首页|自体富血小板血浆滴眼液治疗干眼症的临床疗效观察

自体富血小板血浆滴眼液治疗干眼症的临床疗效观察

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目的 探讨采用自体富血小板血浆(platelet-rich plasma,PRP)治疗干眼症的疗效。方法 随机选取 2023年3-11 月河北省京东中美医院眼科收治的 64 名干眼症患者进行临床研究。按照随机数字表法分为观察组和对照组,每组各32 名64 只眼。对照组予以不含防腐剂的聚乙烯醇人工泪液治疗,观察组应用自体PRP滴眼液治疗。比较2组患者的临床疗效及不良反应。观察比较了2 组4 周的总体疗效、症状消失时间和干眼量表评分(ocular surface dis-ease index,OSDI)、泪膜破裂时间(tear break-up time,TBUT)、泪液分泌试验(schirmer's test,St)及角膜荧光素染色(corneal_fluorescein_staining,CFS)和泪液高度5 项疗效评估指标。结果 患者治疗 4 周后,观察组患者治疗总有效率为96。88%(31/32),显著高于对照组患者84。38%(27/32),差异有统计学意义(P<0。05);治疗后,观察组患者St、TBUT、CFS、OSDI干眼量表评分、泪河高度水平均显著优于对照组,差异有统计学意义(P<0。05)。观察组干涩、视觉疲劳、异物感消失时间短于对照组,差异有统计学意义(P<0。05)。观察组不良反应发生率为 46。875%(15/32),与对照组比较差异无统计学意义。结论 自体PRP可能是1 种治疗干眼症有效、安全的优选手段,值得进一步研究证实。
Clinical observation of autologous platelet-rich plasma eye drops in the treatment of dry eye syndrome
Objective To explore the effect of autologous platelet-rich plasma(PRP)in the treatment of dry eye syn-drome.Methods A total of 64 patients with dry eye treated in the Ophthalmology Department of Jingdong Sino-American Hospital of Hebei Province from March to November 2023 were randomly selected for the study.The patients were divided into observation group and control group according to the random number table method,with 32 cases and 64 eyes in each group.The control group was treated with artificial tears of polyvinyl alcohol without preservatives,and the observation group was treated with PRP eye drops.The clinical efficacy and adverse reactions of the two groups were compared.Overall effica-cy,duration of symptom resolution,ocular surface disease index(OSDI),tear film break up time(TBUT),schirmer's test(St)and corneal fluorescein staining(CFS)results of the two groups were observed and compared in 4 weeks.Results After 4 weeks of treatment,the total effective rate of observation group was 96.88%(31/32),which was significantly higher than that of control group 84.38%(27/32),with statistical significance(P<0.05).After treatment,the St,TBUT,CFS,OSDI and lacrimal river height in observation group were significantly superior to control group,with statistical significance(P<0.05).The disappearance time of dryness,visual fatigue and foreign body sensation in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 46.875%(15/32),and there was no significant difference between the observation group and the control group.Conclusion Autologous PRP is an effective and safe choice for the treatment of dry eye syndrome,which is worthy of further study and confirmation.

autologous platelet-rich plasma(PRP)dry eye syndromeclinical effect

白岩、李静、单桂秋、刘叶珊、刘英芝

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京东中美医院 输血科,河北 廊坊 065200

中国人民解放军联勤保障部队第九二三医院 输血医学科

南部战区总医院 输血医学科

六枝民健医院 眼科

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自体血富血小板血浆 干眼症 临床疗效

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(9)