摘要
目的：探讨泪点栓治疗视频终端顽固性干眼症的临床效果。方法选取2013年2~5月本院收治的视频终端顽固性干眼症患者59例（118只眼），按照治疗方法不同分为两组，观察A组30例（60只眼）和观察B组29例（58只眼），观察A组采用上下泪小点植入永久性泪点栓治疗，观察B组采用上泪小点植入临时性自溶性泪点栓，下泪小点植入永久性泪点栓治疗。结果两组治疗后3个月的BUT、Schirmer-Ⅰ明显高于治疗前，FL及主观症状评分明显低于治疗前，差异有统计学意义（P〈0.05）。两组治疗后3个月的BUT、Schirmer-Ⅰ、FL及主观症状评分比较，差异无统计学意义（P〉0.05）。观察A组的并发症发生率高于观察B组（P〈0.05）。结论采用泪点栓可显著改善视频终端顽固性干眼症患者的临床症状，上泪小点植入临时性自溶性泪点栓，下泪小点植入永久性泪点栓治疗安全性更高。
Objective To investigate the clinical effect of punctal plug in the treatment of video display terminal re-fractory dry eye syndrome. Methods All 59 patients （118 eyes）with video display terminal refractory dry eye syndrome from February to May 2013 in our hospital were collected and divided into two groups according to the method of treat-ment,observation group A of 30 cases （60 eyes）,inferior lacrimal point lacrimal plug implantation of a permanent treat-ment was applied in observation group A,observation group B of 29 cases （58 eyes）,the lacrimal point lacrimal implant temporary bolt from the insoluble and inferior lacrimal point lacrimal implant permanent embolic therapy were used in observation group B. Results After treatment of 3-month,BUT,Schirmer-Ⅰ in two groups was significantly higher than that before treatment respectively,FL and subjective symptom score in two groups was significantly lower than that be-fore treatment respectively,with statistical difference（P〈0.05）.After treatment of 3-month,BUT,Schirmer-Ⅰ,FL and sub-jective symptom score in two groups was compared respectively,with no statistical difference（P〉0.05）.The incidence rate of complication in observation group A was higher than that in observation group B （P〈0.05）. Conclusion Punctal plug can improve clinical symptom of video display terminal refractory dry eye syndrome,the implantation of a temporary punctal plug from the insoluble lacrimal and inferior lacrimal point of permanent implants is safer.
出处
《中国当代医药》
2014年第25期20-22,共3页
China Modern Medicine
基金
辽宁省盘锦市科技计划项目(13医3-2-3)
关键词
视频终端顽固性干眼症
泪点栓
主观症状
Video display terminal refractory dry eye syndrome
Punctal plug
Subjective symptom
