首页|妥布霉素地塞米松滴眼液治疗对睑板腺功能障碍相关干眼症患者炎症因子水平的影响

妥布霉素地塞米松滴眼液治疗对睑板腺功能障碍相关干眼症患者炎症因子水平的影响

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目的 分析针对睑板腺功能障碍相关干眼症患者采用妥布霉素地塞米松滴眼液的治疗效果.方法 随机选取2022年11月—2023年11月辽源市人民医院收治的80例睑板腺功能障碍相关干眼症患者作为研究对象,依据不同治疗方法分为对照组和观察组,每组40例.对照组采用红霉素软膏治疗,观察组采用妥布霉素地塞米松滴眼液治疗,对比两组患者临床疗效、炎症因子水平、眼功能评分及不良事件发生率.结果 观察组治疗总有效率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(χ2=4.507,P<0.05).治疗后,观察组炎症因子水平低于对照组,差异有统计学意义(P<0.05).观察组泪膜破裂时间长于对照组,泪液分泌量多于对照组,且角膜荧光素染色评分低于对照组,差异有统计学意义(P均<0.05).两组患者不良事件总发生率比较,差异无统计学意义(P>0.05).结论 在睑板腺功能障碍相关干眼症患者临床治疗中,使用妥布霉素地塞米松滴眼液有利于改善炎症反应情况,对眼部症状缓解效果迅速.
Effect of Tobramycin Dexamethasone Eye Drops Treatment on the Levels of Inflammatory Factors in Patients with Meibomian Gland Dysfunction-Related Dry Eye Disorders
Objective To analyze the effects of tobramycin dexamethasone eye drops on the levels of inflammatory fac-tors in patients with meibomian gland dysfunction associated with dry eye.Methods A total of 80 patients with meibo-mian gland dysfunction related dry eye treated in Liaoyuan People's Hospital from November 2022 to November 2023 were randomly selected as the study objects,and were divided into control group and observation group according to different treatment methods,with 40 cases in each group.The control group was treated with erythromycin ointment,and the observation group was treated with tobramycin dexamethasone eye drops.Clinical efficacy,levels of inflamma-tory factors,eye function scores and incidence of adverse events were compared between the two groups.Results The total effective rate of the observation group was 97.50%(39/40)higher than that of the control group 80.00%(32/40),the difference was statistically significant(χ2=4.507,P<0.05).After treatment,the level of inflammatory factors in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The tear film rupture time of observation group was longer than that of control group,the tear secretion was more than that of control group,and the corneal fluorescein staining score was lower than that of control group,and the differ-ences were statistically significant(all P<0.05).There was no significant difference in the total incidence of adverse events between the two groups(P>0.05).Conclusion In the clinical treatment of patients with meibomian gland dys-function associated with dry eye,the use of tobramycin dexamethasone eye drops can improve the inflammatory re-sponse and relieve ocular symptoms quickly.

Meibomian gland dysfunctionAssociated dry eyeTobramycin dexamethasoneTreatment improvement rateInflammatory factorSafety

鞠良、苏影、王文娟

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辽源市人民医院眼科,吉林 辽源 136201

睑板腺功能障碍 相关干眼症 妥布霉素地塞米松 治疗改善率 炎症因子 安全性

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(32)