目的：探讨甘肃省兰州市小学生干眼的患病情况及相关因素。

方法：利用随机整群抽样的方法于2017-10/11期间在甘肃省兰州市城关区抽取2所小学共1 347人作为调查对象，均进行干眼问卷调查及相关眼科检查确定诊断，并应用卡方检验、Mann-Whitney U检验、Logistic回归分析探讨小学生干眼患病现状及影响因素。

结果：实际受检者共有1 268人，应答率为94.14%； 诊断干眼271例，患病率为21.37%。经统计学分析发现：男生、高年级组小学生、经常使用滴眼液、不良用眼习惯、配戴角膜接触镜、视频终端设备日使用时间长、学习压力大为干眼患病危险因素。

结论：干眼已成为困扰小学生生活及学习的主要疾病之一，应引起广泛重视。综合考虑以上影响因素，合理用眼，改善生活方式有助于减轻干眼对小学生眼部健康的损害。

METHODS: From October to November 2016, 1 347 pupils in two primary schools in Lanzhou, Gansu Province, were randomly selected as subjects. Every pupil was carried on the questionnaire of dry eye and eye inspection to confirm the diagnosis of dry eye. Besides, the prevalence and influencing factors of dry eye in pupils were analyzed by chi-square test, Mann-Whitney U test and logistic regression model.

RESULTS: A total of 1 268 pupils took part in this study and the inclusion ratio was 94.14%; 271 individuals were diagnosed as dry eye, and the prevalence rate was 21.37%. Statistical analysis showed that the risk factors of dry eye were male, senior pupils, often using eye drops, poor reading habits, wearing contact lenses, video terminals last for a long time, learning pressure.

CONCLUSION: Dry eye has become one of the main diseases that plagued pupil's life and learning. It should cause wide attention. Considering the above factors, rational use of eye and improve lifestyle will help to reduce the damage to eye of pupils.