【摘要】 目的:观察明目熏洗液熏洗治疗慢性结膜炎的临床疗效。方法:观察组患者40例80眼,采用明目熏洗液熏洗治疗;对照组32例64眼予以0.25%氯霉素滴眼液滴眼,对2组的治疗结果进行对比分析。结果:观察组总显效率为55%,对照组为28.12%,差异有统计学意义(χ2=10.473, P<0.05);观察组有效率为87.5%,对照组为56.25%,差异有统计学意义(χ2=17.875,P<0.05)。结论:明目熏洗液治疗慢性结膜炎疗效显著。
【关键词】 慢性结膜炎; 明目熏洗液; 治疗
Clinical observation on bright eye lotion in therapy of chronic conjunctivitis
LI Rong, LI Quanzhi, Paerzhati·Tuerdi
(Department of Ophthalmology, Affiliated Traditional Chinese Medical Hospital,Xinjiang Medical University, Urumqi 830000, China)
Abstract: Objective: To observe the efficacy of Bright Eye Lotion (BEL) for chronic conjunctivitis. Forty cases (80 eyes) received BEL; and in the contrast 32 cases (64 eyes) received 0.25% Chloromycetin Eye Drops, finally comparative the efficacy of two groups. Result: The total therapeutic effective rate was 87.5% in the BEL group and 56.25% in the control group, and the changes were significant between the groups (χ2= 17.875, P<0.05). The total significant effective rate was 55% in the BEL group and 28.12% in the control group, and the changes were significant between the groups (χ2=10.473, P<0.05). Conclusion: There are significant effects on BEL in therapy of chronic conjunctivitis.
Key words: chronic conjunctivitis; bright eye lotion; treat
慢性结膜炎是眼科的常见病和多发病,且反复迁延,不易治愈。临床上多用0.25%氯霉素滴眼液治疗,但疗效不很理想。我科于2005年3月以来采用我院特色制剂明目熏洗液治疗慢性结膜炎患者40例80只眼, 并与用0.25%氯霉素滴眼液进行疗效对照观察,现将结果报道如下。
1资料与方法
1.1临床资料
观察病例均为新疆医科大学附属中医医院2005年3月~2005年12月的眼科门诊患者(双眼发病),按病历号奇偶数随机分为观察组(40例80只眼)与对照组(32例64只眼)。观察组男性15例,女性25例,平均年龄(35.67±10.28)岁,平均病程(1.86±1.02)年;对照组男性13例,女性19例,平均年龄(33.11±10.14)岁,平均病程(1.73±0.91)年。2组病例的平均年龄、病程及性别差异无统计学意义(P>0.05),具有可比性。
1.2诊断标准慢性结膜炎的诊断
依据文献[1~3]的标准确定:(1)患眼干涩、痒、异物感、灼热感或视疲劳,常有少量眼眵,或干或稀;(2)睑球结膜充血,睑结膜可见滤泡增生,乳头肥大;(3)病情迁延,久治难愈。
1.3纳入标准符合诊断标准
并排除:(1)过敏体质或对本药过敏者;(2)咽结膜炎;(3)滤泡性结膜炎;(4)过敏性结膜炎;(5)淋病性结膜炎;(6)早期沙眼;(7)早期Sjogren氏综合征;(8)急性卡他性结膜炎;(9)流行性出血性结膜炎等患者。
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