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[1]陳迎月 鄭 帆 傅月梅 高誠斌 高京華.七葉洋地黃雙苷滴眼液及視覺訓練對中高度近視LASIK術后 視功能恢復的療效觀察[J].福建醫(yī)藥雜志,2019,41(04):1-5.
　CHEN Yingyue,ZHENG Fan,FU Yuemei,et al.Clinical effect of esculin and digitalisglycosides eyes drops and visual training in recovering visual function of patients with medium and high myopia after LASIK[J].FUJIAN MEDICAL JOURNAL,2019,41(04):1-5.
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七葉洋地黃雙苷滴眼液及視覺訓練對中高度近視LASIK術后 視功能恢復的療效觀察()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年04期
頁碼:
1-5
欄目:
臨床研究
出版日期:
2019-08-15

文章信息/Info

Title:
Clinical effect of esculin and digitalisglycosides eyes drops and visual training in recovering visual function of patients with medium and high myopia after LASIK
文章編號:
1002-2600(2019)04-0001-05
作者:
陳迎月 鄭 帆 傅月梅1 高誠斌 1 高京華1
廈門大學附屬福州第二醫(yī)院眼科(福州 350007)
Author(s):
CHEN Yingyue; ZHENG Fan; FU Yuemei; GAO Chengbin; GAO Jinghua
Department of Ophthalmology,the Affiliated Fuzhou Municipal Second Hospital of Xiamen University,Fuzhou,Fujian 350007,China
關鍵詞:
準分子激光原位角膜磨鑲術;  近視;  調節(jié);  七葉洋地黃雙苷滴眼液;  視覺訓練
Keywords:
laser in stiu keratomileusis;  myopia;  accommodation;  esculin and digitalisglycosides eyes drops;  visual training
分類號:
R779.63
文獻標志碼:
A
摘要:
目的 通過觀察七葉洋地黃雙苷滴眼液及視覺訓練對中高度近視激光原位角膜磨 鑲術(LASIK)術后視功能恢復療效,探討LASIK術后改善視疲勞的有效方法。方法 前瞻、隨機 選取飛秒激光LASIK手術的中高度近視患者,根據(jù)治療方式分為對照、藥物及藥物訓練組各40 例(80眼,中高度近視例數(shù)各半)。對照組常規(guī)藥物治療,藥物組常規(guī)藥物加七葉洋地黃雙苷滴 眼液治療,藥物訓練組常規(guī)藥物加七葉洋地黃雙苷滴眼液及個性化視覺訓練。七葉洋地黃雙 苷滴眼液治療及個性化視覺訓練于術后1周開始。分別進行術前,術后1周及1、3個月的視疲 勞問卷評分和視功能檢查。結果 術后1周視疲勞問卷評分分數(shù)增加,調節(jié)反應有所超前,單眼 調節(jié)幅度及正/負相對調節(jié)下降。術后1個月視疲勞問卷調查評分分數(shù)開始下降; 調節(jié)反應逐 漸恢復正常; 單眼調節(jié)幅度恢復幅度藥物及藥物訓練組好于對照組(P<0.05); 正 相對調節(jié)藥物及藥物訓練組比術前好轉,治療效果藥物訓練組好于藥物組 (P<0.05); 負相對調節(jié)藥物訓練組恢復快于藥物及對照組; 單眼調節(jié)靈敏度各組 均比術前好轉,藥物訓練組好于藥物及對照組(P<0.05)。術后3個月單眼調節(jié)幅度 恢復幅度藥物訓練組好于藥物組(P<0.05)。結論 七葉洋地黃雙苷滴眼液能恢復 和改善LASIK術后患者的眼部調節(jié)功能,而結合個性化的視覺訓練能縮短恢復調節(jié)功能時間和 增加改善調節(jié)功能效果。
Abstract:
Objective To evaluate the effective methods of improving visual fatigue after laser in stiu keratomileusis(LASIK)by observing the effect of esculin and digitalisglycosides eyes drops and visual training in recovering visual function of patients with medium and high myopia after LASIK.Methods The patients with medium and high myopia treated by LASIK with Femtosecond Laser were prospectively and randomly divided into control group,drug group and drug training group.Each group contained 40 patients(80 eyes),which medium and high myopia patients were even.Control group was given routine drug,while esculin and digitalisglycosides eyes drops was added in Drug group.Drug training group added personalized visual training in addition to the treatment above.Different treatments started at 1 week after surgery.Visual fatigue questionnaire score and visual function were measured before surgery,1 week,1 month and 3 months after surgery.Results After surgery visual fatigue questionnaire score increased, adjusting reaction advanced, the monocular accommodative amplitude and positive/ negative relative accommodation descended after 1 week.But visual fatigue questionnaire score began to decline and adjusting reaction returned to normal gradually after 1 month.The recovery changes of the monocular accommodative amplitude of drug group and drug training group were significantly larger than that of control group(P<0.05).The positive relative accommodation of drug group and drug training group were better than that of before surgery.The changes of drug training group were significantly larger than that of drug group(P<0.05).The negative relative accommodation of drug training group recovered faster than the other groups.However the monocular accommodative sensitivity were all better than before.The effect of drug training group was significantly better than the others(P<0.05).After 3 months,the recovery changes of the monocular accommodative amplitude of drug training group was significantly better than that of drug group (P<0.05).Conclusion Esculin and digitalisglycosides eyes drops can recover and improve the patients accommodative functions.Furthermore personalized visual training can shorten the recovery time and improve the effect.

參考文獻/References:

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備注/Memo

備注/Memo:
基金項目:福州市衛(wèi)生計生科技計劃中青年科研項目(2017-S-wq3) 1 福州眼科醫(yī)院
更新日期/Last Update: 2019-08-15