首页|那他霉素滴眼液与伏立康唑滴眼液对真菌性角膜炎患者的作用对比研究

那他霉素滴眼液与伏立康唑滴眼液对真菌性角膜炎患者的作用对比研究

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目的 研究比较真菌性角膜炎患者使用那他霉素滴眼液、伏立康唑滴眼液治疗的作用。方法 将 2020 年 10月至 2022 年 10 月期间在河南大学第一附属医院接收的 50 例真菌性角膜炎患者作为研究对象,按照完全随机设计法分成常规组和试验组,每组各有患者25例。常规组予伏立康唑治疗,试验组予那他霉素治疗,比较两组治疗后病情控制率、症状改善时间、溃疡面积、视力及眼表疾病指数量表(OSDI)评分。结果 试验组病情控制有效率(96。00%)高于常规组(76。00%),差异有统计学意义(P<0。05)。试验组症状改善时间短于常规组,差异有统计学意义(P<0。05)。治疗后,两组溃疡面积均有明显降低,且实验组低于常规组,差异有统计学意义(P<0。05)。治疗后,两组视力水平显著提高、OSDI评分显著降低,且试验组高于常规组,OSDI评分低于常规组,差异有统计学意义(P<0。05)。结论 真菌性角膜炎患者采用那他霉素滴眼液治疗的整体效果优于伏立康唑滴眼液,能快速控制症状、减少溃疡面积、提高视力及减轻角膜受损程度。
A comparative Study on the Effects of Natamycin Eye Drops and Voriconazole Eye Drops on Patients with fungal Keratitis
Objective To compare the therapeutic effects of natamycin eye drops and voriconazole eye drops on patients with fungal keratitis.Methods A total of 50 patients with fungal keratitis admitted to the First Affiliated Hospital of Henan University from October 2020 to October 2022 were selected as the study subjects.They were divided into conventional group and experimental group using a completely randomized design,with 25 patients in each group.The conventional group was treated with voriconazole,while the experimental group was treated with natamycin.The disease control rate,symptom improvement time,ulcer area,visual acuity,and ocular surface disease index(OSDI)scores were compared between the two groups after treatment.Results The effective rate of disease control in the experimental group(96.00%)was higher than that in the conventional group(76.00%),and the difference was statistically significant(P<0.05).The improvement time of symptoms in the experimental group was shorter than that in the conventional group,and the difference was statistically significant(P<0.05).After treatment,the ulcer area of both groups significantly decreased,and the experimental group was lower than the conventional group,with a statistically significant difference(P<0.05).After treatment,the visual acuity level and OSDI score of the two groups significantly improved,and the experimental group was higher than the conventional group,while the OSDI score was lower than that in the conventional group,with statistical significance(P<0.05).Conclusion The overall effect of treating fungal keratitis with natamycin eye drops is better than that of voriconazole eye drops.It can quickly control symptoms,reduce ulcer area,improve vision,and alleviate corneal damage.

voriconazolevisionnatamycintherapeutic effectfungal keratitis

谢艳艳、洪萌、李权达、胡婷婷

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河南大学第一附属医院 眼科,河南 开封 475000

伏立康唑 视力 那他霉素 治疗效果 真菌性角膜炎

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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