中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
9期
1139-1141
,共3页
人工泪液%维生素A棕榈酸酯%白内障超声乳化人工晶状体植入术%干眼症
人工淚液%維生素A棕櫚痠酯%白內障超聲乳化人工晶狀體植入術%榦眼癥
인공루액%유생소A종려산지%백내장초성유화인공정상체식입술%간안증
Artificial tears%Vitamin A palmitate%Phacoemulsification with IOL implantation%Dry eye
目的 探讨人工泪液联合维生素A棕榈酸酯凝胶治疗白内障超声乳化人工晶状体植入术术后干眼的临床疗效.方法 对2009年1月至2011年12月在河北省廊坊市香河县人民医院就诊并诊断为白内障超声乳化人工晶状体植入术后干眼症的患者68例(68只眼),随机分为治疗组和对照组.治疗组采用人工泪液和维生素A棕榈酸酯凝胶滴眼,对照组单用人工泪液.两组在治疗前、治疗后2周和治疗后4周采用裂隙灯下观察泪膜破裂时间(BUT),泪液分泌试验(SIt),角膜荧光素染色(FL)的情况评价治疗效果.结果 共计入组患者68例(68只眼),治疗组和对照组各34例(34只眼).所有患者均按计划完成相应治疗和检查.治疗组和对照组BUT、SIT、FL三项检查的初始评分均无明显差别,在治疗组接受人工泪液联合维生素A棕榈酸酯凝胶治疗白内障超声乳化人工晶状体植入术治疗后,2周、4周的三项检查的评分均好于对照组,差异显著有统计学意义(P ＜0.0001).结论 人工泪液联合维生素A棕榈酸酯凝胶滴眼治疗白内障超声乳化人工晶状体植入术术后干眼疗效优于单用人工泪液,效果显著.
目的 探討人工淚液聯閤維生素A棕櫚痠酯凝膠治療白內障超聲乳化人工晶狀體植入術術後榦眼的臨床療效.方法 對2009年1月至2011年12月在河北省廊坊市香河縣人民醫院就診併診斷為白內障超聲乳化人工晶狀體植入術後榦眼癥的患者68例(68隻眼),隨機分為治療組和對照組.治療組採用人工淚液和維生素A棕櫚痠酯凝膠滴眼,對照組單用人工淚液.兩組在治療前、治療後2週和治療後4週採用裂隙燈下觀察淚膜破裂時間(BUT),淚液分泌試驗(SIt),角膜熒光素染色(FL)的情況評價治療效果.結果 共計入組患者68例(68隻眼),治療組和對照組各34例(34隻眼).所有患者均按計劃完成相應治療和檢查.治療組和對照組BUT、SIT、FL三項檢查的初始評分均無明顯差彆,在治療組接受人工淚液聯閤維生素A棕櫚痠酯凝膠治療白內障超聲乳化人工晶狀體植入術治療後,2週、4週的三項檢查的評分均好于對照組,差異顯著有統計學意義(P ＜0.0001).結論 人工淚液聯閤維生素A棕櫚痠酯凝膠滴眼治療白內障超聲乳化人工晶狀體植入術術後榦眼療效優于單用人工淚液,效果顯著.
목적 탐토인공루액연합유생소A종려산지응효치료백내장초성유화인공정상체식입술술후간안적림상료효.방법 대2009년1월지2011년12월재하북성랑방시향하현인민의원취진병진단위백내장초성유화인공정상체식입술후간안증적환자68례(68지안),수궤분위치료조화대조조.치료조채용인공루액화유생소A종려산지응효적안,대조조단용인공루액.량조재치료전、치료후2주화치료후4주채용렬극등하관찰루막파렬시간(BUT),루액분비시험(SIt),각막형광소염색(FL)적정황평개치료효과.결과 공계입조환자68례(68지안),치료조화대조조각34례(34지안).소유환자균안계화완성상응치료화검사.치료조화대조조BUT、SIT、FL삼항검사적초시평분균무명현차별,재치료조접수인공루액연합유생소A종려산지응효치료백내장초성유화인공정상체식입술치료후,2주、4주적삼항검사적평분균호우대조조,차이현저유통계학의의(P ＜0.0001).결론 인공루액연합유생소A종려산지응효적안치료백내장초성유화인공정상체식입술술후간안료효우우단용인공루액,효과현저.
Objective To discuss the clinical effects of artificial tears and vitamin A palmitate eye drops on dry eye after phacoemulsification with IOL implantation.Methods From Jan 2009 to Dec 2011,all patients with a diagnosis of dry eyes randomly divided into two groups,treatment group and control group.In treatment group,the patients were treated by artificial tears and vitamin A palmitate eye drops.In control group,the patients were treated by artificial tears.The subjective dry eye symptoms,fluorescein staining (FL),the time of tear secretion (Schirmer Ⅰ test,SIt) and tear break-up time (BUT) were observed by slit lamp before treatment,2 and 4 weeks after treatment.Results Sixty-eight patients were concluded in study.All patients received therapy and examination in time.After treatment,the results of three examination (FL,SIt and BUT) in study group were significantly better than control group (P ＜0.0001).Conclusions Artificial tears combined with vitamin A palmitate eye drops can be effective to relieve the dry eye symptoms after phacoemulsification with IOL implantation.
