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玻璃酸钠滴眼液联合重组人表皮生长因子滴眼液治疗白内障术后干眼症的疗效观察
Clinical Efficacy Observation of Sodium Hyaluronate Eye Drops Combined with Recombinant Human Epidermal Growth Factor Eyedrops in the Treatment of Dry Eyes after Cataract Surgery
  
DOI:
中文关键词:  玻璃酸钠滴眼液  重组人表皮生长因子  白内障手术  干眼症  泪膜
英文关键词:Sodium hyaluronate eye drops  Recombinant human epidermal growth factor  Cataract surgery  Dry eyes  Tear film
基金项目:
作者单位
滕荣建 叶锌铭 张丽娜 沈丽芳 ①丽水市人民医院眼科(浙江丽水 323000) 
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中文摘要:
      摘 要 目的:观察玻璃酸钠滴眼液联合重组人表皮生长因子(rhEGF)滴眼液治疗白内障术后干眼症的临床疗效。方法:白内障术后干眼症患者80例(80眼)随机分为观察组和对照组,每组40例(40眼)。对照组给予玻璃酸钠滴眼液治疗,观察组在对照组基础上加用rhEGF滴眼液治疗,两组疗程均为4周。比较两组患者用药前及用药2周、4周的干眼症状评分,两组泪膜破裂时间(BUT)、泪液分泌试验(SIt)及角膜荧光素染色(FL)情况,评价两组疗效和药品不良反应。结果:观察组总有效率为97.5%,显著性高于对照组的75.0%(P<0.05)。治疗2周、4周后,两组干眼症状评分均较前显著下降(P<0.05);且观察组评分明显低于对照组(P<0.05)。治疗后,两组BUT、SIt均较前显著上升,FL较前显著降低(P<0.05);且观察组BUT、SIt明显高于对照组,FL明显低于对照组(P<0.05)。对照组药品不良反应发生率显著高于观察组(P<0.05)。结论:玻璃酸钠滴眼液联合rhEGF滴眼液可以显著改善白内障术后干眼症患者的临床症状,促进泪膜的稳定性,减少泪液分泌与角膜损伤,值得临床推广应用。
英文摘要:
      ABSTRACT Objective:To study the clinical curative effects of using sodium hyaluronate eye drops combined with recombinant human epidermal growth factor (rhEGF) eyedrops treating for dry eyes after cataract surgery. Methods:From January 2015 to June 2016 year in our hospital 80 patients (80 eyes) with dry eyes secondary to cataract surgery were selected and randomly divided into the observation group and the control group (40 cases in each group); The control group were given sodium hyaluronate eye drops for treatment, while the observation group had rhEGF eyedrops on basis of the control group treatment; All the two groups were treated for 4 weeks. In the two groups before treatment, 2 weeks and 4 weeks after treatment dry eye symptoms, tear break up time (BUT), Schirmer test (SIt), corneal fluorescein staining (FL), and adverse drug reaction(ADR) were recorded and compared. Results:The total efficiency (97.5%) in the observation group was significantly higher than that in the control group (75%,P<0.05). 2 weeks and 4 weeks after treatment, the dry eye symptom scores of two groups were all significantly decreased (P<0.05), but those of the observation group decreased more significantly (P<0.05). After treatment, BUT and SIt of two groups were all increased significantly compared with before treatment, and FL was significantly lower than before treatment, but BUT and SIt of the observation group increased more significantly (P<0.05), while FL decreased significantly (P<0.05). The incidence of ADR in the control group was significantly higher than that in the observation group (P<0.05). Conclusion:Using sodium hyaluronate eye drops combined with rhEGF eyedrops to treat dry eyes after cataract surgery can significantly improve clinical symptoms, promote the stability of the tear film, and reduce tear secretion and corneal injury, worthy of clinical promotion.
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