翼状胬肉切除术后应用角膜绷带镜疗效评价的Meta分析
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Meta-analysis of the efficacy of corneal bandage contact lens after pterygium excision
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    摘要:

    目的:通过Meta分析的方法综合评价翼状胬肉切除术后联合应用角膜绷带镜的治疗疗效。

    方法:检索PubMed、Cochrane Library、万方、维普、中国知网等数据库2014-05/2020-05关于翼状胬肉切除术后联合应用角膜绷带镜的临床随机对照研究,提取数据并进行Meta分析。

    结果:最终纳入临床随机对照研究11篇,其中中文文献10篇,英文文献1篇,患者864例。Meta分析结果显示,术后第1d\〖MD=-1.57,95%CI=(-1.72,-1.41),P<0.00001\〗、术后第2d\〖MD=-1.35,95%CI=(-1.59,-1.11),P<0.00001\〗、术后第7d\〖MD=-0.64,95%CI=(-0.78,-0.50),P<0.00001\〗联合应用角膜绷带镜能更好地减轻患者眼部疼痛程度; 术后第1d\〖MD=-1.23,95%CI=(-1.51,-0.95),P<0.00001\〗、术后第7d\〖MD=-0.44,95%CI=(-0.50,-0.39),P<0.00001\〗联合应用角膜绷带镜能更好地促进患者角膜上皮愈合。

    结论:翼状胬肉切除术后联合应用角膜绷带镜治疗可有效缓解眼部疼痛、促使角膜上皮创面愈合,能更好地减少患者临床不适症状的发生。

    Abstract:

    AIM: To evaluate the efficacy evaluation of the combined application of bandage contact lens after pterygium excision surgery by Meta-analysis.

    METHODS: Randomized controlled clinical studies on combined application of corneal bandage contact lens after pterygium excision were retrieved from PubMed, Cochrane Library, Wanfang, VIP, CNKI and other databases from May 2014 to May 2020. Data were extracted and Meta-analysis was performed.

    RESULTS:Totally 11 randomized controlled clinical studies were included, including 10 in Chinese and 1 in English, with 864 patients. Meta-analysis results showed that 1d postoperative \〖MD= -1.57, 95%CI=(-1.72, -1.41), P<0.00001\〗, 2d postoperative \〖MD= -1.35, 95%CI=(-1.59, -1.11), P<0.00001\〗, 7d postoperative \〖MD= -0.64, 95%CI=(-0.78, -0.50), P<0.00001\〗 combined application of corneal bandage contact lens can better reduce the degree of ocular pain in patients; And 1d postoperative \〖MD= -1.23, 95%CI=(-1.51, -0.95), P<0.00001\〗, 7d postoperative\〖MD= -0.44, 95%CI=(-0.50, -0.39), P<0.00001\〗 combined application of corneal bandage contact lens can better promote the condition of corneal epithelium.

    CONCLUSION:The bandage contact lens could markedly release pain response after pterygium excision surgery, promote corneal epithelium recovery, which is beneficial to reduce the symptoms of clinical discomfort.

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任栎璁,严宏,张坚.翼状胬肉切除术后应用角膜绷带镜疗效评价的Meta分析.国际眼科杂志, 2021,21(7):1221-1226.

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  • 最后修改日期:2021-05-31
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  • 在线发布日期: 2021-06-24
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