首页|重组牛碱性成纤维细胞生长因子滴眼液联合聚乙二醇滴眼液治疗白内障术后干眼症患者的效果

重组牛碱性成纤维细胞生长因子滴眼液联合聚乙二醇滴眼液治疗白内障术后干眼症患者的效果

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目的:观察重组牛碱性成纤维细胞生长因子滴眼液联合聚乙二醇滴眼液治疗白内障术后干眼症患者的效果.方法:选取2020年4月至2022年10月该院收治的72例白内障术后干眼症患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各36例.对照组予以聚乙二醇滴眼液治疗,观察组在对照组基础上联合重组牛碱性成纤维细胞生长因子滴眼液治疗,两组均持续治疗 1 个月.比较两组临床疗效,治疗前后角膜内皮细胞功能指标(角膜内皮细胞密度、角膜内皮细胞面积变异系数)水平、泪膜破裂时间(BUT)、泪液分泌试验(SIT)水平、氧化应激指标[脂质过氧化物(LPO)、丙二醛(MDA)、超氧化物歧化酶(SOD)]水平,以及不良反应发生率.结果:观察组治疗总有效率为 94.44%(34/36),高于对照组的 75.00%(27/36),差异有统计学意义(P<0.05);治疗后,观察组角膜内皮细胞面积变异系数小于对照组,角膜内皮细胞密度大于对照组,差异有统计学意义(P<0.05);治疗后,观察组BUT、SIT水平均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组MDA、LPO水平均低于对照组,SOD水平高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:重组牛碱性成纤维细胞生长因子滴眼液联合聚乙二醇滴眼液治疗白内障术后干眼症患者可提高治疗总有效率和BUT、SIT水平,改善角膜内皮细胞功能,减轻氧化应激反应,效果优于单纯聚乙二醇滴眼液治疗.
Effects of recombinant bovine basic fibroblast growth factor eye drops combined with Polyethylene glycol eye drops in treatment of patients with dry eyes after cataract surgery
Objective:To observe effects of recombinant bovine basic fibroblast growth factor eye drops combined with Polyethylene glycol eye drops in treatment of patients with dry eyes after cataract surgery.Methods:A prospective study was conducted on 72 patients with dry eyes after cataract surgery admitted to the hospital from April 2020 to October 2022.According to the random number table method,they were divided into control group and observation group,36 cases in each group.The control group was treated with Polyethylene glycol eye drops,while the observation group was treated with recombinant bovine basic fibroblast growth factor eye drops on the basis of that of the control group.Both groups were treated for 1 month.The clinical efficacy,the levels of corneal endothelial cell function indexes(corneal endothelial cell density,corneal endothelial cell area variation coefficient),the tear film breakup time(BUT),the Schirmer test(SIT)level,the oxidative stress indexes[lipid peroxide(LPO),malondialdehyde(MDA),superoxide dismutase(SOD)],and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 94.44%(34/36),which was higher than 75.00%(27/36)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the corneal endothelial cell area variation coefficient in the observation group was smaller than that in the control group,the corneal endothelial cell density was larger than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of BUT and SIT in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of MDA and LPO in the observation group were lower than those in the control group,the level of SOD was higher than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Recombinant bovine basic fibroblast growth factor eye drops combined with Polyethylene glycol eye drops in the treatment of the dry eye patients after cataract surgery can improve the total effective rate of treatment and the levels of BUT and SIT,improve the function of corneal endothelial cells,and reduce the oxidative stress.Moreover,it is superior to single Polyethylene glycol eye drops treatment.

CataractPostoperativeDry eyeRecombinant bovine basic fibroblast growth factorPolyethylene glycolCorneal endothelial cellOxidative stress

武芳芳

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荥阳市人民医院眼科,河南 郑州 450100

白内障 术后 干眼症 重组牛碱性成纤维细胞生长因子 聚乙二醇 角膜内皮细胞 氧化应激

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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