首页|自体血清联合普拉洛芬治疗白内障人工晶体植入术后干眼症疗效评价

自体血清联合普拉洛芬治疗白内障人工晶体植入术后干眼症疗效评价

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目的 探讨自体血清联合普拉洛芬治疗白内障人工晶体植入(ICL)术后干眼症的临床疗效。方法 选取医院 2019 年 1 月至2022 年 5 月收治的ICL术后干眼症患者 110 例,按用药方案的不同分为观察组和对照组,各 55 例。两组患者均予普拉洛芬滴眼液,观察组患者加用自体血清。两组患者均持续治疗 3 个月。结果 观察组总有效率为 98。18%,显著高于对照组的 80。00%(P<0。05)。与对照组比较,观察组患者治疗 1 个月、3 个月的泪膜破裂时间显著延长,泪液分泌长度显著增加(P<0。01),治疗 2 个月、3 个月的角膜荧光素染色评分及治疗1个月、2个月、3个月的干眼症评分均显著降低(P<0。05)。观察组患者治疗后的白细胞介素1β、白细胞介素6、肿瘤坏死因子-α水平均显著降低,生活质量评分显著升高(P<0。05)。观察组患者治疗后的知觉正常比例为 85。45%,显著高于对照组的 67。27%(P<0。05)。结论 自体血清联合普拉洛芬治疗ICL术后干眼症,能有效减轻患者眼部的炎性反应,改善干眼症症状。
Efficacy Evaluation of Autologous Serum Combined with Pranoprofen in the Treatment of Dry Eye Syndrome After Implantable Collamer Lens
Objective To investigate the clinical efficacy of autologous serum combined with pranoprofen in the treatment of dry eye syndrome after implantable collamer lens(ICL).Methods A total of 110 patients with dry eye syndrome after ICL admitted to the hospital from January 2019 to May 2022 were selected and divided into the observation group and the control group based on different medication regimens,with 55 cases in each group.The patients in the two groups were given Pranoprofen Eye Drops,on this basis,the patients in the observation group were given autologous serum.Both groups were treated continuously for three months.Results The total effective rate in the observation group was 98.18%,which was significantly higher than 80.00%in the control group(P<0.05).Compared with those in the control group,the tear film break-up time(BUT)in the observation group significantly prolonged,the tear secretion length significantly increased at the one and three months of treatment(P<0.01).The corneal fluorescein staining score at the two and three months of treatment and dry eye syndrome score at the one,two and three months of treatment in the observation group significantly decreased(P<0.05).After treatment,the interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)levels in the observation group significantly decreased,and the quality of life score significantly increased(P<0.05).The proportion of patients with normal perception after treatment in the observation group was 85.45%,which was significantly higher than 67.27%in the control group(P<0.05).Conclusion Autologous serum combined with pranoprofen can effectively relieve the inflammatory reactions of eyes and improve symptoms of dry eye syndrome in patients after ICL.

autologous serumpranoprofencataractimplantable collamer lensdry eye syndrometear filmstability

梁晓彦、杨洁、郭翠欣、马丽华、唐广贤

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河北省石家庄市人民医院,河北 石家庄 050000

自体血清 普拉洛芬 白内障 人工晶体植入术 干眼症 泪膜 稳定性

河北省石家庄市科学技术研究与发展自筹计划

221460833

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(10)
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