角膜绷带镜对翼状胬肉切除联合自体结膜瓣移植术后角膜上皮愈合及疼痛影响.docVIP

角膜绷带镜对翼状胬肉切除联合自体结膜瓣移植术后角膜上皮愈合及疼痛影响 　　[摘要] 目的 研究翼状胬肉切除联合自体结膜瓣移植术后使用角膜绷带镜对于角膜上皮愈合及疼痛评分的影响。 方法 收集2015年7月～2016年7月湖州师范学院附属第一医院行翼状胬肉切除联合自体结膜瓣移植手术治疗的患者116例（116眼），根据术后是否使用角膜绷带镜进行分组，A组60例（60眼）术后配戴角膜绷带镜1周，B组56例（56眼）不使用角膜绷带镜，采用视觉模拟评分法（VAS）评价其术后2 h、1 d和1周时疼痛情况以及采用荧光素钠染色法评估术后2 h、1 d和1周时角膜上皮愈合情况。 结果 A组术后2 h、1 d和1周的VAS评分与B组比较，差异有高度统计学意义（P 0.05）。但A组术后1 d和1周时角膜上皮愈合评分与B组比较，差异有高度统计学意义（P 0.01）。 结论 翼状胬肉切除联合自体结膜瓣移植术后配戴角膜绷带镜，可以促进角膜上皮愈合，减轻术后疼痛症状。 　　[关键词] 角膜绷带镜；角膜荧光染色；疼痛；角膜上皮 　　[中图分类号] R779.6 [文献标识码] A [文章编号] 1673-7210（2017）05（c）-0131-04 　　[Abstract] Objective To assess the effect of bandage contact lens on the degree of pain and corneal epithelium healing condition after pterygium excision combined with autologous conjunctival flap graft transplantation. Methods From July 2015 to July 2016， in the First Affiliated Hospital of Huzhou University， 116 patients with pterygium were divided into two groups， according to using bandage contact lens or not， group A （60 cases， 60 eyes） was given bandage contact lens at 1 week after surgrey， group B （56 cases， 56 eyes） was not given bandage contact lens. The degree of pain after surgery was evaluated by visual analogue score （VAS） between two groups at 2 h， 1 d and 1 week after surgery. The healing status of corneal epithelium was observed between the two groups at 2 h， 1 d and 1 week after surgery by fluorescent staining. Results VAS 2 h， 1 d and 1 week after surgery in group A were compared with group B， the differences were statistically significant （P 0.05）. The scores of corneal epithelium healing condition at 1 d and 1 week of two groups were compared， the differences were statistically significant （P 0.01）. Conclusion Bandage contact lenses can significantly release pain response and promote the healing status of corneal epithelium after pterygium excision combined with autologous conjunctival flap graft transplantation. 　　[Key words] Bandage contact lenses； Fluorescent staining； Pain； Corneal epithelium 　　翼状胬肉是常见的眼表疾病，多见于户外劳动者，其进展可