中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2015年
5期
515-516
,共2页
地塞米松%羟基磷灰石义眼台%术后反应
地塞米鬆%羥基燐灰石義眼檯%術後反應
지새미송%간기린회석의안태%술후반응
Dexamethasone%Hydroxyapatite prosthesis%Postoperative reaction
目的 探讨地塞米松在羟基磷灰石义眼台植入术中应用的的效果.方法 临床病例对照研究.对2006年11月至2013年11月在荆州市妇幼保健院眼科行眼内容剜除术中植入义眼台患者100例,分为两组.实验组50例(50只眼),植入羟基磷灰石义眼台前,用地塞米松5 mg(1 ml)浸泡义眼台15 min后植入.对照组50例(50只眼),行未经地塞米松浸泡的常规义眼台植入术.结果 观察两组术后1周内疼痛,结膜水肿,恶心呕吐情况.实验组:50例中28例术后疼痛占56％ (28/50);8例结膜水肿占16％ (8/50);19例恶心呕吐,占38％ (19/50).对照组:50例中49例术后疼痛占98％(49/50);48例结膜水肿占96％ (48/50);46例恶心呕吐,占92％ (46/50).实验组(50例)与对照组(50例)比较,术后疼痛、结膜水肿、恶心呕吐均较轻,其差异均有统计学意义(P＜0.05).结论 在羟基磷灰石义眼台植入术中应用地塞米松能有效地控制术后不良反应,减轻患者痛苦.
目的 探討地塞米鬆在羥基燐灰石義眼檯植入術中應用的的效果.方法 臨床病例對照研究.對2006年11月至2013年11月在荊州市婦幼保健院眼科行眼內容剜除術中植入義眼檯患者100例,分為兩組.實驗組50例(50隻眼),植入羥基燐灰石義眼檯前,用地塞米鬆5 mg(1 ml)浸泡義眼檯15 min後植入.對照組50例(50隻眼),行未經地塞米鬆浸泡的常規義眼檯植入術.結果 觀察兩組術後1週內疼痛,結膜水腫,噁心嘔吐情況.實驗組:50例中28例術後疼痛佔56％ (28/50);8例結膜水腫佔16％ (8/50);19例噁心嘔吐,佔38％ (19/50).對照組:50例中49例術後疼痛佔98％(49/50);48例結膜水腫佔96％ (48/50);46例噁心嘔吐,佔92％ (46/50).實驗組(50例)與對照組(50例)比較,術後疼痛、結膜水腫、噁心嘔吐均較輕,其差異均有統計學意義(P＜0.05).結論 在羥基燐灰石義眼檯植入術中應用地塞米鬆能有效地控製術後不良反應,減輕患者痛苦.
목적 탐토지새미송재간기린회석의안태식입술중응용적적효과.방법 림상병례대조연구.대2006년11월지2013년11월재형주시부유보건원안과행안내용완제술중식입의안태환자100례,분위량조.실험조50례(50지안),식입간기린회석의안태전,용지새미송5 mg(1 ml)침포의안태15 min후식입.대조조50례(50지안),행미경지새미송침포적상규의안태식입술.결과 관찰량조술후1주내동통,결막수종,악심구토정황.실험조:50례중28례술후동통점56％ (28/50);8례결막수종점16％ (8/50);19례악심구토,점38％ (19/50).대조조:50례중49례술후동통점98％(49/50);48례결막수종점96％ (48/50);46례악심구토,점92％ (46/50).실험조(50례)여대조조(50례)비교,술후동통、결막수종、악심구토균교경,기차이균유통계학의의(P＜0.05).결론 재간기린회석의안태식입술중응용지새미송능유효지공제술후불량반응,감경환자통고.
Objective To explore the effect of the application of dexamethasone in hydroxyapatite prosthesis implantation.Methods From November 2006 to November 2013 in Jingzhou city maternal and child health care eye line gouge eye content in addition to surgery patients implanted into the eye in the 100 cases,divided into two groups.Experimental group of 50 cases (50 eyes),hydroxyapatite implant prosthesis stage,with dexamethasone 5 mg (1 ml) for 15 min after the implant prosthesis.The control group of 50 cases (50 eyes),line without dexamethasone for conventional prosthesis implantation.Results Two groups of postoperative pain in 1 week,conjunctival edema,nausea and vomiting were observed.In the experimental group:50 cases of 28 cases of postoperative pain accounted for 56.00％ (28/50); 8 cases of conjunctival chemosis accounted for 16.00％ (8/50); Nausea and vomiting,19 cases (38.00％) (19/50).Control group:50 cases of postoperative pain in 49 cases (98.00％) (49/50); 48 cases of conjunctival chemosis accounted for 96.00％ (48/50); Nausea and vomiting,46 cases (92.00％) (46/50).The experimental group (50 cases) and control group (50 cases),postoperative pain,conjunctival edema,nausea and vomiting are lighter,the difference had statistical significance (P ＜0.05).Conclusions In hydroxyapatite prosthesis implantation in the application of dexamethasone can effectively control postoperative adverse reactions,patients can relief from pain.
