中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
4期
8-10,11
,共4页
角膜接触镜%翼状胬肉%疼痛%角膜上皮
角膜接觸鏡%翼狀胬肉%疼痛%角膜上皮
각막접촉경%익상노육%동통%각막상피
Corneal contact lens%Pterygium%Pain%Corneal epithelium
目的：探讨绷带型角膜接触镜应用于翼状胬肉切除术的有效性及安全性。方法：采用前瞻性对照病例研究，观察2014年3-6月接受翼状胬肉切除术的患者40例（40眼），随机分为观察组和对照组两组，每组20例（20眼）。观察组在手术结束时角结膜表面配戴绷带型角膜接触镜，术后5 d取下绷带型角膜接触镜，对照组不做任何处理。比较术后2h及1、2、3、5d两组患者疼痛程度、术后5d角膜上皮荧光素染色评分。结果：选取的两组患者在年龄、性别比例及翼状胬肉大小方面的差异均无统计学意义（P>0.05）。术后2 h及1、2、3、5 d时两组患者疼痛程度评分：观察组分别为（0.92±0.47）分、（0.58±0.45）分、（0.34±0.42）分、（0.19±0.31）分、（0.10±0.27）分，对照组分别为（3.11±0.75）分、（1.98±0.43）分、（1.59±0.66）分、（0.83±0.52）分、（0.43±0.27）分，观察组患者疼痛程度评分均较对照组显著降低，两组比较差异有统计学意义（P<0.01）。术后5 d角膜上皮荧光素染色评分观察组为（0.76±1.31）分，对照组为（1.28±1.45）分，两组间差异无统计学意义（P>0.05）。随诊2~6个月未见感染、复发、植片愈合不良、结膜下囊肿等并发症发生。结论：翼状胬肉术后应用绷带型角膜接触镜，缓解了患者疼痛和刺激症状，促进术后恢复，有利于降低术后复发率，改善术后生活质量。
目的：探討繃帶型角膜接觸鏡應用于翼狀胬肉切除術的有效性及安全性。方法：採用前瞻性對照病例研究，觀察2014年3-6月接受翼狀胬肉切除術的患者40例（40眼），隨機分為觀察組和對照組兩組，每組20例（20眼）。觀察組在手術結束時角結膜錶麵配戴繃帶型角膜接觸鏡，術後5 d取下繃帶型角膜接觸鏡，對照組不做任何處理。比較術後2h及1、2、3、5d兩組患者疼痛程度、術後5d角膜上皮熒光素染色評分。結果：選取的兩組患者在年齡、性彆比例及翼狀胬肉大小方麵的差異均無統計學意義（P>0.05）。術後2 h及1、2、3、5 d時兩組患者疼痛程度評分：觀察組分彆為（0.92±0.47）分、（0.58±0.45）分、（0.34±0.42）分、（0.19±0.31）分、（0.10±0.27）分，對照組分彆為（3.11±0.75）分、（1.98±0.43）分、（1.59±0.66）分、（0.83±0.52）分、（0.43±0.27）分，觀察組患者疼痛程度評分均較對照組顯著降低，兩組比較差異有統計學意義（P<0.01）。術後5 d角膜上皮熒光素染色評分觀察組為（0.76±1.31）分，對照組為（1.28±1.45）分，兩組間差異無統計學意義（P>0.05）。隨診2~6箇月未見感染、複髮、植片愈閤不良、結膜下囊腫等併髮癥髮生。結論：翼狀胬肉術後應用繃帶型角膜接觸鏡，緩解瞭患者疼痛和刺激癥狀，促進術後恢複，有利于降低術後複髮率，改善術後生活質量。
목적：탐토붕대형각막접촉경응용우익상노육절제술적유효성급안전성。방법：채용전첨성대조병례연구，관찰2014년3-6월접수익상노육절제술적환자40례（40안），수궤분위관찰조화대조조량조，매조20례（20안）。관찰조재수술결속시각결막표면배대붕대형각막접촉경，술후5 d취하붕대형각막접촉경，대조조불주임하처리。비교술후2h급1、2、3、5d량조환자동통정도、술후5d각막상피형광소염색평분。결과：선취적량조환자재년령、성별비례급익상노육대소방면적차이균무통계학의의（P>0.05）。술후2 h급1、2、3、5 d시량조환자동통정도평분：관찰조분별위（0.92±0.47）분、（0.58±0.45）분、（0.34±0.42）분、（0.19±0.31）분、（0.10±0.27）분，대조조분별위（3.11±0.75）분、（1.98±0.43）분、（1.59±0.66）분、（0.83±0.52）분、（0.43±0.27）분，관찰조환자동통정도평분균교대조조현저강저，량조비교차이유통계학의의（P<0.01）。술후5 d각막상피형광소염색평분관찰조위（0.76±1.31）분，대조조위（1.28±1.45）분，량조간차이무통계학의의（P>0.05）。수진2~6개월미견감염、복발、식편유합불량、결막하낭종등병발증발생。결론：익상노육술후응용붕대형각막접촉경，완해료환자동통화자격증상，촉진술후회복，유리우강저술후복발솔，개선술후생활질량。
Objective:To assessed the effectiveness and security of bandag type corneal contact lens applied in pterygium excision.Method:The prospective case-control study was used in the patients of pterygium.The 40 patients(40 eyes)who were received the pterygium excision were observed from March 2014 to June and randomly divided into two groups:observation group and control group,20 cases in each group(20 eyes).Observation group were wore the bandag type corneal contact lens after surgery and taked it down at 5 d.The control group did not.The degree of pain after surgery were evaluated at 2 h,1,2,3 and 5 d after surgery,meanwhile,corneal epithelium was evaluated by fluorescein vital staining.Result:There are no significant differences between the observation and control group in the percentage of age and gender and size of the pterygium(P>0.05).After surgery,the degree of pain at 2 h,1,2,3 and 5 d were as following:the score of observation group were(0.92±0.47)scores,(0.58±0.45)scores,(0.34±0.42)scores, (0.19±0.31)scores,(0.10±0.27)scores; the score of control group were(3.11±0.75)scores,(1.98±0.43) scores,(1.59±0.66)scores,(0.83±0.52)scores,(0.43±0.27)scores.The degree of pain of treatment group was significantly decreased compared to control group,the difference was statistically significant(P<0.01).After surgery at 5 d,the score of corneal epithelium stained with fluorescein between of observation group(0.76±1.31)and control group (1.28±1.45),the difference was statistically significant(P<0.05).Follow-up was 2-6 months,no complications,such as infection,relapse,implant healing badness and subconjunctival cyst.Conclusion:The bandag type corneal contact lens could markedly release pain response after pterygium excision surgery,promote postoperative recovery,which is beneficial to reduce the postoperative recurrence rate and improve the postoperative quality of life.
