首页|聚乙二醇联合普拉洛芬对白内障超声乳化术后干眼症患者的疗效

聚乙二醇联合普拉洛芬对白内障超声乳化术后干眼症患者的疗效

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目的:探究聚乙二醇联合普拉洛芬对白内障超声乳化术后干眼症患者的临床疗效.方法:将 40例(40眼)白内障超声乳化术后干眼症患者随机分为对照组(n = 20)和观察组(n = 20),对照组采用聚乙二醇治疗,观察组在此基础上给予普拉洛芬治疗.对比 2 组患者临床疗效、泪膜厚度、泪液分泌试验(Stt)、角膜荧光素染色评分(FL)、泪膜破裂时间(BUT)、炎症指标、国际标准眼表疾病指数(OSDI)、负性情绪和泪液氧化应激水平.结果:观察组临床疗效高于对照组(95.0%vs 75.0%,P>0.05).治疗后1、3 个月,观察组泪膜厚度、Stt、BUT高于对照组,FL、炎症指标、OSDI评分与负性情绪评分、脂质过氧化物水平均低于对照组(均P<0.05).结论:联合疗法有利于改善这些患者泪膜稳定性与眼液基础分泌量,促进其恢复,具有较好的临床疗效.
Efficacy of polyethylene glycol combined with pranoprofen in patients with xeropthalmia after cataract sonoemulsification
Objective:To investigate the clinical efficacy of polyethylene glycol combined with pranoprofen in patients with xeropthalmia after cataract sonoemulsification.Methods:Forty patients(40 eyes)with xeropthalmia after cataract sonoemulsification were randomly divided into a control group(n=20)and an observation group(n=20),the control group was treated with polyethylene glycol,and the observation group was additionally given pranoprofen.Clinical efficacy,tear film thickness,Schirmer tear test(Stt),corneal fluorescein staining score(FL),tear film break-up time(BUT),inflammation index,international standard ocular surface disease index(OSDI),negative emotions and tear oxidative stress level were compared between the two groups.Results:The clinical efficacy of the observation group was higher than that of the control group(95.0%vs 75.0%,P>0.05).Tear film thickness,Stt,and BUT were higher,and FL,inflammatory indexes,OSDI scores and negative mood scores and lipid peroxides levels were lower in the observation group than the control group 1 and 3 months after treatment(all P<0.05).Conclusion:The combination therapy is of benefit to improving the tear film stability and basal secretion of ocular fluid in the patients,and promoting their recovery with better clinical efficacy.

polyethylene glycolpranoprofencataract sonoemulsificationxeropthalmia

李海燕、李雁朋

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九江学院附属医院眼科 九江 332000

聚乙二醇 普拉洛芬 白内障超声乳化术 干眼症

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(3)
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