人工泪液治疗青光眼白内障联合术后干眼症的临床效果分析.docVIP

人工泪液治疗青光眼白内障联合术后干眼症的临床 效果分析 高凡1 张蓓2 王彦荣3 作者单位：陕西省延安市人民医院眼科， 716000 通信作者：高凡，女，主治医师， gaofan0923@ 摘要：探讨人工泪液治疗青光眼联合白内障术后干眼症的临床效果。对我院2014年6月至2016年6月期间收治的80例青光眼合并白内障手术后干眼症的患者进行分析，将80例患者分为研究组与对照组，两组各40例，对照组40例患者给予常规治疗，研究组40例患者在常规治疗基础上给予人工泪液治疗。对比两组患者术前与术后泪膜破裂时间（tear brak-up time BUT）、基础泪液分泌（schirmer I test SIT），比较两组患者用药之前与用药之后干眼症状评分。治疗后，两组患者的BUT、SIT水平均优于治疗前，差异具有统计学意义（P＜0.05）；治疗之后研究组患者的BUT、SIT水平均优于对照组患者，两组差异具有统计学意义（P＜0.05）；治疗之前，两组患者干眼症评分无明显差异，不具备统计学意义（P＞0.05）；治疗之后第2周与第4周，研究组患者干眼症状评分明显低于对照组患者，两组差异具有统计学意义（P＜0.05）。人工泪液治疗青光眼白内障联合手术后干眼症的临床效果十分显著，可在临床治疗中推广使用。 关键词：人工泪液；青光眼合并白内障；干眼症；临床效果 The analysis of clinical effect of artificial tears in the treatment of dry eye after glaucoma combined with cataract surgery GAO Fan1，ZHANG Bei2，WANG YanRong3. Abstract:To investigate the clinical effect of artificial tears in the treatment of dry eye after glaucoma combined with cataract surgery. Eighty patients with glaucoma combined with cataract after surgery were divided into study group and control group (n = 80) from June 2014 to June 2016. The patients of Control group (n=40) were treated with routine treatment, and the rest of the patients were treated with artificial tears on the basis of routine treatment. The tear film rupture time ,secretion Ⅰtear and the scores of dry eye symptom were compared between the two groups before and after the treatment. After treatment, the BUT and SIT levels of the two groups were better than those before treatment, the difference was statistically significant (P 0.05). After treatment, the BUT and SIT levels of the study group were better than the control group, (P0.05). Before the treatment, there was no significant difference between the two groups in the terms of the scores of dry eye symptom (P0.05). In the second and fourth weeks after the treatment, the scores of dry eye symptom in the study group was significantly lower than the control group, and the difference between them was statistically significant (P0.05). The clinical effect of artifi