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[摘要]
目的:分析曲伏前列素、拉坦前列素和贝美前列素用药后对中央角膜厚度的影响。
方法:采用回顾性临床病例对照研究,60例68眼随机分为3组,其中曲伏前列素组20例22眼,拉坦前列素组20例25眼,贝美前列素组20例21眼。测量用药前及用药6mo后的中央角膜厚度。
结果:三组用药后平均中央角膜厚度与用药前比较均明显变薄, 曲伏前列素组从525±36.45μm下降至510±27.87μm(t=8.11,P<0.05),拉坦前列素组从530±26.65μm下降至512±22.27μm(t=5.62,P<0.05),贝美前列素组从534±47.35μm下降至516±19.56μm(t=5.62,P<0.05)。用药后6mo,三组间平均中央角膜厚度比较无明显差别(F=0.205,P=0.544)。
结论:局部应用前列腺素类药物可以使中央角膜厚度变薄。
[Key word]
[Abstract]
AIM: To compare the effect on central coreal thickness(CCT)after using Travoprost, Latanoprost and bimatoprost.
METHODS: By clinical retrospective case control study, patients with primary open angle glaucoma(POAG)were randomly classified for 3 groups: Twenty patients(22 eyes)were treated with Travoprost, 20 patients(25 eyes)were treated with Latanoprost, and 20 patients(21 eyes)were treated with bimatoprost. CCT before and 6 months after the treatments was observed.
RESULTS: The CCT of 3 groups had decreased markedly after 6 months. Travoprost group decreased from 525±36.45μm to 510±27.87μm(t=8.11, P=0.001), Latanoprost decreased from 30±26.65μm to 512±22.27μm(t=7.34, P=0.001), and Bimatoprost reduced from 534±47.35μm to 516±19.56μm(t=5.62, P=0.001). The effectiveness of the treatments did not differ significantly when the three groups were compared(F=0.205, P=0.544).
CONCLUSION: The study demonstrated that use of prostaglandins could reduce the CCT.
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