首页|左氧氟沙星滴眼液治疗重症细菌性角膜炎和结膜炎的临床效果分析

左氧氟沙星滴眼液治疗重症细菌性角膜炎和结膜炎的临床效果分析

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目的 分析左氧氟沙星滴眼液治疗重症细菌性角膜炎和结膜炎的临床效果。方法 96 例重症细菌性角膜炎和结膜炎患者,通过信封抽签方法分为对照组和治疗组,每组 48 例。对照组应用氯霉素滴眼液治疗,治疗组应用左氧氟沙星滴眼液治疗。比较两组患者治疗前后的症状、体征积分和视力水平,临床效果。结果 治疗后,两组患者眼部组织坏死、结膜充血、角膜溃疡、角膜浸润、角膜水肿、分泌物积分均较本组治疗前明显降低,且治疗组患者眼部组织坏死、结膜充血、角膜溃疡、角膜浸润、角膜水肿、分泌物积分分别为(0。11±0。03)、(0。75±0。18)、(0。33±0。10)、(0。58±0。17)、(0。21±0。08)、(0。14±0。04)分,均明显低于对照组的(0。40±0。04)、(1。27±0。25)、(0。72±0。54)、(0。90±0。20)、(0。60±0。11)、(0。58±0。09)分,差异有统计学意义(P<0。05)。治疗后,两组患者的视力水平均较本组治疗前明显提高,且治疗组患者视力水平(0。72±0。29)明显高于对照组的(0。61±0。21),差异有统计学意义(P<0。05)。治疗组患者临床总有效率 95。83%明显高于对照组的 81。25%,差异有统计学意义(P<0。05)。结论 重症细菌性角膜炎和结膜炎应用左氧氟沙星滴眼液治疗可以帮助患者显著改善疾病症状、体征和视力水平,提高整体临床效果。
Clinical analysis of levofloxacin eye drops in the treatment of severe bacterial keratitis and conjunctivitis
Objective To analyze the clinical effect of levofloxacin eye drops in the treatment of severe bacterial keratitis and conjunctivitis.Methods 96 patients with severe bacterial keratitis and conjunctivitis were divide into a control group and a treatment group through envelope drawing method,with 48 cases in each group.The control group was treated with chloroamphenicol eye drops,while the treatment group was treated with levofloxacin eye drops.The symptom and sign score and visual acuity level before and after treatment,and the clinical effects of the two groups were compared.Results After treatment,the scores of eye tissue necrosis,conjunctival congestion,corneal ulcer,corneal infiltration,corneal edema and secretion in both groups were obviously lower than those before treatment;the scores of eye tissue necrosis,conjunctival congestion,corneal ulcer,corneal infiltration,corneal edema and secretion in the treatment group were(0.11±0.03),(0.75±0.18),(0.33±0.10),(0.58±0.17),(0.21±0.08)and(0.14±0.04)points,which were significantly lower than(0.40±0.04),(1.27±0.25),(0.72±0.54),(0.90±0.20),(0.60±0.11)and(0.58±0.09)points in the control group;the difference between the two groups was statistically significant(P<0.05).After treatment,the visual acuity level in both groups were obviously higher than that before treatment,and the treatment group had obviously higher visual acuity level of(0.72±0.29)than(0.61±0.21)in the control group.The difference between the two groups was statistically significant(P<0.05).After treatment,the total clinical effective rate of 95.83%in the treatment group was significantly higher than 81.25%in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The application of levofloxacin eye drops in severe bacterial keratitis and conjunctivitis can help patients significantly improve disease symptoms,signs,and visual acuity level,and improve the overall clinical efficacy.

Severe bacterial keratitisBacterial conjunctivitisLevofloxacin eye dropsSymptom and sign scoresVisual acuity level

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276400 沂水县人民医院眼科

重症细菌性角膜炎 细菌性结膜炎 左氧氟沙星滴眼液 症状、体征积分 视力水平

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(7)
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