小梁切除术前应用不同眼药水对青光眼患者炎症状态影响.docVIP

小梁切除术前应用不同眼药水对青光眼患者炎症状态影响 　　摘 要 目的：研究小梁切除术前应用不同眼药水对青光眼患者手术前后炎症状态的影响。方法：160例行小梁切除术青光眼病例按照术前用眼药水差异，分为观察组（术前予以普拉洛芬眼药水联合氯霉素眼药水治疗）和对照组（术前仅予以氯霉素眼药水）各80例80眼，对比2组手术前后眼部症状与体征综合评分及疗效。结果：术前2组眼部症状与体征综合评分无显著差异（P0.05）；术后综合评分观察组（2.11±0.13）明显低于对照组（2.54±0.19）（P0.05）；有效率观察组（95.00%）明显高于对照组（85.00%）（P0.05）。结论：小梁切除术前予以普拉洛芬眼药水能有效控制青光眼患者手术前后炎症状态，提高手术疗效。 　　关键词 小梁切除术 普拉洛芬 青光眼 炎症状态 　　中图分类号：R988.1； R775 文献标识码：A 文章编号：1006-1533（2017）07-0018-03 　　Effect of different eye drops applied in patients with glaucoma before trabeculectomy on their inflammatory state 　　ZHANG Xiaopeng* 　　（Central Hospital of Jiaozuo Coal Industry Group Co. Ltd， Jiaozuo 454000， China） 　　ABSTRACT Objective： To study the effect of different eye drops applied in patients with glaucoma before trabeculectomy on their inflammatory state before and after surgery. Methods： A total of 160 cases of glaucoma patients undergoing trabeculectomy were selected and divided into an observation group （treated with both pranoprofen and chloramphenicol eye drops） and a control group （treated only with chloramphenicol eye drop） based on the different eye drops used before surgery with 80 cases （80 eyes） each. Ocular symptoms before and after surgery， scores of signs and efficacy were compared between the two groups. Results： There were no significant differences between the two groups in ocular symptoms and scores of signs before surgery （P0.05）. After surgery， the comprehensive score of group A was significantly lower than that of the control group[（2.11±0.13） vs （2.54±0.19）] （P 0.05）. The effective rate of group A was significantly higher than that of control group （95.00% vs 85.00%） （P 0.05）. Conclusion： Application of Pranoprofen Eye Drops before trabeculectomy can effectively control the inflammatory state in patients before and after surgery， and improve the effect of surgery. 　　KEY WORDS trabeculectomy； pranoprofen eye drops； glaucoma； inflammatory state 　　?R床上一般以手术方式治疗青光眼疾病，可是在其得到不断推广的今天，其易因医源性创伤引起各种炎症的不足也呈现出来，可对疗效造成严重影响。相关研究