引用本文:迟新建,马建黎,王小雪,李晓楠.硅水凝胶材质角膜绷带镜辅助治疗干眼症临床观察[J].中国临床新医学,2017,10(9):904-906.
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硅水凝胶材质角膜绷带镜辅助治疗干眼症临床观察
迟新建,马建黎,王小雪,李晓楠
463200 河南,驻马店市确山县人民医院眼科
摘要:
[摘要] 目的 探讨硅水凝胶材质角膜绷带镜辅助治疗干眼症的临床疗效。方法 选择2013-07~2015-09就诊于该院的90例干眼症患者,根据患者所患干眼症类型将其分为两组,其中A组为泪液缺乏型,43例(43只眼);B组为泪液蒸发过强型,47例(47只眼)。所有患者均给予硅水凝胶材质角膜绷带镜辅助治疗。比较两组干眼病史问卷调查表(McMonnies)干眼症状评分与角膜染色情况评分。结果 B组治疗后McMonnies干眼症状评分明显低于A组,差异有统计学意义(P<0.05);两组治疗后角膜染色情况评分均明显低于治疗前,差异有统计学意义(P<0.05);但两组间比较差异无统计学意义(P>0.05)。结论 硅水凝胶材质角膜绷带镜辅助治疗泪液蒸发过强型干眼症效果显著,临床治疗需根据实际病情,制定个性化治疗方案。
关键词:  硅水凝胶  角膜绷带镜  干眼症
DOI:10.3969/j.issn.1674-3806.2017.09.24
分类号:R 77
基金项目:
Adjuvant treatment of xerophthalmia by silicone hydrogel bandage contact lens
CHI Xin-jian, MA Jian-li, WANG Xiao-xue, et al.
Department of Ophthalmology, the People′s Hospital of Queshan County, Zhumadian City, Henan 463200, China
Abstract:
[Abstract] Objective To investigate the clinical efficacy of silicone hydrogel bandage materials assisted in the treatment of dry eyes.Methods 90 patients were selected from July 2013 to September 2015 in our hospital and divided into group A(tear deficiency, n=43) and group B(strong type for evaporation, n=47) according to the types of dry eyes. All the patients were treated with silicone hydrogel materials. The dry eye symptom scores and corneal staining were compared between the two groups.Results McMonnies dry eye symptom scores of group B were significantly lower than those of group A after the treatment(P<0.05), The corneal staining scores were significantly lower in both of the two groups after the treatment than those before the treatment(P<0.05). but there was no significant difference between the two groups(P>0.05).Conclusion The silicone hydrogel bandage contact lens is effective for the auxiliary treatment of tear evaporative dry eyes, and the treatment plans should be individualized.
Key words:  Silicone hydrogel  Bandage contact lens  Dry eye