小牛血去蛋白眼用凝胶治疗角膜上皮缺损的临床观察
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Clinical research of protein-free calf blood extract eye gel for corneal epithelial defect
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    摘要:

    目的:评价200g/L小牛血去蛋白眼用凝胶治疗持续性角膜上皮缺损的临床疗效。

    方法:观察持续性角膜上皮缺损患者168 例(包括单疱病毒性角膜炎上皮型58 例; 化学烧伤24例; 胬肉手术术后86例),随机分成小牛血去蛋白眼用凝胶组(84例),碱性成纤维细胞生长因子眼用凝胶组(bFGF,84例)。 两组均滴眼4次/d,共7d。观察上皮缺损修复和患眼局部症状、体征等指标。

    结果:小牛血去蛋白眼用凝胶组和bFGF组疗效判断指标较治疗前皆有显著性差异(P<0.01)。小牛血去蛋白眼用凝胶组有效率(83.3%)高于bFGF组(69%); 治疗单疱病毒性角膜炎上皮型角膜炎、化学烧伤和手术所引起的有效率分别为 72.4%,69.2% 和95.2%; 观察过程中未见局部刺激和全身不良反应。

    结论:小牛血去蛋白眼用凝胶治疗持续性角膜上皮缺损疗效确切,安全性高。

    Abstract:

    AIM: To evaluate the clinical effect of 200g/L protein-free calf blood extract eye gel for corneal epithelial defect.

    METHODS: One hundred and sixty-eight cases of corneal epithelial defect(58 cases with herpes simplex keratitis; 24 cases with chemical injury; 85 cases with pterygium operation injury)were randomly divided into two groups: 84 eyes were treated with protein-free calf blood extract eye gel; 84 cases were treated with basic fibroblast growth factor eye gel(bFGF). The bFGF and protein-free calf blood extract eye gels were used 4 times a day. The treatment course was 7d. Epithelial defect restoration, local symptom and sign were observed.

    RESULTS: The difference between pre-treatment and post-treatment was significant(P<0.01)in the two groups. The effect of protein-free calf blood extract eye gel(83.3%)group was prior to that of bFGF(69%)for corneal epithelial defect. The effective rate of protein-free calf blood extract eye gel in the herpes simplex keratitis, chemical injury and pterygium operation injury was 72.4%,69.2% and 95.2%. Localized stimulus and adverse reaction of all over the body were not been observed.

    CONCLUSION: Protein-free calf blood extract eye gels is valuable and safe for corneal epithelial defect.

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牛晓霞,李云峰,战露阳.小牛血去蛋白眼用凝胶治疗角膜上皮缺损的临床观察.国际眼科杂志, 2014,14(7):1313-1315.

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  • 收稿日期:2014-01-27
  • 最后修改日期:2014-06-04
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  • 在线发布日期: 2014-06-19
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