角膜溃疡患者实施生物羊膜移植联合绷带式角膜接触镜治疗的效果

窑论著窑DOI:10.19368/j.cnki.2096-1782.2019.08.016系统医学2019年6月第4卷第11期角膜溃疡患者实施生物羊膜移植联合绷带式角膜接触镜治疗的效果曹淑英菏泽市牡丹人民医院眼科袁山东菏泽274000[摘要]目的观察生物羊膜移植联合绷带式角膜接触镜治疗角膜溃疡患者的临床效果遥方法临床资料采集该院2016年7月要2018年7月眼科诊治的120例角膜溃疡患者袁按不同治疗方案分两组袁每组60例袁对照组采用传统羊膜移植治疗袁观察组采用生物羊膜移植与绷带式角膜接触镜联合治疗袁比较两组疗效及视力尧并发症遥结果观察组手术总有效率96.67%相比对照组83.33%更高(字2=5.9259袁P约0.05)曰观察组角膜愈合时间渊9.03依2.13冤0.05)袁观察组术后视力渊0.46依0.22冤相比对照组渊0.33依0.12冤有所提升(t=4.0183袁P约0.05)遥观察组术后并发症几率果显著袁有效修复溃疡角膜袁促进角膜愈合袁并改善患者视力袁减少并发症遥[中图分类号]R779[文献标识码]Ad比对照组渊19.45依5.23冤d短(t=14.2928袁P约0.05)遥两组术后视力相比术前均有所提升(t=7.1092袁t=3.9671袁P约6.67%比对照组25.00%高(字2=7.5664袁P约0.05)遥结论生物羊膜移植与绷带式角膜接触镜联合治疗角膜溃疡的效[关键字]角膜溃疡;生物羊膜移植;绷带式角膜接触镜;视力;并发症;愈合时间[文章编号]2096-1782渊圆园员9冤06渊a冤原园016-03EffectofBio-AmnioticTransplantationCombinedwithBandageContactlensTreatmentinPatientswithCornealUlcerCAOShu-yingDepartmentofOphthalmology,MudanPeople'sHospitalofHezeCity,Heze袁ShandongProvince,274000China揖Abstract铱ObjectiveToobservetheclinicaleffectofbiologicalamnioticmembranetransplantationcombinedwithgroupsineachgroup,60casesineachgroup.Thecontrolgroupreceivedtraditionalamnioticmembranetransplanta鄄cornealulcersfromJuly2016toJuly2018inourhospital.Accordingtodifferenttreatmentoptions,therewere2bandagecontactlensinpatientswithcornealulcer.MethodsClinicaldatawerecollectedfrom120patientswithtion.Theobservationgroupwastreatedwithbiologicalamnioticmembranetransplantationandbandagecontactlens,andtheefficacy,visualacuityandcomplicationsofthetwogroupswerecompared.ResultsThetotaleffectiveratewas96.67%intheobservationgroupcomparedwith83.33%inthecontrolgroup(字2=5.9259袁P约0.05).Thecornealhealingtime(9.03依2.13)dwasshorterintheobservationgroupthaninthecontrolgroup(19.45依5.23)d(t=14.2928袁P约0.05).Thevisualacuityoftheobservationgroup(0.46依0.22)wasimprovedcomparedwiththecontrolgroup(0.33依0.12)(t=4.0183袁P约0.05).Thepostoperativecomplicationrateoftheobservationgroupwas6.67%higherthanthatofthecon鄄Thevisualacuityofthetwogroupswasimprovedcomparedwiththatbeforeoperation(t=7.1092袁t=3.9671袁P约0.05).ing,improvingeyesightandreducingcomplications.tions;Healingtimeandbandagecontactlenstreatmentforcornealulceriseffectiveinrepairingulceratedcornea,promotingcornealheal鄄trolgroup25.00%(字2=7.5664袁P约0.05).ConclusionThecombinationofbiologicalamnioticmembranetransplantation[Keywords]Cornealulcer;Biologicalamnioticmembranetransplantation;Bandagecontactlens;Vision;Complica鄄角膜溃疡是眼科常见病袁由于暴露在空气中袁极易被细菌尧病毒尧真菌等感染引起炎症反应袁随病情进[作者简介]曹淑英渊1974-冤袁女袁山东菏泽人袁本科袁副主任医师袁研究方向院青少年多发近视尧低视力遥16系统医学SYSTEMSMEDICINE成瘢痕袁影响视力遥角膜移植术为角膜溃疡治疗的有效手段袁但因角膜供体资源匮乏袁故许多医院难以实施遥随着医学的发展袁生物羊膜逐渐取代角膜供体袁能有展而发生溃疡[1]遥一旦角膜溃疡袁应立即治疗袁以免形