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表面麻醉剂对眼表影响的地形图分析 被引量:23

Corneal topographic analysis of ocular surfaces influence after using topical anesthetics
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摘要 目的 了解表面麻醉剂对眼表面毒性损伤的情况。方法 分别用 30 g· L- 1 洁霉素、4g· L- 1 盐酸奥布卡因 (表麻滴瞳 )及 10 g· L- 1 盐酸丁卡因 ,对 3组滴眼 ,每 5 min1次 ,共 4次。并对滴药前后角膜地形图进行对比分析。结果 滴药后角膜地形图变化率 ,洁霉素组为 3.91% ,表麻滴瞳组为71.87% ,丁卡因组为 79.6 9% .结论 多次、不合理应用表麻制剂 ,可对眼表面造成毒性损伤 ,引起角膜上皮水肿。 Objective To find out the ocular surface toxic damage condition after using topical anesthetics.Methods 30g·L -1 Lincomycin,4g·L -1 Oxybuprocaine and 10g·L -1 Tetracaine were used to drop the eyes.The persons of the three groups were dropped using eye drops once/5 minutes,total four times.Then the corneal topography of pre using drops and post using drops were compared and analyzed. Results The corneal topography change rate after using drops: 30g·L -1 Lincomycin group was 3.91%,4g·L -1 Oxybuprocaine group was 71.87%,10g·L -1 Tetracaine group was 79.69%.Conclusion If we use the topical anesthetics more and more,or unreasonable,it can cause the toxic damage of ocular surface ,and increase the incidence rate of operative complication.
出处 《眼科新进展》 CAS 2001年第4期271-272,共2页 Recent Advances in Ophthalmology
关键词 表面麻醉剂 眼表面 角膜地形图 topical anesthetics ocular surface corneal topography
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