新型泪道冲洗法在人工鼻泪管术后的应用(1)
[摘要] 目的 探討新型泪道冲洗法在人工鼻泪管术后的应用。 方法 选择2016年1月～2017年3月在我院进行治疗的泪道阻塞病症患者108例(108只眼)作为本次研究对象，按照奇偶数随机分为对照组和治疗组，每组54例(54 只眼)。对照组采用传统4号半针头，治疗组采用直型9号泪道冲洗针头，均于术后第1个月在门诊行每周冲洗1次，共4次；第2～6个月每月冲洗1次，共5次。对比分析两组患者的治疗成效、冲洗后角膜变化情况。结果 通过对两组患者行不同泪道冲洗法，对照组冲洗并发症率及二次手术率分别为18.51%、9.26%，明显高于治疗组患者，差异有统计学意义(P<0.05)；治疗组冲洗后总有效率达96.3%，显著高于对照组的75.9%，差异有统计学意义(P<0.05)；治疗组冲洗后发生大片状上皮糜烂、细点状上皮糜烂显著低于对照组，差异有统计学意义(P<0.05)。结论 行人工鼻泪管手术治疗后的患者，出院后在门诊随访期间，定期使用新型泪道冲洗法，能够明显提升患者的术后成功率，有效地减少患者的并发症，减轻患者的痛苦和不适，为医院赢得良好声誉，具有临床推广意义。
[关键词] 新型泪道冲洗法；人工鼻泪管；二次手术；应用成效
[中图分类号] R777.2 [文献标识码] B [文章编号] 1673-9701(2017)35-0069-03
[Abstract] Objective To explore the application of new lacrimal duct irrigation method after the surgery of artificial nasolacrimal duct. Methods A total of 108 cases (108 eyes) with lacrimal duct obstruction who were treated in our hospital from January 2016 to March 2017 were selected as the study subjects. According to the odd and even number method， the patients were randomly divided into control group and treatment group， with 54 cases(54 eyes) in each group. The control group was given traditional No. 41/2 needle， and the treatment group was given straight No. 9 lacrimal irrigation needle. All patients were given irrigation once a week for the first month after surgery in the outpatient department， with a total of four times. The patients were then given irrigation once every month from the second month to the sixth month， with a total of five times. The therapeutic effects and corneal changes after irrigation were compared and analyzed in both groups. Results According to the different lacrimal irrigation method， the complication rate of irrigation and the rate of secondary surgery in the control group were 18.51% and 9.26%， respectively， which were significantly higher than those in the treatment group， there was significant difference between the two groups(P<0.05). The total effective rate in the treatment group after irrigation was 96.3%， significantly higher than that of 75.9% in the control group， and the difference was statistically significant； after irrigation， the incidence rate of large epithelial erosion and fine-spotted epithelial erosion in the treatment group was significantly lower than that in the control group(P<0.05)， which was statistically significant. Conclusion For the patients who are given surgical treatment of artificial nasolacrimal duct， regular application of new lacrimal duct irrigation method during outpatient follow-up after discharge can obviously improve the postoperative success rate of patients， effectively reduce the complications and relieve the pain and discomfort， which wins a good reputation for the hospital and has a significance in clinical promotion., 百拇医药(李燕)
[关键词] 新型泪道冲洗法；人工鼻泪管；二次手术；应用成效
[中图分类号] R777.2 [文献标识码] B [文章编号] 1673-9701(2017)35-0069-03
[Abstract] Objective To explore the application of new lacrimal duct irrigation method after the surgery of artificial nasolacrimal duct. Methods A total of 108 cases (108 eyes) with lacrimal duct obstruction who were treated in our hospital from January 2016 to March 2017 were selected as the study subjects. According to the odd and even number method， the patients were randomly divided into control group and treatment group， with 54 cases(54 eyes) in each group. The control group was given traditional No. 41/2 needle， and the treatment group was given straight No. 9 lacrimal irrigation needle. All patients were given irrigation once a week for the first month after surgery in the outpatient department， with a total of four times. The patients were then given irrigation once every month from the second month to the sixth month， with a total of five times. The therapeutic effects and corneal changes after irrigation were compared and analyzed in both groups. Results According to the different lacrimal irrigation method， the complication rate of irrigation and the rate of secondary surgery in the control group were 18.51% and 9.26%， respectively， which were significantly higher than those in the treatment group， there was significant difference between the two groups(P<0.05). The total effective rate in the treatment group after irrigation was 96.3%， significantly higher than that of 75.9% in the control group， and the difference was statistically significant； after irrigation， the incidence rate of large epithelial erosion and fine-spotted epithelial erosion in the treatment group was significantly lower than that in the control group(P<0.05)， which was statistically significant. Conclusion For the patients who are given surgical treatment of artificial nasolacrimal duct， regular application of new lacrimal duct irrigation method during outpatient follow-up after discharge can obviously improve the postoperative success rate of patients， effectively reduce the complications and relieve the pain and discomfort， which wins a good reputation for the hospital and has a significance in clinical promotion., 百拇医药(李燕)