首页|中药熏蒸联合玻璃酸钠滴眼液对白内障术后干眼症患者泪膜破裂时间及生活质量的影响

中药熏蒸联合玻璃酸钠滴眼液对白内障术后干眼症患者泪膜破裂时间及生活质量的影响

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目的 探讨中药熏蒸联合玻璃酸钠滴眼液对白内障术后干眼症患者泪膜破裂时间(BUT)及生活质量的影响。方弦 选取2018年1月至2023年1月江苏省金湖县中医院收治的120例白内障术后干眼症患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组60例。对照组给予玻璃酸钠滴眼液,观察组在对照组基础上加用中药熏蒸。比较两组的治疗效果。结果 观察组的治疗总有效率为96。67%,高于对照组的86。67%(P<0。05)。治疗前,两组的眼表体征、感觉性症状评分比较,差异无统计学意义(P>0。05);治疗后,观察组的眼表体征、感觉性症状评分低于对照组(P<0。05)。治疗前,两组的BUT、基础泪液分泌试验(SⅠT)、36条目简明健康状况调查问卷(SF-36)评分比较,差异无统计学意义(P>0。05);治疗后,观察组的BUT、SⅠT长于对照组,SF-36评分高于对照组(P<0。05)。两组的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 中药熏蒸联合玻璃酸钠滴眼液治疗白内障术后干眼症疗效确切,能够改善患者的临床症状,延长BUT,提升生活质量,且不会增加不良反应。
Effects of traditional Chinese medicine fumigation combined with sodium hyaluronate eye drops on break-up time and quality of life in patients with dry eye after cataract surgery
Objective To investigate the effects of traditional Chinese medicine fumigation combined with sodium hyaluronate eye drops on breakup time of tear film(BUT)and quality of life in patients with dry eye after cataract surgery.Methods A total of 120 patients with dry eye after cataract surgery admitted in the Traditional Chinese Medicine Hospital of Jinhu County from January 2018 to January 2023 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 60 cases in each group.The control group was given sodium hyaluronate eye drops,and the observation group was treated with traditional Chinese medicine fumigation on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was 96.67%,which was higher than 86.67%in the control group(P<0.05).Before treatment,there were no significant differences in the scores of ocular surface signs and sensory symptoms between the two groups(P>0.05);after treatment,the scores of ocular surface signs and sensory symptoms in the observation group were lower than those in the control group(P<0.05).Before treatment,there were no significant differences in the BUT,schirmer Ⅰ test(SⅠT)and the 36-Item Short Form Health Survey(SF-36)score between the two groups(P>0.05);after treatment,the BUT and SⅠT in the observation group were longer than those in the control group,and the score of SF-36 was higher than that in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Traditional Chinese medicine fumigation combined with sodium hyaluronate eye drops is effective in the treatment of dry eye after cataract surgery.It can improve the clinical symptoms of patients,prolong BUT,elevate the quality of life,and will not increase adverse reactions.

cataractdry eyetraditional Chinese medicine fumigationsodium hyaluronate eye dropsbreakup time of tear filmquality of life

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江苏省金湖县中医院,江苏淮安,211600

白内障 干眼症 中药熏蒸 玻璃酸钠滴眼液 泪膜破裂时间 生活质量

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(35)