加压泪道冲洗法与泪道探通术治疗新生儿泪囊炎的临床价值比较
|
摘要
目的比较新生儿泪囊炎分别应用加压泪道冲洗法与泪道探通术治疗的临床效果。方法选取2015-02~2016-04就诊的新生儿泪囊炎患儿50例(64眼)为研究对象,经随机数字表法分为A组25例(31眼)行泪道探通术治疗,B组25例(33眼)行加压泪道冲洗法治疗,观察两组患儿治疗效果、并发症发生情况及患儿家长满意度。结果 A组患儿治愈率为93.55%,高于B组的72.73%,差异有统计学意义(P<0.05);A组患儿并发症发生率为4.00%,低于B组的24.00%,差异有统计学意义(P<0.05);A组患儿家长满意率为96.00%,高于B组的72.00%,差异有统计学意义(P<0.05)。结论在新生儿泪囊炎治疗中,泪道探通术效果优于加压泪道冲洗法,且前者能有效降低并发症发生风险,安全性及患儿家长满意率更高,更值得推广。
Objective To study the clinical value of application of pressurized lacrimal irrigation and probing of lacrimal passages in the treatment of neonatal dacryocystitis. Methods 50 children with neonatal dacryocystitis( 64 eyes) were selected as the research subjects from February 2015 to April 2016 and were randomly divided into group A( n = 25,31 eyes) and group B( n = 25,33 eyes). The patients in group A were treated with probing of lacrimal passages therapy while those in group B were treated with pressurized lacrimal irrigation. The curative effect,complications and satisfaction rate of children's parents were compared between the two groups. Results The cure rate of group A( 93. 55%) was significantly higher than that of group B( P < 0. 05). The incidence of complications in group A( 4%) was significantly lower than that in group B( P < 0. 05). The satisfaction rate in group A( 96%) was significantly higher than that in group B( 72%)( P < 0. 05). Conclusion The clinical effect of probing of lacrimal passages is better than that of pressurized lacrimal irrigation in the treatment of neonatal dacryocystitis.
Objective To study the clinical value of application of pressurized lacrimal irrigation and probing of lacrimal passages in the treatment of neonatal dacryocystitis. Methods 50 children with neonatal dacryocystitis( 64 eyes) were selected as the research subjects from February 2015 to April 2016 and were randomly divided into group A( n = 25,31 eyes) and group B( n = 25,33 eyes). The patients in group A were treated with probing of lacrimal passages therapy while those in group B were treated with pressurized lacrimal irrigation. The curative effect,complications and satisfaction rate of children's parents were compared between the two groups. Results The cure rate of group A( 93. 55%) was significantly higher than that of group B( P < 0. 05). The incidence of complications in group A( 4%) was significantly lower than that in group B( P < 0. 05). The satisfaction rate in group A( 96%) was significantly higher than that in group B( 72%)( P < 0. 05). Conclusion The clinical effect of probing of lacrimal passages is better than that of pressurized lacrimal irrigation in the treatment of neonatal dacryocystitis.
引文
1姜焕荣,周太平,邓坤明,等.新生儿泪囊炎临床治疗方法观察与体会[J].临床眼科杂志,2015,23(6):566-568.
2 中华医学会眼科学分会组织译.眼科临床指南[M].北京:人民卫生出版社,2013:1-861
3 张晓萍,王琛,赵桂秋,等.新生儿泪囊炎的临床治疗与研究[J].国际眼科杂志,2015,15(3):562-564.
4 赵恩贤,秦继跃.冲洗式泪道探通术辅以氧氟沙星治疗新生儿泪囊炎的临床分析[J].安徽医药,2014,18(1):155-157.
5 胡娟娟.泪道探通术治疗新生儿泪囊炎80例临床分析[J].蚌埠医学院学报,2014,39(3):351-352.
6 岳艳菊,刘惠琴,朱晓红,等.新生儿泪囊炎治疗时机和方法的探讨[J].中国实用眼科杂志,2015,33(11):1292-1294.
7 陈向晖,王晓莉,陈伟,等.吸入麻醉下行泪道探通术治疗新生儿泪囊炎的临床观察[J].国际眼科杂志,2014,14(2):370-372.
8 黄红波,陈光胜.鼻内镜下鼻腔泪囊造口联合泪道全程置管术治疗慢性泪囊炎合并鼻泪管阻塞的疗效观察[J].中国临床新医学,2014,7(10):946-948.
9 刘萍,易佳胜.采用改良泪道探通术治疗不同月龄新生儿泪囊炎的疗效观察[J].中南医学科学杂志,2014,42(5):475-476.
10 杨晓钊,杨华,刘先宁,等.婴幼儿泪囊炎的主要致病菌及药物敏感性分析[J].国际眼科杂志,2015,15(9):1664-1665.
11 张和平,郭敬,柯敏,等.泪道激光联合泪道环形置管治疗难治性上泪道阻塞的疗效观察[J].中国临床新医学,2012,5(1):45-47.
12 兰芳.不同泪道冲洗液联合不同术式治疗婴幼儿泪囊炎的疗效对比[J].眼科新进展,2015,35(4):384-386.
2 中华医学会眼科学分会组织译.眼科临床指南[M].北京:人民卫生出版社,2013:1-861
3 张晓萍,王琛,赵桂秋,等.新生儿泪囊炎的临床治疗与研究[J].国际眼科杂志,2015,15(3):562-564.
4 赵恩贤,秦继跃.冲洗式泪道探通术辅以氧氟沙星治疗新生儿泪囊炎的临床分析[J].安徽医药,2014,18(1):155-157.
5 胡娟娟.泪道探通术治疗新生儿泪囊炎80例临床分析[J].蚌埠医学院学报,2014,39(3):351-352.
6 岳艳菊,刘惠琴,朱晓红,等.新生儿泪囊炎治疗时机和方法的探讨[J].中国实用眼科杂志,2015,33(11):1292-1294.
7 陈向晖,王晓莉,陈伟,等.吸入麻醉下行泪道探通术治疗新生儿泪囊炎的临床观察[J].国际眼科杂志,2014,14(2):370-372.
8 黄红波,陈光胜.鼻内镜下鼻腔泪囊造口联合泪道全程置管术治疗慢性泪囊炎合并鼻泪管阻塞的疗效观察[J].中国临床新医学,2014,7(10):946-948.
9 刘萍,易佳胜.采用改良泪道探通术治疗不同月龄新生儿泪囊炎的疗效观察[J].中南医学科学杂志,2014,42(5):475-476.
10 杨晓钊,杨华,刘先宁,等.婴幼儿泪囊炎的主要致病菌及药物敏感性分析[J].国际眼科杂志,2015,15(9):1664-1665.
11 张和平,郭敬,柯敏,等.泪道激光联合泪道环形置管治疗难治性上泪道阻塞的疗效观察[J].中国临床新医学,2012,5(1):45-47.
12 兰芳.不同泪道冲洗液联合不同术式治疗婴幼儿泪囊炎的疗效对比[J].眼科新进展,2015,35(4):384-386.