中药超声雾化熏蒸联合 IPL 治疗 糖尿病患者白内障术后干眼症
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(1. 宁德师范学院附属宁德市医院,福建 宁德 352100;2. 复旦大学附属中山医院,上海 200030)

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吴晶晶,女,住院医师,主要研究方向是眼表、白内障、青光眼。

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R 776.1;R 777.34

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Traditional Chinese Medicine Ultrasonic Atomization Fumigation Combined with IPL in the Treatment of Dry Eye after Cataract Surgery in Diabetic Patients
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    摘要:

    〔摘 要〕 目的:采用中药超声雾化熏蒸联合强脉冲光(IPL)治疗糖尿病患者白内障术后干眼症的疗效分析。方法: 选取宁德师范学院附属宁德市医院 2018 年 6 月至 2020 年 6 月期间收治的 60 例糖尿病患者白内障术后干眼症,随机 数字表法分为观察组和对照组,各 30 例(60 只眼)。观察组进行超声雾化熏蒸联合 IPL 治疗。对照组采用滴眼液方法, 记录结果进行统计分析。结果:治疗前两组患者的睑板腺分泌物性状(MGYSS)评分、眼表疾病指数(OSDI)、泪 膜破裂时间(BUT)比较,差异无统计学意义(P > 0.05);随着治疗时间两组患者的 MGYSS 评分、OSDI 均有不 同程度下降,BUT 有不同程度延长,且观察组患者在治疗 1 周后、1 个月后及 3 个月后 MGYSS 评分、OSDI 均低于 对照组,BUT 均长于对照组,差异具有统计学意义(P < 0.05)。治疗期间两组患者均未见明显并发症。结论:中药 超声雾化熏蒸联合 IPL 治疗糖尿病患者白内障术后干眼症有较好的疗效,使糖尿病患者白内障术后获得更好视觉体验。

    Abstract:

    〔Abstract〕 Objective Analysis of curative effect of traditional Chinese medicine ultrasonic atomization fumigation combined with intense pulse light (IPL) in the treatment of diabetic patients with dry eye after cataract surgery. Methods A total of 60 diabetic patients with dry eye after cataract surgery who were admitted to Ningde Municipal Hospital of Ningde Normal University from June 2018 to June 2020 were selected and divided into an observation group and a control group, with 30 cases (60 eyes) in each group. The observation group received ultrasonic atomization fumigation combined with IPL therapy. The control group was treated with eye drops, and the Results were recorded for statistical analysis. Results Before treatment, there was no significant difference in Meibomian gland secretion character (MGYSS) score, ocular surface disease index (OSDI) and tear film break-up time (BUT) between the two groups (P > 0.05); The MGYSS score and OSDI of the patients in the two groups were decreased to varying degrees, and the BUT was prolonged to varying degrees, and the MGYSS score and OSDI of the observation group were lower than those of the control group after 1 week, 1 month, and 3 months of treatment. The BUT was longer than that in the control group, and the difference was statistically significant (P < 0.05). During the treatment period, there were no obvious complications in the two groups. Conclusion Traditional Chinese medicine ultrasonic atomization fumigation combined with IPL has a good curative effect in the treatment of dry eye in diabetic patients after cataract surgery, so that diabetic patients can obtain a better visual experience after cataract surgery

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  • 收稿日期:2021-10-13
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  • 在线发布日期: 2022-04-18
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