文章摘要
高凡,张蓓,王彦荣.人工泪液治疗青光眼白内障联合术后干眼症的临床效果[J].安徽医药,2018,22(8):1566-1568.
人工泪液治疗青光眼白内障联合术后干眼症的临床效果
The clinical effect of artificial tears in the treatment of dry eye after glaucoma combined with cataract surgery
投稿时间:2016-12-16  
DOI:
中文关键词: 人工泪液  青光眼合并白内障  干眼症  临床效果
英文关键词: Artificial tears  Glaucoma combined with cataract  Dry eye  Clinical effect
基金项目:
作者单位
高凡 延安市人民医院眼科,陕西 延安 716000 
张蓓 延安市人民医院眼科,陕西 延安 716000 
王彦荣 延安市人民医院眼科,陕西 延安 716000 
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中文摘要:
      目的 探讨人工泪液治疗青光眼合并白内障术后干眼症的临床效果。方法 80例青光眼合并白内障手术后干眼症的患者,采用随机数字表法分为观察组与对照组,对照组40例患者给予常规治疗,观察组40例在常规治疗基础上给予人工泪液治疗。对比两组治疗前后泪膜破裂时间(BUT)、基础泪液分泌(SIT)水平及干眼症状评分。结果 观察组治疗后SIT为(13.12±2.74)mm·(5 min)-1,BUT为(9.83±1.91) s,治疗后2周、4周的干眼症评分分别为(1.43±0.80)分、(0.86±0.51)分;对照组治疗后的SIT为(9.63±1.90)mm ·(5 min)-1,BUT为(7.61±1.62) s,治疗后2周、4周的干眼症评分分别为(2.92±1.21)分、(1.64±0.82)分;治疗后观察组BUT、SIT水平均优于对照组,差异有统计学意义(P<0.05);治疗后第2周与第4周,观察组干眼症状评分明显低于对照组,差异有统计学意义(P<0.05)。结论 人工泪液治疗青光眼白内障联合手术后干眼症的临床效果十分显著,可在临床治疗中推广使用。
英文摘要:
      Objective To investigate the clinical effect of artificial tears in the treatment of dry eye after glaucoma combined with cataract surgery.Methods Eighty patients with glaucoma combined with cataract after surgery were divided into study group and control group (n=80). The patients of Control group (n=40) were treated with routine treatment, and the rest of the patients were treated with artificial tears on the basis of routine treatment. The tear film rupture time, secretion Ⅰtear and the scores of dry eye symptom were compared between the two groups before and after the treatment.Results After treatment, the BUT and SIT levels of the two groups were(9.83±1.91) s ,(13.12±2.74)mm·(5 min)-1 and(9.63±1.90) mm·(5 min)-1,(7.61±1.62) s respectively, better than those before treatment. The difference was statistically significant (P<0.05). After 2 week and 4 week treatment, the score of dry eye of the control group and study group were(2.92±1.21),(1.64±0.82) and(1.43±0.80),(0.86±0.51). The BUT and SIT levels of the study group were better than the control group (P<0.05). Before the treatment, there was no significant difference between the two groups in the terms of the scores of dry eye symptom (P>0.05). In the second and fourth weeks after the treatment, the scores of dry eye symptom in the study group was significantly lower than the control group, and the difference between them was statistically significant (P<0.05).Conclusion The clinical effect of artificial tears in the treatment of dry eye after glaucoma combined with cataract surgery is very significant, which can be popularized in clinical treatment.
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