中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2015年
4期
279-281
,共3页
眼烧伤,氨%急救%治疗,全身用药
眼燒傷,氨%急救%治療,全身用藥
안소상,안%급구%치료,전신용약
Eye burn,ammonia%First aid%Treatment,systemic
目的 观察眼部氨烧伤的急救的临床效果.方法 2010年1月至2013年12月角结膜氨烧伤37例(45眼),随机分为对照组17例(22眼)及观察组20例(23眼).对照组采用眼部急救治疗,观察组采取眼部急救联合全身用药治疗.比较两组的治疗效果及并发症情况.结果 观察组的炎症明显减轻者占60.87％,高于对照组的27.27％ (P =0.023);观察组角膜穿孔率为13.04％,低于对照组的40.91％ (P =0.035).观察组角膜上皮结膜化及广泛睑球粘连者,均低于对照组(P=0.004,P=0.016).观察组的眼表上皮化时间短于对照组(P=0.035).结论 眼部氨烧伤正确的眼部急救治疗联合全身用药治疗的临床效果显著.
目的 觀察眼部氨燒傷的急救的臨床效果.方法 2010年1月至2013年12月角結膜氨燒傷37例(45眼),隨機分為對照組17例(22眼)及觀察組20例(23眼).對照組採用眼部急救治療,觀察組採取眼部急救聯閤全身用藥治療.比較兩組的治療效果及併髮癥情況.結果 觀察組的炎癥明顯減輕者佔60.87％,高于對照組的27.27％ (P =0.023);觀察組角膜穿孔率為13.04％,低于對照組的40.91％ (P =0.035).觀察組角膜上皮結膜化及廣汎瞼毬粘連者,均低于對照組(P=0.004,P=0.016).觀察組的眼錶上皮化時間短于對照組(P=0.035).結論 眼部氨燒傷正確的眼部急救治療聯閤全身用藥治療的臨床效果顯著.
목적 관찰안부안소상적급구적림상효과.방법 2010년1월지2013년12월각결막안소상37례(45안),수궤분위대조조17례(22안)급관찰조20례(23안).대조조채용안부급구치료,관찰조채취안부급구연합전신용약치료.비교량조적치료효과급병발증정황.결과 관찰조적염증명현감경자점60.87％,고우대조조적27.27％ (P =0.023);관찰조각막천공솔위13.04％,저우대조조적40.91％ (P =0.035).관찰조각막상피결막화급엄범검구점련자,균저우대조조(P=0.004,P=0.016).관찰조적안표상피화시간단우대조조(P=0.035).결론 안부안소상정학적안부급구치료연합전신용약치료적림상효과현저.
Objective To observe the clinical efficacy of first aid and treatment of ocular ammonia burn.Methods Thirty-seven cases of ocular ammonia burn from January 2010 to December 2013 in our hospital were collected and randomly divided into two groups:the observation group with 23 eyes of 20 cases and the control group with 22 eyes of 17 cases.Patients in control group received first aid treatment and patients in observation group received first aid combined with systemic treatment.The therapeutic effect and the complications of two groups were all observed.Results In observation group the patients whose inflammation was significantly relieved accounted for 60.87％ which was higher than 27.27％ in control group (P =0.023);In observation group the corneal perforation rate was 13.04％ which was lower than that in control group 40.91％ (P =0.035).In observation group the incidence of conjunctivalization and extensive symblepharon were lower than that in control group (P =0.004,P =0.016).The ocular surface epithelization time in observation group was shorter than that in control group (P =0.035).Conclusion The clinical efficacy of proper first aid and systemic treatment of ocular ammonia burn is significant.
