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普拉洛芬联合氮?斯汀滴眼液治疗过敏性结膜炎患者的效果

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目的:观察普拉洛芬联合氮䓬斯汀滴眼液治疗过敏性结膜炎(AC)患者的效果.方法:选取2021年3月至2023年3月于该院治疗的102例AC患者进行前瞻性研究,采用随机数字表法将其分为研究组和对照组各51例.对照组采用氮䓬斯汀滴眼液治疗,研究组在对照组基础上联合普拉洛芬滴眼液治疗,比较两组治疗效果,治疗前后泪膜稳定性指标[泪膜破裂时间(BUT)、泪液分泌试验(SⅠt)、角膜荧光素染色(FL)]水平、眼部症状(异物感、畏光、眼痒、流泪)评分,以及不良反应发生率.结果:研究组治疗总有效率为92.16%(47/51),高于对照组的72.55%(37/51),差异有统计学意义(P<0.05);治疗后,两组SⅠt、BUT均长于治疗前,且研究组长于对照组,两组FL评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组异物感、畏光、眼痒、流泪等眼部症状评分均低于治疗前,且研究组低于对照组,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:普拉洛芬联合氮䓬斯汀滴眼液治疗AC患者可提高治疗总有效率,改善泪膜稳定性指标水平,降低眼部症状评分,效果优于单纯氮䓬斯汀治疗.
Effects of Pranoprofen combined with Azelastine eye drops in treatment of patients with allergic conjunctivitis
Objective:To observe effects of Pranoprofen combined with Azelastine eye drops in treatment of patients with allergic conjunctivitis (AC). Methods:102 patients with AC treated in this hospital from March 2021 to March 2023 were selected for the prospective study. They were divided into study group and control group by using the random number table method,51 cases in each group. The control group was treated with Azelastine eye drops,while the study group was treated with Pranoprofen eye drops on the basis of that of the control group. The treatment effects,the tear film stability indexes[tear film breakup time (BUT),tear secretion test (SⅠt),corneal fluorescein staining (FL)]levels,the eye symptoms (foreign body sensation,photophobia,eye itching,tears) scores,and incidence of adverse reactions were compared between the two groups before and after the treatment. Results:The total effective rate of the study group was 92.16% (47/51),which was higher than 72.55% (37/51) of the control group,and the difference was statistically significant (P<0.05). After the treatment,the SⅠt and BUT of the two groups were longer than those before the treatment,and those in the study group were longer than those in the control group;the FL scores of the two groups were lower than those before the treatment,and that in the study group was lower than that in the control group;and the differences were statistically significant (P<0.05). After the treatment,the scores of eye symptoms such as foreign body sensation,photophobia,eye itching and tears in the two groups were lower than those before the treatment,and those in the study group were lower than the control group,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:Pranoprofen combined with Azelastine in the treatment of the AC patients can improve the total effective rate of treatment,improve the levels of tear film stability indexes,and reduce the eye symptom scores. Moreover,it is superior to simple Azelastine treatment.

Pranoprofen Eye dropsAzelastine eye dropsAllergic conjunctivitisTear film stabilityEye symptom scoreAdverse reaction

周远沛、孙红燕、马小倩、刘苏冰

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郑州华厦视光眼科医院屈光科,河南 郑州 450000

普拉洛芬滴眼液 氮䓬斯汀滴眼液 过敏性结膜炎 泪膜稳定性 眼部症状评分 不良反应

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(24)