噺灝戞垨闂存湡寤墮暱鍙紩璧風溂琛ㄥ彂騫插瑙佷簬VDT(Visual Dislpay Terminal)璁＄畻鏈哄伐浣滆€咃紝鎴栧姙鍏鐪肩患鍚堝緛銆佸笗閲戞．鐥呯瓑銆?br /> (4)鐪艱〃鐥呭彉錛氬紩璧鋒澂鐘剁粏鑳炲噺灝戠殑鐤劇棶錛屽緇寸敓緔燗緙轟箯銆備換浣曞師鍥犲紩璧風溂琛ㄥ矓閮ㄩ殕璧鳳紝濡傛墜鏈€佽儸鑲夌潙瑁傚紓甯搞€佺獊鐪煎拰鐫戠暩褰㈢瓑閮藉彲浠ラ€犳垚灞€閮ㄧ溂琛ㄥ共鐕ャ€?br />

騫茬溂鐨勭棁鐘舵湁鍝簺錛熷父瑙佺棁鐘舵槸鐪肩潧騫叉訂銆傚彂鐥呮満鍒?br />騫茬溂鐨勫垎綾繪柟娉曟槸灝嗗共鐪煎垎涓衡€滄唱娑蹭笉瓚沖瀷鈥濆強鈥滆捀鍙戣繃寮哄瀷鈥濆共鐪箋€傚墠鑰呬富瑕佹寚娉恫鐢熸垚涓嶈凍錛屽悗鑰呴櫎浜嗗寘鎷剛璐ㄥ眰寮傚父(濡傜潙鏉胯吅鍔熻兘闅滅錛孧eibomain gland dysfunctionMGD)澶栵紝涔熷寘鎷灛鐩笉鍏ㄥ紩璧風殑娉恫钂稿彂澧炲姞絳夋儏鍐點€傚彠涓€縐嶅垎綾繪柟娉曞皢騫茬溂鍒嗕負姘存恫鎬ф唱娑蹭笉瓚?aqueous tear deficiency錛孉TD)鍜岃剛璐ㄦ€ф唱娑蹭笉瓚?lipid tear deficiencyLTD)鍏朵腑ATD鍒嗕負Sj?gren緇煎悎寰佸拰闈濻S鐨凙TD銆傝鑶滄劅鏌撴€х値鐥囧紩璧瘋鑶滄簝鐤°€佺┛瀛旂敋鑷崇溂鐞冭悗緙┿€?br />