国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
9期
1656-1658
,共3页
杨永利%杨玉洁%李鹏%孙秋萍%李林
楊永利%楊玉潔%李鵬%孫鞦萍%李林
양영리%양옥길%리붕%손추평%리림
糖尿病%白内障超声乳化%干眼症%卡波姆眼用凝胶%重组人表皮生长因子
糖尿病%白內障超聲乳化%榦眼癥%卡波姆眼用凝膠%重組人錶皮生長因子
당뇨병%백내장초성유화%간안증%잡파모안용응효%중조인표피생장인자
diabetes%phacoemulsification%dry eye symptoms%Carbomer eye gel%recombined human epidermal growth factor
目的:探讨卡波姆眼用凝胶联合重组人表皮生长因子(recombinant human epidermal growth factor,rhEGF)对糖尿病患者白内障术后干眼症的临床疗效。<br> 方法:选择糖尿病患者白内障超声乳化术后干眼症160例160眼,随机分为对照组80例80眼和试验组80例80眼。试验组采用卡波姆眼用凝胶联合 rhEGF,对照组采用卡波姆眼用凝胶单药治疗。在治疗前、治疗后1,4wk,记录患者干眼症状、泪膜破裂时间(BUT)、泪液分泌试验(SⅠt)及角膜荧光素染色(FL)情况并对眼部安全性进行评价。<br> 结果:治疗前试验组和对照组患者眼部主观症状及泪膜功能检测(BUT,SⅠt,FL)比较均无统计学差异(P>0.05)。治疗1wk 和4wk 后,两组患者眼部主观症状及泪膜功能检测(BUT,SⅠt,FL)与本组治疗前比较差异有统计学意义(P<0.01);试验组和对照组比较差异亦有统计学意义(P<0.05;P<0.01),试验组较对照组 BUT 明显延长(P<0.01),SⅠt 浸湿滤纸长度明显增加(P<0.01)、FL 着色密集度明显减少(P<0.01),所有观察病例中未发现明显不耐受药物的患者。<br> 结论:卡波姆眼用凝胶能明显改善糖尿病患者白内障术后干眼症状,恢复泪膜稳定性,与 rhEGF 联合治疗的疗效可能优于其单药治疗。
目的:探討卡波姆眼用凝膠聯閤重組人錶皮生長因子(recombinant human epidermal growth factor,rhEGF)對糖尿病患者白內障術後榦眼癥的臨床療效。<br> 方法:選擇糖尿病患者白內障超聲乳化術後榦眼癥160例160眼,隨機分為對照組80例80眼和試驗組80例80眼。試驗組採用卡波姆眼用凝膠聯閤 rhEGF,對照組採用卡波姆眼用凝膠單藥治療。在治療前、治療後1,4wk,記錄患者榦眼癥狀、淚膜破裂時間(BUT)、淚液分泌試驗(SⅠt)及角膜熒光素染色(FL)情況併對眼部安全性進行評價。<br> 結果:治療前試驗組和對照組患者眼部主觀癥狀及淚膜功能檢測(BUT,SⅠt,FL)比較均無統計學差異(P>0.05)。治療1wk 和4wk 後,兩組患者眼部主觀癥狀及淚膜功能檢測(BUT,SⅠt,FL)與本組治療前比較差異有統計學意義(P<0.01);試驗組和對照組比較差異亦有統計學意義(P<0.05;P<0.01),試驗組較對照組 BUT 明顯延長(P<0.01),SⅠt 浸濕濾紙長度明顯增加(P<0.01)、FL 著色密集度明顯減少(P<0.01),所有觀察病例中未髮現明顯不耐受藥物的患者。<br> 結論:卡波姆眼用凝膠能明顯改善糖尿病患者白內障術後榦眼癥狀,恢複淚膜穩定性,與 rhEGF 聯閤治療的療效可能優于其單藥治療。
목적:탐토잡파모안용응효연합중조인표피생장인자(recombinant human epidermal growth factor,rhEGF)대당뇨병환자백내장술후간안증적림상료효。<br> 방법:선택당뇨병환자백내장초성유화술후간안증160례160안,수궤분위대조조80례80안화시험조80례80안。시험조채용잡파모안용응효연합 rhEGF,대조조채용잡파모안용응효단약치료。재치료전、치료후1,4wk,기록환자간안증상、루막파렬시간(BUT)、루액분비시험(SⅠt)급각막형광소염색(FL)정황병대안부안전성진행평개。<br> 결과:치료전시험조화대조조환자안부주관증상급루막공능검측(BUT,SⅠt,FL)비교균무통계학차이(P>0.05)。치료1wk 화4wk 후,량조환자안부주관증상급루막공능검측(BUT,SⅠt,FL)여본조치료전비교차이유통계학의의(P<0.01);시험조화대조조비교차이역유통계학의의(P<0.05;P<0.01),시험조교대조조 BUT 명현연장(P<0.01),SⅠt 침습려지장도명현증가(P<0.01)、FL 착색밀집도명현감소(P<0.01),소유관찰병례중미발현명현불내수약물적환자。<br> 결론:잡파모안용응효능명현개선당뇨병환자백내장술후간안증상,회복루막은정성,여 rhEGF 연합치료적료효가능우우기단약치료。
To investigate the effect of Carbomer eye gel and recombinant human epidermal growth factor (rhEGF) on dry eye after cataract surgery in diabetics. <br> ●METHODS: A total of 160 patients ( 160 eyes ) with diabetes undergone phacoemulsification with a diagnosis of dry eyes were randomized divided into two groups, treatment group (80 cases, 80 eyes) and control group (80 cases, 80 eyes). ln treatment group, the patients were treated by Carbomer eye gel and rhEGF. ln control group, the patients were treated by Carbomer eye gel. The subjective dry eye symptoms, tear break - up time (BUT), Schirmer l test ( S Ⅰ t) and cornea fluorescein staining ( FL) were observed before treatment, 1, 4wk after treatment. <br> ●RESULTS: There was no significant difference between groups before treatment (P> 0. 05). After treatment at 1, 4wk, the subjective dry eye symptoms and the results of three examination ( BUT, S Ⅰ t and FL) in two groups better than those before treatment ( P< 0. 01). And there was significant difference between experimental group and control group (P<0. 05; P<0. 01), the results of BUT, Slt and FL were improved in treatment group better than that in control group (P<0. 01). All patients showed good tolerance to Carbomer eye gel and recombinant human epidermal growth factor. <br> ●CONCLUSlON: Carbomer eye gel can relieve the dry eye symptoms of diabetes after phacoemulsification effectively, and it can be more effective to combine Carbomer eye gel with rhEGF at early stage after phacoemulsification.