中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
9期
956-958
,共3页
包志淑%李明翰%王毓琴%余新平
包誌淑%李明翰%王毓琴%餘新平
포지숙%리명한%왕육금%여신평
辰泽滴眼液%Nd: YAG激光%虹膜周切术%眼压
辰澤滴眼液%Nd: YAG激光%虹膜週切術%眼壓
신택적안액%Nd: YAG격광%홍막주절술%안압
Chenze Eye drops%Nd:YAG Laser%,Laser peripheral iridotomy%Intraocular pressure
目的 评价辰泽滴眼液在激光虹膜周切术中的临床应用价值。方法 选择86例（172眼）双眼进行Nd：YAG激光虹膜周切术的患者，在激光治疗前1h滴2％毛果芸香碱滴眼液两次后，分为两组，一眼加滴辰泽滴眼液1滴，在激光手术完成后即刻再次滴入辰泽滴眼液一滴，另一眼不用辰泽滴眼液。术后1h测量双眼的眼压，第二天复诊时观察虹膜周切口的情况并再次测量眼压，术后一周复诊观察虹膜周切口的情况并再次测量眼压。如眼压升高大于22 mm Hg需进行降眼压治疗。结果 辰泽滴眼液能良好的控制行激光虹膜周切术后患者的眼压，仅有5只眼(5.81％)应用辰泽滴眼液患者的眼压略高于22 mm Hg,未予降眼压治疗；而未应用辰泽滴眼液的患眼眼压升高达48只眼(55.81％)，术后1h眼压测量比较，所有应用辰泽滴眼液的术眼的眼压升高远较对侧眼为低，且辰泽滴眼液也能较好地改善滴用毛果芸香碱滴眼液后球结膜充血。结论 辰泽滴眼液在激光虹膜周切术中能明显减轻手术副反应，降眼压效果确切，建议临床中推广应用。
目的 評價辰澤滴眼液在激光虹膜週切術中的臨床應用價值。方法 選擇86例（172眼）雙眼進行Nd：YAG激光虹膜週切術的患者，在激光治療前1h滴2％毛果蕓香堿滴眼液兩次後，分為兩組，一眼加滴辰澤滴眼液1滴，在激光手術完成後即刻再次滴入辰澤滴眼液一滴，另一眼不用辰澤滴眼液。術後1h測量雙眼的眼壓，第二天複診時觀察虹膜週切口的情況併再次測量眼壓，術後一週複診觀察虹膜週切口的情況併再次測量眼壓。如眼壓升高大于22 mm Hg需進行降眼壓治療。結果 辰澤滴眼液能良好的控製行激光虹膜週切術後患者的眼壓，僅有5隻眼(5.81％)應用辰澤滴眼液患者的眼壓略高于22 mm Hg,未予降眼壓治療；而未應用辰澤滴眼液的患眼眼壓升高達48隻眼(55.81％)，術後1h眼壓測量比較，所有應用辰澤滴眼液的術眼的眼壓升高遠較對側眼為低，且辰澤滴眼液也能較好地改善滴用毛果蕓香堿滴眼液後毬結膜充血。結論 辰澤滴眼液在激光虹膜週切術中能明顯減輕手術副反應，降眼壓效果確切，建議臨床中推廣應用。
목적 평개신택적안액재격광홍막주절술중적림상응용개치。방법 선택86례（172안）쌍안진행Nd：YAG격광홍막주절술적환자，재격광치료전1h적2％모과예향감적안액량차후，분위량조，일안가적신택적안액1적，재격광수술완성후즉각재차적입신택적안액일적，령일안불용신택적안액。술후1h측량쌍안적안압，제이천복진시관찰홍막주절구적정황병재차측량안압，술후일주복진관찰홍막주절구적정황병재차측량안압。여안압승고대우22 mm Hg수진행강안압치료。결과 신택적안액능량호적공제행격광홍막주절술후환자적안압，부유5지안(5.81％)응용신택적안액환자적안압략고우22 mm Hg,미여강안압치료；이미응용신택적안액적환안안압승고체48지안(55.81％)，술후1h안압측량비교，소유응용신택적안액적술안적안압승고원교대측안위저，차신택적안액야능교호지개선적용모과예향감적안액후구결막충혈。결론 신택적안액재격광홍막주절술중능명현감경수술부반응，강안압효과학절，건의림상중추엄응용。
Objective To evaluate the clinical value of Chenze eye drops in laser peripheral iridotomy. Methods A total of 86 cases (172 eyes) for Nd:YAG laser peripheral iridotomy in glaucoma patients, received 2％ pilocarpine eye drops twicel hour before laser treatment, divided into two groups, one group applied Chenze eye drops after pilocarpine eye drops before surgery, immediately after the laser surgery Chenze eye drops instilled once again, the other eye did not use Chenze eye drops as the other group. Intraocular pressure (IOP) of both eyes was measured 1 hour after the surgery. The iris incision situation and IOP was observed on the second day and I week visit. If IOP significantly increased, using some treatment to control it.Results Chenze eye drops controlled the IOP well due to Nd:YAG laser peripheral iridotomy in glaucoma patients. Only five (5.81％) eyes' IOP were higher than 22mmHg after using Chenze eye drops, however the IOP of 48 eyes (55.81％) without application of Chenze eye drops were higher than 22mmHg. IOP of all had applications of Chenze eye drops 1 hour after surgery was lower compared to contralateral eye, and Chenze eye droops improved the Pilocarpine eye drops used after the conjunctival hyperemia. Conclusions Chenze eye drops in the Nd:YAG laser peripheral iridotomy can significantly reduce postoperative side effects, the exact effect of lowering intraocular pressure, and the propose clinical application and dissemination.
