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1、人工淚液治療青光眼白內(nèi)障聯(lián)合術(shù)后干眼癥的臨床效果分析高凡1張蓓2王彥榮3作者單位:陜西省延安市人民醫(yī)院眼科,716000通信作者:高凡,女,主治醫(yī)師,gaofan0923@sina.com摘要:探討人工淚液治療青光眼聯(lián)合白內(nèi)障術(shù)后干眼癥的臨床效果。對我院2014年6月至2016年6月期間收治的80例青光眼合并白內(nèi)障手術(shù)后干眼癥的患者進(jìn)行分析,將80例患者分為研究組與對照組,兩組各40例,對照組40例患者給予常規(guī)治療,研究組40例患者在常規(guī)治療基礎(chǔ)上給予人工淚液治療。對比兩組患者術(shù)前與術(shù)后淚膜破裂時間(tearbrak-uptimeBU
2、T)、基礎(chǔ)淚液分泌(schirmerItestSIT),比較兩組患者用藥之前與用藥之后干眼癥狀評分。治療后,兩組患者的BUT、SIT水平均優(yōu)于治療前,差異具有統(tǒng)計學(xué)意義(P<0.05);治療之后研究組患者的BUT、SIT水平均優(yōu)于對照組患者,兩組差異具有統(tǒng)計學(xué)意義(P<0.05);治療之前,兩組患者干眼癥評分無明顯差異,不具備統(tǒng)計學(xué)意義(P>0.05);治療之后第2周與第4周,研究組患者干眼癥狀評分明顯低于對照組患者,兩組差異具有統(tǒng)計學(xué)意義(P<0.05)。人工淚液治療青光眼白內(nèi)障聯(lián)合手術(shù)后干眼癥的臨床效果十分顯著,可在臨床治療中推廣
3、使用。關(guān)鍵詞:人工淚液;青光眼合并白內(nèi)障;干眼癥;臨床效果TheanalysisofclinicaleffectofartificialtearsinthetreatmentofdryeyeafterglaucomacombinedwithcataractsurgeryGAOFan1,ZHANGBei2,WANGYanRong3.Abstract:Toinvestigatetheclinicaleffectofartificialtearsinthetreatmentofdryeyeafterglaucomacombinedwithc
4、ataractsurgery.Eightypatientswithglaucomacombinedwithcataractaftersurgeryweredividedintostudygroupandcontrolgroup(n=80)fromJune2014toJune2016.ThepatientsofControlgroup(n=40)weretreatedwithroutinetreatment,andtherestofthepatientsweretreatedwithartificialtearsonthebasisof
5、routinetreatment.Thetearfilmrupturetime,secretionⅠtearandthescoresofdryeyesymptomwerecomparedbetweenthetwogroupsbeforeandafterthetreatment.Aftertreatment,theBUTandSITlevelsofthetwogroupswerebetterthanthosebeforetreatment,thedifferencewasstatisticallysignificant(P<0.05).
6、Aftertreatment,theBUTandSITlevelsofthestudygroupwerebetterthanthecontrolgroup,(P<0.05).Beforethetreatment,therewasnosignificantdifferencebetweenthetwogroupsinthetermsofthescoresofdryeyesymptom(P>0.05).Inthesecondandfourthweeksafterthetreatment,thescoresofdryeyesymptomin
7、thestudygroupwassignificantlylowerthanthecontrolgroup,andthedifferencebetweenthemwasstatisticallysignificant(P<0.05).Theclinicaleffectofartificialtearsinthetreatmentofdryeyeafterglaucomacombinedwithcataractsurgeryisverysignificant,itcanbepopularizedinclinicaltreatment.K
8、eyWords:Artificialtears,Glaucomacombinedwithcataract,Dryeye,Clinicaleffect近年,青光眼合并白內(nèi)障人數(shù)逐漸增多,大多數(shù)人選擇青白聯(lián)合手術(shù)進(jìn)行治療。該