角膜绷带镜用于巨大翼状胬肉切除术后的观察

发布时间：2018-03-12 21:10

本文选题：翼状胬肉　切入点：角膜绷带镜　出处：《第三军医大学学报》2016年21期 　论文类型：期刊论文

【摘要】：目的观察巨大翼状胬肉切除术后使用角膜绷带镜患者术后疼痛以及角膜上皮生长情况。方法选取2013年9月至2015年9月就诊本院行翼状胬肉切除+自体结膜瓣移植的巨大翼状胬肉患者67例67只眼,按随机数字表法分为观察组及对照组,经医院伦理委员会批准,受试对象签署知情同意书。观察组在手术结束时立即佩戴软性角膜绷带镜,对照组不使用角膜绷带镜。两组患者于手术当天以及术后第1、2天,术后1周填写VAS视觉模拟量表,于裂隙灯下观察患者角膜上皮化情况。结果观察组35例35只眼,对照组32例32只眼。观察组术后当天,术后第1、2天,术后1周VAS量表评分分别为5.17±1.81、2.54±1.38、1.46±1.24、0.14±0.35;对照组术后当天,术后第1、2天,术后1周VAS量表评分分别为9.12±1.34、5.28±1.30、2.97±1.80、0.18±0.39;除术后1周,其他观察点观察组疼痛程度均低于对照组(P0.05)。观察组角膜上皮化时间为(52.80±9.74)h,对照组角膜上皮化时间为(69.00±19.03)h,二者差异有统计学意义(P0.05)。结论巨大翼状胬肉切除术后佩戴角膜绷带镜可以有效减轻患者术后疼痛,并加速角膜上皮愈合。
[Abstract]:Objective to observe the postoperative pain and corneal epithelium growth in patients with giant pterygium treated with corneal bandage. Methods from September 2013 to September 2015, patients with pterygium were treated with autogenous conjunctival flap transplantation. 67 eyes of 67 patients with giant pterygium, According to the random digital table method, the patients were divided into the observation group and the control group. After the approval of the hospital ethics committee, the subjects signed the informed consent form. The observation group immediately wore the soft corneal bandage mirror at the end of the operation. In the control group, the corneal epithelization was observed under slit lamp by filling out the VAS visual analogue scale on the day of operation and the first day after operation. Results 35 eyes of 35 cases were observed in the observation group. The VAS scores in the observation group were 5.17 卤1.81 卤2.54 卤1.38 卤1.24 卤0.14 卤0.35 on the first day after operation, and the VAS scores in the control group were 9.12 卤1.35.28 卤1.302.97 卤1.80 卤0.18 卤0.39 on the 1st day and 1 week after operation, respectively, in the control group, and in the control group, the scores of the VAS scale were 9.12 卤1.35.28 卤1.302.97 卤1.80 卤0.39, except for the first week after operation, and the scores in the control group were 9.12 卤1.35.28 卤1.302.97 卤1.80 卤0.39, respectively. The degree of pain in the observation group was lower than that in the control group (P 0.05). The corneal epithelization time in the observation group was 52.80 卤9.74 hours, and the corneal epithelization time in the control group was 69.00 卤19.03h.Conclusion there is a significant difference between the two groups in wearing cornea after giant pterygium excision. Bandage mirrors can effectively reduce postoperative pain. And accelerate corneal epithelial healing.
【作者单位】：中山大学中山眼科中心海南眼科医院(海南省眼科医院) 海南省眼科学重点实验室;
【分类号】：R779.6

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