改良泪道冲洗术在慢性泪囊炎治疗中的应用  

The application of the improved lacrimal duct flushing technique in adult patients with chronic dacryocystitisin the primary hospital

作　　者：张睿[1] 郑景华[1] 

机构地区：[1]北京丰台医院眼科,北京市100071

出　　处：《中国基层医药》2016年第5期743-747,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨改良沮道冲洗术治疗的疗效情况及一些相关影响因素。方法以只接受药物加泪道冲洗术治疗的慢性泪囊炎患者为研究对象，共57例57眼。按就诊早晚分为两组，同样接受改良冲洗药物的泪道冲洗术及综合、完善的药物及辅助治疗，对其治疗效果及安全性进行评价。同时对一些相关因素进行统计分析。结果两组总体疗效（A组76．2％，B组72．2％，x2=0．108，P=0．987〉0．05）差异无统计学意义。治疗前与治疗后1个月眼压差异无统计学意义（治疗前平均眼压18．470，治疗1个月后平均眼压18．512，t=-0．315，P=0．754〉0．05）。两组首诊泪道冲洗情况与治疗效果（r=0．814，r2=0．663，P=0．1302〈0．05）、泪囊分泌物细菌培养结果与治疗效果（r=0．814，r2=0．663，P=0．000〈0．05）相关性均有统计学意义。结论改良泪道冲洗术配合综合、完善的药物及辅助治疗对较早期发现的成年人慢性泪囊炎是安全且有较好疗效的。Objective To investigate the treatment effect and some related fators of the improved lacrimal duct flushing technique for the adult patients with chronic dacryocystitis in the primary hospital. Methods Fifty - seven adult patients （fifty - seven eyes）with chronic dacryocystitis received the improved lacrimal duct flushing treatment. Fifty - seven patients were divided into two groups according to the first time to see a doctor and receive theimproved lacrimal duct flushing treatment cooperated with drug application and assistant therapies. The effect and safety of the treatment and some related factors were analyzed. Results There was no statistical difference between the overall efficency of the two groups （ A group 76.2%, B group 72.2%, X2 = 0. 108, P = 0.987 〉 0.05）. The innero- cular pressures showed no statistical difference between pre - treatment and 1 month after treatment （ the pre - treat- ment innerocular pressure： 18. 470, the post - treatment innerocular pressure： 18. 512, t = - 0. 315, P = 0. 754 〉 0. 05）. The correlation analysis between the conditions of lacrimal passages and treatment effect （r = 0. 814, r2 = 0. 663, P = 0.002 〈 0.05 ）, between the germiculture of the discharge of lacrimal sac and treatment effect （ r = 0.814, r2 = 0. 663, P = 0. 000 〈 0.05 ） showed statistical significance. Conclusion The improved lacrimal duct flushing technique cooperated with drug application and assistant therapies is safe and well effective to the adult patients with chronic dacryocystitis in the early stage.

关 键 词：泪道冲洗术 慢性泪囊炎 

分 类 号：R779.6[医药卫生—眼科]