劑型凝膠型人工淚液對(duì)白內(nèi)障超聲乳化術(shù)后干眼的影響
發(fā)布時(shí)間:2018-05-25 01:14
本文選題:白內(nèi)障超聲乳化術(shù) + 淚膜 ; 參考:《廣西醫(yī)科大學(xué)》2012年碩士論文
【摘要】:目的了解人工淚液-思然對(duì)超聲乳化術(shù)后淚膜穩(wěn)定性的影響。 方法隨機(jī)抽取行白內(nèi)障超聲乳化+人工晶體植入術(shù)的年齡相關(guān)性白內(nèi)障患者28例(37只眼),隨機(jī)分為實(shí)驗(yàn)組(19人)和對(duì)照組(18人),對(duì)照組術(shù)后給予常規(guī)治療,實(shí)驗(yàn)組術(shù)后在給予常規(guī)治療的基礎(chǔ)上加用人工淚液思然。分別于術(shù)前一天、術(shù)后一天、一周、兩周、三周、一個(gè)月行干眼問(wèn)卷調(diào)查,淚膜破裂時(shí)間(BUT),基礎(chǔ)淚液分泌實(shí)驗(yàn)(Schirmer-Ⅰ),角膜熒光素染色檢查。 結(jié)果與術(shù)前相比,術(shù)后干眼問(wèn)卷調(diào)查有癥狀者增加,實(shí)驗(yàn)組明顯少于對(duì)照組;術(shù)后實(shí)驗(yàn)組BUT恢復(fù)時(shí)間較對(duì)照組提前(p≤0.05),術(shù)后實(shí)驗(yàn)組SIT恢復(fù)時(shí)間較對(duì)照組提前(p≤0.05)。術(shù)后角膜染色恢復(fù)時(shí)間實(shí)驗(yàn)組較對(duì)照組提前。 結(jié)論白內(nèi)障超聲乳化術(shù)后可使患者淚膜穩(wěn)定性下降,使用人工淚液思然后可減輕干眼的癥狀與體征,幫助患者更好的恢復(fù),改善視覺(jué)質(zhì)量。
[Abstract]:Objective to investigate the effect of artificial tear-Siran on the stability of lacrimal film after phacoemulsification. Methods Twenty-eight patients with age-related cataract underwent phacoemulsification and intraocular lens implantation were randomly divided into experimental group (n = 19) and control group (n = 18). The experimental group was treated with artificial tear on the basis of routine treatment. One day before operation, one day, one week, two weeks, three weeks, one month's dry eye questionnaire, tear film rupture time, basic tear secretion test (Schirmer- 鈪,
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