中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
7期
84-86
,共3页
王宏英%王大军%高宁%任清梅
王宏英%王大軍%高寧%任清梅
왕굉영%왕대군%고저%임청매
那素达滴眼液%准分子激光原位角膜磨镶术%结膜下出血
那素達滴眼液%準分子激光原位角膜磨鑲術%結膜下齣血
나소체적안액%준분자격광원위각막마양술%결막하출혈
Naphcon%LASIK%Subconjunctival hemorrhage
目的 对比观察准分子激光原位角膜磨镶术(LASIK)前应用那素达滴眼液及不同点眼次数对结膜下出血的影响.方法 研究分为临床对照研究和自身对照研究.临床对照研究:观察组在术前15 min滴那素达滴眼液1次,对照组在术前15 min开始滴那素达滴眼液,间隔5 min滴眼1次,共3次.自身对照研究:在术前15 min给同一患者左眼滴那素达滴眼液1次,右眼滴那素达滴眼液,间隔5min滴眼1次,共3次,下1例右眼滴1次,左眼滴3次,依次类推准备术眼.两组均按常规进行LASIK术前准备及手术.结果 临床对照组和自身对照组中,观察组与对照组术后3个月裸眼视力比较差异无统计学意义.临床对照组中,观察组有4眼发生结膜下出血,占3.67%;对照组有5眼发生结膜下出血,占4.59%,两组比较差异均无统计学意义.自身对照组中,观察组有3眼发生结膜下出血,占3.12%;对照组有4眼发生结膜下出血,占4.16%,两组比较差异均无统计学意义.结论 在LASIK术前点用那素达滴眼液,能有效地降低LASIK术后结膜下出血的发病率,并且点眼1次或3次对结膜下出血的发病率无影响.
目的 對比觀察準分子激光原位角膜磨鑲術(LASIK)前應用那素達滴眼液及不同點眼次數對結膜下齣血的影響.方法 研究分為臨床對照研究和自身對照研究.臨床對照研究:觀察組在術前15 min滴那素達滴眼液1次,對照組在術前15 min開始滴那素達滴眼液,間隔5 min滴眼1次,共3次.自身對照研究:在術前15 min給同一患者左眼滴那素達滴眼液1次,右眼滴那素達滴眼液,間隔5min滴眼1次,共3次,下1例右眼滴1次,左眼滴3次,依次類推準備術眼.兩組均按常規進行LASIK術前準備及手術.結果 臨床對照組和自身對照組中,觀察組與對照組術後3箇月裸眼視力比較差異無統計學意義.臨床對照組中,觀察組有4眼髮生結膜下齣血,佔3.67%;對照組有5眼髮生結膜下齣血,佔4.59%,兩組比較差異均無統計學意義.自身對照組中,觀察組有3眼髮生結膜下齣血,佔3.12%;對照組有4眼髮生結膜下齣血,佔4.16%,兩組比較差異均無統計學意義.結論 在LASIK術前點用那素達滴眼液,能有效地降低LASIK術後結膜下齣血的髮病率,併且點眼1次或3次對結膜下齣血的髮病率無影響.
목적 대비관찰준분자격광원위각막마양술(LASIK)전응용나소체적안액급불동점안차수대결막하출혈적영향.방법 연구분위림상대조연구화자신대조연구.림상대조연구:관찰조재술전15 min적나소체적안액1차,대조조재술전15 min개시적나소체적안액,간격5 min적안1차,공3차.자신대조연구:재술전15 min급동일환자좌안적나소체적안액1차,우안적나소체적안액,간격5min적안1차,공3차,하1례우안적1차,좌안적3차,의차유추준비술안.량조균안상규진행LASIK술전준비급수술.결과 림상대조조화자신대조조중,관찰조여대조조술후3개월라안시력비교차이무통계학의의.림상대조조중,관찰조유4안발생결막하출혈,점3.67%;대조조유5안발생결막하출혈,점4.59%,량조비교차이균무통계학의의.자신대조조중,관찰조유3안발생결막하출혈,점3.12%;대조조유4안발생결막하출혈,점4.16%,량조비교차이균무통계학의의.결론 재LASIK술전점용나소체적안액,능유효지강저LASIK술후결막하출혈적발병솔,병차점안1차혹3차대결막하출혈적발병솔무영향.
Objective Comparative observation of application naphcon eye drops before LASIK to decrease subconjunctival hemorrhage and different points over the number of pairs of eyes.Methods The study consists of clinical control study and self-control study.Controlled clinical study:the observation group 15 min before surgery up to eye drops one drop of that prime time,the control group 15 min before surgery began to drop it up to eye drops prime interval of 5 min drops a second,for 3 times.Self-control study:In patients with preoperative 15 min to the same elements over the left eye drops that eye drops a second,then prime over the right eye drops eye drops,eye drops 1 time 5 min intervals for three times,under the right eye drops 1 cases times,his left eye drops three times,and so ready to eye surgery.The two groups carried out as a routine preoperative preparation and surgical LASIK.Results In clinical control group and self-control group,the observation group and control group after post-operation three months later,uncorrected visual acuity difference was not statistically significant.In clinical control group,4 cases of subconjunctival hemorrhage occurred in the observation group,accounting for 3.67%;5 cases of subconjunctival hemorrhage occurred in control group,accounting for 4.59%,and the differences of the two groups had no statistical significance.In self-control group,3 cases of subconjunctival hemorrhage occurred in the observation group,accounting for 3.12%;4 cases of subconjunctival hemorrhage occurred in control group,accounting for 4.16%,and the difference had also no statistical significance.Conclusion Using naphcon eye drops before LASIK,it can effectively reduce the incidence of subconjunctival hemorrhage,and eye-1 or 3 times to the incidence of subconjunctival hemorrhage has no effect.
