泪点栓治疗视频终端顽固性干眼症临床效果研究.docVIP

泪点栓治疗视频终端顽固性干眼症临床效果研究 　　[摘要] 目的 探讨泪点栓治疗视频终端顽固性干眼症的临床效果。 方法 选取2013年2～5月本院收治的视频终端顽固性干眼症患者59例（118只眼），按照治疗方法不同分为两组，观察A组30例（60只眼）和观察B组29例（58只眼），观察A组采用上下泪小点植入永久性泪点栓治疗，观察B组采用上泪小点植入临时性自溶性泪点栓，下泪小点植入永久性泪点栓治疗。 结果 两组治疗后3个月的BUT、Schirmer-Ⅰ明显高于治疗前，FL及主观症状评分明显低于治疗前，差异有统计学意义（P0.05）。观察A组的并发症发生率高于观察B组（P0.05）。 结论 采用泪点栓可显著改善视频终端顽固性干眼症患者的临床症状，上泪小点植入临时性自溶性泪点栓，下泪小点植入永久性泪点栓治疗安全性更高。 　　[关键词] 视频终端顽固性干眼症；泪点栓；主观症状 　　[中图分类号] R771 [文献标识码] A [文章编号] 1674-4721（2014）09（a）-0020-03 　　Clinical effect research of punctal plug in the treatment of video display terminal refractory dry eye syndrome 　　YANG Lu1 LUO Meng2 WANG Li-yuan2 WANG Ying3 LIU Xiao-bo3 　　1.Department of Ophthalmology，Women and Children Hospital of Liaohe Oilfield General Hospital in Liaoning Province，Panjin 124010，China；2.Department of Internal Medicine，Women and Children Hospital of Liaohe Oilfield General Hospital in Liaoning Province，Panjin 124010，China；3.Department of Pharmacy，Women and Children Hospital of Liaohe Oilfield General Hospital in Liaoning Province，Panjin 124010，China 　　[Abstract] Objective To investigate the clinical effect of punctal plug in the treatment of video display terminal refractory dry eye syndrome. Methods All 59 patients（118 eyes）with video display terminal refractory dry eye syndrome from February to May 2013 in our hospital were collected and divided into two groups according to the method of treatment，observation group A of 30 cases（60 eyes），inferior lacrimal point lacrimal plug implantation of a permanent treatment was applied in observation group A，observation group B of 29 cases（58 eyes），the lacrimal point lacrimal implant temporary bolt from the insoluble and inferior lacrimal point lacrimal implant permanent embolic therapy were used in observation group B. Results After treatment of 3-month，BUT，Schirmer-Ⅰ in two groups was significantly higher than that before treatment respectively，FL and subjective symptom score in two groups was significantly lower than that before treatment respectively，