人工泪液联合非甾体抗炎药治疗干眼症疗效及安全性研究
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Clinical efficacy and safety studies on dry eye patients treated with artificial tears and non-steroidal anti-inflammatory drug
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    摘要:

    目的:探讨人工泪液联合非甾体抗炎药治疗干眼症疗效和安全性,以期提高临床诊治水平。

    方法:选取2012-07/2014-07干眼症患者102例为研究对象,分成2组,对照组51例,予非甾体抗炎药治疗,观察组51例,加用人工泪液治疗,观察治疗后两组患者相关指标变化情况。

    结果:对照治愈率23.5%,总有效率76.5%,观察组治愈率35.3%、总有效率92.2%,两组比较差异有统计学意义(P<0.05); 治疗前后两组在BUT、FL、虎红、ISV、IVA、SⅠt比较差异有统计学意义(P<0.05); 治疗后组间BUT、FL、虎红、ISV、IVA、SⅠt比较差异有统计学意义(P<0.05); 不良反应:对照组眼睑发红、异物刺激感、结膜充血或水肿、分泌物、瘙痒发生率分别为13.7%、7.8%、11.8%、5.9%、5.9%,观察组相对应分别为3.9%、2.0%、2.0%、0、2.0%,两组比较除瘙痒外差异均有统计学意义(P<0.05)。

    结论:人工泪液联合非甾体抗炎药治疗干眼症临床效果显著,不良反应低。

    Abstract:

    AIM:To investigate clinical efficacy and safety of artivicial tears combined with non-steroidal anti-inflammatory drugs(NSAID)on treating dry eyes in order to improve the level of clinical diagnosis and treatments.

    METHODS:One hundred and two patients with dry eyes from July 2012 to July 2014 were selected, and they were divided into observation group(51 patients)and control group(51 patients). Patients in control group were treated with NSAID. Patients in observation group were treated with artificial tears and NSAID. Indicators of the two groups were observed before and after treatments.

    RESULTS: The cure rate and total effective rate of control group were 23.5% and 76.5%, those of observation group were 35.3% and 92.2%. The differences were statistically significant(P<0.05)between two groups. The differences of the two groups before and after treatments on BUT, FL, rose Bengal, ISV, IVA, SⅠt were statistically significant(P<0.05). Adverse reactions: in control group, the rate of eyelid redness, irritated by foreign body, conjunctival hyperemia or edema, secretions, itching were 13.7%, 7.8%, 11.8%, 5.9%, 5.9% respectively, those of the observation group were 3.9%, 2.0%, 2.0%, 0, 2.0%. The differences between the two groups on those items were statistically significant(P<0.05), except on itching.

    CONCLUSION:The artificial tears combined with NAISD have remarkble effect on the treatment of dry eyes and have lower rate of adverse reaction.

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张国英.人工泪液联合非甾体抗炎药治疗干眼症疗效及安全性研究.国际眼科杂志, 2015,15(11):1953-1955.

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  • 收稿日期:2015-06-05
  • 最后修改日期:2015-10-20
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  • 在线发布日期: 2015-10-30
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