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环孢素A滴眼液在角膜移植免疫排斥中应用观察

Observation of preventing corneal graft rejection by cyclosporine A ophthalmic drops
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摘要 目的探讨环孢素A(CsA)滴眼液应用于角膜移植手术后防治角膜移植排斥反应的疗效。方法对在我院施行穿透性角膜移植术的33例(33眼)病例,术后7d33眼均应用1%CsA滴眼液和妥布霉素地塞米松滴眼液至6个月。结果角膜移植术后出现角膜排斥反应有6例(6眼),经治疗有5例(5眼)植片排斥反应得到控制,植片恢复透明,有效率83.3%。结论证明在角膜移植术后应用1%CsA滴眼液防治角膜移植排斥反应确实有效。 OBJECTIVE To investigate the curative effect of cyclosporine A(CsA)ophthalmic drops in corneal transplantation by it's prevention of the corneal graft rejection.METHODS We observed 33 patients(33 eyes) with penetrating keratoplasty,1% CsA and tobramycin dexamethasone ophthalmic drops were started one week post operation for 6 months in all 33 eyes.RESULTS 6 eyes developed corneal graft rejection post operation,but 5 eyes were cured and the grafts cleared up after application of CsA,total effective rates were 83.3%.CONCLUSION 1% CsA is effective and safe to prevent or cure the corneal graft rejection after keratoplasty.
出处 《海峡药学》 2009年第5期111-112,共2页 Strait Pharmaceutical Journal
关键词 环孢素A 角膜移植 免疫排斥反应 Cyclosporine A Corneal transplantation Immunological rejection
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参考文献4

  • 1Scheer S,Touzeau O,Borderie V,et al.Immunosuppression in corneal transplantation[J].J Fr Ophthalmol,2003,26(6):637-647.
  • 2张伟,钟敬祥.环孢霉素A在角膜移植中的应用进展[J].眼科新进展,2002,22(2):145-147. 被引量:8
  • 3Algros MP,Angonin R,Delbosc B,et al.Danger of systemic cyclosporine for corneal graft[J].Cornea,2002,21(6):613-614.
  • 4Poon AC,Forbes JE,Dart JKG,et al.Systemic cyclosporin A in high risk penetrating keratoplasties:a cacs-control study[J].Br J Ophthalmol,2001,85(12):1464-1469.

二级参考文献1

  • 1毕殿洲.药剂学(第4版)[M].北京:人民卫生出版社,1999.317.

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