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532nm激光治疗倒睫的效果

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目的:分析532 nm激光治疗倒睫的临床效果.方法:选取2021年1月1日至2023年12月31日三明市第二医院收治的60例倒睫患者(共70眼)作为研究对象,采用数字化法将其随机分为两组.对两组患者进行532 nm激光治疗.病情复发后,再次对两组患者进行532 nm激光治疗.A组患者进行首次治疗功率为200~250 mW,病情复发后进行治疗功率为250~300 mW.B组患者进行首次治疗功率为300~350 mW,病情复发后进行治疗功率为350~400 mW.对比两组患者临床效果和疼痛症状评分.结果:第1次治疗后,A组患者对治疗配合率高于B组患者(P<0.05);A组与B组患者治愈率相比,差异无统计学意义(P>0.05);A组患者病情复发率高于B组患者(P<0.05).第2~3次治疗后,A组与B组患者对治疗配合率相比,差异无统计学意义(P>0.05);A组患者治愈率高于B组患者(P<0.05);A组患者病情复发率高于B组患者(P<0.05).第1次治疗后、第2~3次治疗后,A组患者视觉模拟评分法(VAS)评分低于B组患者(P<0.05).两组患者未出现睑缘畸形和瘢痕,对其视力未产生影响.结论:532 nm激光治疗倒睫是临床上有效的治疗方法.进行532 nm激光治疗功率不同,患者治愈率和病情复发率也存在差异,应结合实际情况,为其合理选择治疗功率,以提升其治愈率.
Effect of 532nm laser on trichiasis
Objective:To analyze the clinical effect of 532nm laser on trichiasis.Method:Sixty patients with trichiasis(a total of 70 eyes)admitted to the Second Hospital of Sanming City from January 1,2021 to December 31,2023 were selected as the study objects and randomly divided into two groups using digital method.Both groups received 532nm laser treatment,and those who relapsed after treatment received 532nm laser treatment again.The initial treatment power of group A patients was 200-250 mW,and the treatment power after recurrence was 250-300 mW.The initial treatment power of group B patients was 300-350 mW,and the treatment power after recurrence was 350-400 mW.The clinical effect and pain symptom score of the two groups were compared.Result:After the first treatment,the cooperation rate of group A was higher than that of group B(P<0.05),while there was no statistically significant difference in the cure rate between the two groups(P>0.05),and the recurrence rate of group A was higher than that of group B(P<0.05).After the second and third treatment,there was no significant difference in the cooperation rate between the two groups(P>0.05),but the cure rate of group A was higher than that of group B(P<0.05),and the recurrence rate of group A was higher than that of group B(P<0.05).After the first and the 2nd to 3rd treatment,the visual analogue scale(VAS)scores of group A were lower than those of group B(P<0.05),and there were no blepharon deformity and scar in the two groups,and no impact on their vision.Conclusion:532nm laser treatment for trichiasis is an effective clinical treatment method.The treatment power of 532 nm laser is different,and the cure rate and recurrence rate of patients are also different.Combined with the actual situation,the treatment power is reasonably selected to improve the cure rate.

532nm laserTrichiasisClinical effects

汤畴旺、张采华、郑上椿

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福建省三明市第二医院眼科,福建 三明 366000

532nm激光 倒睫 临床效果

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(3)