52例女性干眼诊断及治疗方法的临床研究  

Diagnosis and treatment of 52 females with dry eyes

作　　者：赫红丹 孙莉程 张雪 He Hongdan;Sun Licheng;Zhang Xue(Department of Ophthalmology,Jinzhou AIER Eye Hospital,Jinzhou 121002,China)

机构地区：[1]锦州爱尔眼科医院眼科,121002

出　　处：《国际医药卫生导报》2019年第21期3598-3601,共4页International Medicine and Health Guidance News

摘　　要：目的探讨女性患者干眼诊断措施及治疗方法.方法采用Keratograph 5M眼表综合分析仪对52例(104只眼)女性干眼患者进行检查,根据检查结果对干眼进行分型,并根据干眼类型指导治疗.随访1个月,观察患者治疗前后的泪河高度、泪膜破裂时间、睑板腺缺失情况.结果经Keratograph 5M眼表综合分析仪检查水液缺乏型干眼3例(占5.77%),给予0.1%玻璃酸钠滴眼液,5次/d;蒸发过强型干眼33例(占63.36%),给予羟糖苷滴眼液,4次/d,睑板腺按摩,1次/周,氧氟沙星眼膏涂睑缘,3次/d;混合型干眼16例(占30.77%),给予上述两种治疗方案;经治疗后,所有患者症状均有不同程度好转,泪河高度、泪膜破裂时间有所提高,睑板腺缺失有所好转.结论应用Keratograph 5M眼表综合分析仪可以对女性患者进行干眼诊断分型,并按分型指导治疗并收到良好效果.Objective To investigate the diagnosis and treatment of dry eye in female patients.Methods 52 female patients(104 eyes)with dry eyes were examined by Keratograph 5M.The dry eyes were classified according to the examination results;and the treatment was guided according to the type of dry eye.The patients were followed up for 1 month to observe the tear meniscus height,the tear breakup time,and the lack of meibomian gland before and after the treatment.Results Keratograph 5M was used to analyze 3 patients(5.77%)of lacking water type,who were treated with 0.1%sodium hyaluronate eye drops 5 times a day;33 evaporative dry eye patients(63.36%)were treated with natural forte eye drops four times a day,meibomian gland massage one time a week,and ofloxacin eye ointment on the margin of eyelid three times a day;and 16 patients of mixed type(30.77%)were treated with the above two methods.After the treatment,the symptoms of all the patients were improved in varied degrees;the tear meniscus height,the tear breakup time,and the lack of meibomian gland were improved.Conclusion Keratograph 5M ophthalmic surface analyzer can be used to diagnose and classify the dry eyes of female patients;and good results have been achieved in the treatment according to classification.

关 键 词：Keratograph 5M眼表综合分析仪 干眼诊断 干眼类型 干眼治疗 

分 类 号：R47[医药卫生—护理学]