溴芬酸钠滴眼液治疗干眼症的临床观察
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篇名: 溴芬酸钠滴眼液治疗干眼症的临床观察
TITLE:
摘要: 目的:观察溴芬酸钠滴眼液治疗干眼症的临床疗效及安全性。方法:将80例干眼症患者按随机数字表法分为对照组和观察组,各40例。对照组患者给予0.1%浓度的玻璃酸钠滴眼液1滴,qd;观察组患者给予0.1%的溴芬酸钠滴眼液1滴,bid。两组患者均治疗14 d。观察两组患者治疗前及治疗后3、7、14 d自觉症状和体征、泪膜破裂时间及荧光素染色评分,采用泪液分泌试验(schimer)测量泪液分泌量,并比较两组患者临床疗效及不良反应发生情况。结果:治疗前及治疗后3、7 d,两组患者自觉症状和体征、泪膜破裂时间、荧光素染色评分及泪液分泌量比较,差异均无统计学意义(P>0.05);治疗后14 d,两组患者自觉症状和体征、荧光素染色评分显著降低,泪膜破裂时间显著延长,泪液分泌量明显增加,且观察组明显优于对照组,差异均有统计学意义(P<0.05)。观察组患者治愈率为60.0%,显著高于对照组的35.0%,差异有统计学意义(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:溴芬酸钠滴眼液治疗干眼症疗效显著,能够有效缓解患者干眼症状,且安全性较好。
ABSTRACT: OBJECTIVE: To observe the clinical efficacy and safety of Bromfenac sodium eyed drops in the treatment of xerophthalmia. METHODS: 80 patients with xerophthalmia were randomly divided into observation group and control group, with 40 cases in each group. Control group was given 0.1% Sodium hyaluronate, one drop, qd; observation group was given 0.1% Sodium hyaluronate eye drops, one drop, bid. Both groups received 14 d of treatment. The subjective symptom and sign, the time of lacrimal film break-up, fluorescent staining score and schemer test were observed in 2 groups before treatment, 3, 7, 14 d after treatment. Clinical efficacy and the occurrence of ADR were observed in 2 groups. RESULTS: There was no statistical significance in subjective symptom and sign, the time of lacrimal film break-up, fluorescent staining score and tear between 2 groups before treatment, 3, 7 d after treatment (P>0.05). 14 d after treatment, subjective symptom and sign and fluorescent staining score of 2 groups were decreased significantly, and the time of lacrimal film break-up was prolonged and secretion was increased significantly; the observation group was significantly better than the control group, with statistical significance (P<0.05). The cure rate of observation group was 60.0%, which was significantly higher than that of control group (35.0%), with statistical significance (P<0.05). There were no statistical significance in ADR between 2 groups (P>0.05). CONCLUSIONS: Sodium hyaluronate eye drops is effective for xerophthalmia, and can relieve the symptoms with good safety.
期刊: 2016年第27卷第29期
作者: 庞彦英,韩艳飞,代淑静,韩二杰,杨云东
AUTHORS: PANG Yanying,HAN Yanfei,DAI Shujing,HAN Erjie,YANG Yundong
关键字: 溴芬酸钠滴眼液;干眼症;玻璃酸钠;泪膜破裂;泪液分泌试验;疗效
KEYWORDS: Bromfenac sodium eye drop; Xerophthalmia; Sodium hyaluronate; Lacrimal film break-up; Schemer test; Efficacy
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