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VDT 工作中泪液分泌与眨眼关系的研究。

Study of the relationship between lacrimation and blink in VDT work.

作者信息

Yaginuma Y, Yamada H, Nagai H

机构信息

Department of Ophthalmology, Ohta Memorial Hospital, Koriyama, Japan.

出版信息

Ergonomics. 1990 Jun;33(6):799-809. doi: 10.1080/00140139008927186.

Abstract

VDT (Visual Display Terminal) work generates various symptoms in operators' eyes such as strain, a sensation of dryness, the presence of a foreign body, and so on. Research suggests that lacrimal abnormality may be related causally to such symptoms. In this paper, the relationship between lacrimation (the secretion of tears) and the frequency of blink due to VDT work in health subjects and VDT workers with such symptoms, and consequent therapeutic methods, were studied. When lacrimation, BUT (Break-UP Time), and the frequency of blink before and after VDT work compared in the control subjects and VDT-operators, an essential difference was noted in experiment 1 the frequency of blink decreased only during VDT operation, and a decreasing tendency of lacrimation was also noted while lacrimation before operation was already less in the VDT group; no large variation was noted before or after VDT operation. The frequency of blink was relatively high during operation, and a decreasing tendency of BUT was noted, compared with that for control subjects. In experiment 2, lacrimation increased remarkably in four eyes (of two operators), and relief from the subjective symptoms was noted. However, BUT intactly reduced similarly before the use of a gelatin rod during the whole process. The insertion of a gelatin rod was consecutively carried out every two weeks for approximately eight months; the development of complications such as dacryosolenitis, etc., was not noted. From these results, it is considered that the insertion of a gelatin rod is clinically useful for VDT operators with decreasing lacrimation.

摘要

视屏显示终端(VDT)工作会使操作者眼睛产生各种症状,如疲劳、干涩感、异物感等。研究表明,泪液异常可能与这些症状存在因果关系。本文研究了健康受试者和有此类症状的VDT工作者中,泪液分泌(流泪)与VDT工作导致的眨眼频率之间的关系,以及相应的治疗方法。在对照受试者和VDT操作者中比较VDT工作前后的泪液分泌量、泪膜破裂时间(BUT)和眨眼频率时,实验1中发现了一个重要差异:仅在VDT操作期间眨眼频率降低,并且泪液分泌量也有下降趋势,而VDT组术前的泪液分泌量就已经较少;VDT操作前后未发现较大变化。与对照受试者相比,操作期间眨眼频率相对较高,并且BUT有下降趋势。在实验2中,两名操作者的四只眼睛的泪液分泌量显著增加,并且主观症状有所缓解。然而,在整个过程中,在使用明胶棒之前BUT同样完整地降低。每两周连续插入明胶棒约八个月;未发现泪囊炎等并发症。从这些结果来看,对于泪液分泌量减少的VDT操作者,插入明胶棒在临床上是有用的。

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