评估骨质疏松症患者的泪液分泌和干眼症状

Esin BENLİ KÜÇÜK, Erkut Küçük
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摘要

目的:骨质疏松症是一种全身性骨骼疾病,其特点是骨量减少、骨密度和强度受损。干眼症是一种常见的眼表疾病,其特点是泪膜不稳定,伴有眼部不适、疼痛和视觉障碍。这两种疾病都有共同的风险因素,包括年龄、性别和荷尔蒙因素。本研究旨在评估骨质疏松症患者的泪液分泌和干眼症状,并将其结果与未患骨质疏松症的对照组进行比较。 研究方法在这项横断面研究中,我们对 32 名骨质疏松症患者和 30 名年龄匹配的非骨质疏松症对照组进行了评估。使用 Schirmer 测试评估泪液分泌情况,使用眼表疾病指数 (OSDI) 问卷评估干眼症状。两组结果进行了比较。 结果骨质疏松症组的平均年龄为(61.4±4.9)岁,对照组的平均年龄为(57.7±6.4)岁(P:0.224)。骨质疏松症组的 Schirmer 试验结果为(12.3±7.4)毫米,对照组为(23.1±13.7)毫米。骨质疏松症组的 Schirmer 测试结果明显低于对照组(P:0.009)。骨质疏松症组的平均 OSDI 分数为 30.4±23.1,而对照组为 20.6±14.6。差异无统计学意义(P:0.329)。 结论本研究揭示了骨质疏松症与干眼症之间的潜在联系。与没有骨质疏松症的对照组相比,骨质疏松症患者的泪液分泌量较低。有必要开展进一步研究,以了解这种关系及其影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The evaluation of tear production and dry eye symptoms in patients with osteoporosis
Aims: Osteoporosis is a systemic skeletal disorder characterized by decreased bone mass, compromised bone density and strength. Dry eye is a common disease of the ocular surface characterized by tear film instability with ocular discomfort, pain, and visual disturbances. Both conditions share risk factors, including age, gender, and hormonal factors. In this study, our aim is to assess the tear production and dry eye symptoms in patients with osteoporosis and compare their results a control group without osteoporosis. Methods: In this cross-sectional study, we evaluated 32 osteoporosis patients and 30 age-matched controls without osteoporosis. Tear production was assessed using Schirmer test and the symptoms of dry eye using Ocular Surface Disease Index (OSDI) questionnaire. The results of both groups were compared. Results: The mean age of the osteoporosis group was 61.4±4.9 years, and the mean age of the control group was 57.7±6.4 years (p:0.224). The Schirmer test results were 12.3±7.4 mm for the osteoporosis group and 23.1±13.7 mm for the control group. The Schirmer test results were significantly lower in the osteoporosis group (p:0.009). The mean OSDI scores for the osteoporosis group was 30.4±23.1 while it was 20.6±14.6 for the control group. The difference was not statistically significant (p:0.329). Conclusion: This study reveals a potential connection between osteoporosis and dry eye. Patients with osteoporosis have lower tear production compared to control group without osteoporosis. Further research is necessary to understand this relationship and its implications.
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