检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:田鹏飞 何坤 祝寿辉 张敏[1] 叶国宁 潘冰心[1] Peng-Fei Tian;Kun He;Shou-Hui Zhu;Min Zhang;Guo-Ning Ye;Bing-Xin Pan(Ophthalmic Center,Zhejiang Medical and Health Group Quzhou Hospital(Zhejiang Quhua Hospital),Quzhou 324000,Zhejiang Province,China)
机构地区:[1]浙医健衢州医院(浙江衢化医院)眼科中心,浙江省衢州市324000
出 处:《国际眼科杂志》2023年第1期167-171,共5页International Eye Science
基 金:衢州市指导性科技攻关项目(No.2021114)。
摘 要:目的:探讨生物羊膜覆盖联合角膜绷带镜治疗眼表化学性烧伤患者的临床效果及生物羊膜的稳定性。方法:回顾性研究。选取2018-12/2021-08在我院治疗的眼表化学性烧伤患者49例49眼的临床资料,按照手术方式分为单纯羊膜覆盖组25眼和羊膜覆盖术后配戴角膜绷带镜组24眼。比较两组患者的羊膜脱落时间、术后疼痛评分、眼表修复率及修复时间、术后视力和并发症情况。结果:单纯羊膜覆盖组和羊膜覆盖术后配戴角膜绷带镜组患者术后1d眼部疼痛评分为2.208±0.758和2.063±0.800分(P>0.05),术后3d为1.844±0.762和1.150±0.582分,术后7d为1.684±0.820和0.750±0.514分(均P<0.05)。羊膜覆盖术后配戴角膜绷带镜组羊膜脱落时间为10.75±2.63d,比单纯羊膜覆盖组(7.60±2.22d)更长(P<0.05),且角膜修复效果较单纯羊膜覆盖组更好。术后6mo,两组患者视力分别为0.30(0.10,0.55)和0.30(0.20,0.58)(P>0.05),两组患者并发症发生情况无差异(P>0.05)。结论:生物羊膜覆盖可以有效地治疗眼表化学性烧伤,联合角膜绷带镜治疗可以延缓其脱落时间,提高角膜修复率,降低患者术后不适程度。·AIM: To investigate the clinical effect and stability of biological amnion membrane coverage combined with corneal bandage lens for patients with chemical burns of ocular surface.·METHODS: Retrospective study. The clinical data of 49 cases(49 eyes) of patients with chemical burns of ocular surface treated in our hospital between December 2018 and August 2021 were collected. They were divided into the biological amnion membrane coverage group and the biological amnion membrane coverage combined with corneal bandage lens group according to the surgical method. The loss time of biological amniotic membrane, postoperative pain score, repair rate and time of ocular surface, visual acuity and complications were compared between the two groups.·RESULTS: The ocular pain scores of the two groups were 2.208±0.758(the biological amnion membrane coverage group) and 2.063±0.800(the biological amnion membrane coverage combined with corneal bandage lens group) at 1 d after surgery, respectively(P>0.05). But at the 3 d and 7 d after surgery, pain scores were 1.844±0.762 and 1.150±0.582, 1.684±0.820 and 0.750±0.514, respectively(all P<0.05). The loss time of biological amniotic membrane in the biological amnion membrane coverage combined with corneal bandage lens group was 10.75±2.63 d, which was longer than that in the biological amnion membrane coverage group(7.60±2.22 d;P<0.05). Moreover, it has better ocular surface repair effect than the biological amnion membrane coverage group. At 6 mo after operation, visual acuity in the two groups was 0.30(0.10, 0.55) and 0.30(0.20, 0.58), respectively(P>0.05). Additionally, there was no differences in the complications of both groups(P>0.05).·CONCLUSION:Biological amnion membrane coverage has effective treatment effects on patients with chemical burns of ocular surface, and it can delay the loss time of biological amniotic membrane, increase repair rate of ocular surface and alleviate postoperative discomfort if combined with corneal bandage lens.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:3.145.175.71