首页|维生素A棕榈酸酯眼用凝胶联合玻璃酸钠滴眼液治疗干眼病的效果及对患者眼表功能、生活质量的影响

维生素A棕榈酸酯眼用凝胶联合玻璃酸钠滴眼液治疗干眼病的效果及对患者眼表功能、生活质量的影响

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目的 分析维生素A棕榈酸酯眼用凝胶联合玻璃酸钠滴眼液治疗干眼病的效果及对患者眼表功能、生活质量的影响。方法 将 2021 年 8 月至 2022 年 1 月我院收治的 116 例干眼病患者随机分为常规组(58 例,玻璃酸钠滴眼液)和观察组(58 例,维生素A棕榈酸酯眼用凝胶联合玻璃酸钠滴眼液)。比较两组的治疗效果。结果 观察组的治疗总有效率显著高于常规组(P﹤0。05)。治疗后,观察组的眼表疾病指数(OSDI)评分显著低于常规组,国家眼科研究所视觉相关生活质量量表(NEI-VFQ-25)评分显著高于常规组(P﹤0。05)。治疗后,观察组的泪膜破裂时间(BUT)、角膜荧光色素染色(CFS)评分、基础泪液分泌试验(SⅠT)显著优于常规组(P﹤0。05)。治疗后,观察组的肿瘤坏死因子-α(TNF-α)、基质金属蛋白酶-9(MMP-9)、基质金属蛋白酶-2(MMP-2)、白细胞介素-6(IL-6)及白细胞介素-1β(IL-1β)水平显著低于常规组(P﹤0。05)。两组的不良反应总发生率无明显差异(P﹥0。05);观察组的半年内复发率显著低于常规组(P﹤0。05)。结论 维生素A棕榈酸酯眼用凝胶联合玻璃酸钠滴眼液治疗干眼病可取得理想的效果。
Effect of vitamin A palmitate eye gel combined with sodium hyaluronate eye drops in the treatment of dry eye disease and its influences on ocular surface function and quality of life of patients
Objective To analyze the effect of vitamin A palmitate eye gel combined with sodium hyaluronate eye drops in the treatment of dry eye disease and its influences on ocular surface function and quality of life of patients.Methods A total of 116 patients with dry eye disease admitted in our hospital from August 2021 to January 2022 were randomly divided into routine group(58 cases,sodium hyaluronate eye drops)and observation group(58 cases,vitamin A palmitate eye gel combined with sodium hyaluronate eye drops).The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the routine group(P<0.05).After treatment,the score of Ocular Surface Disease Index(OSDI)in the observation group was significantly lower than that in the routine group,and the score of National Eye Institute Visual Related Quality of Life Scale-25(NEI-VFQ-25)was significantly higher than that of the routine group(P<0.05).After treatment,the break-up time(BUT),corneal fluorescence staining(CFS)score and schirmer Ⅰ test(SⅠT)of the observation group were significantly better than those of the routine group(P<0.05).After treatment,the levels of tumor necrosis factor-α(TNF-α),matrix metalloproteinase-9(MMP-9),matrix metalloproteinase-2(MMP-2),interleukin-6(IL-6)and interleukin-1β(IL-1β)in the observation group were significantly lower than those in the routine group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05);the recurrence rate within half a year in the observation group was significantly lower than that in the routine group(P<0.05).Conclusion The vitamin A palmitate eye gel combined with sodium hyaluronate eye drops in the treatment of dry eye disease can achieve ideal effect.

dry eye diseasevitamin A palmitate eye gelsodium hyaluronate eye drops

白英姿、韩丽英、李阳

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南阳市眼科医院眼科,河南 南阳,453700

干眼病 维生素A棕榈酸酯眼用凝胶 玻璃酸钠滴眼液

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
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