真菌性角膜炎的诊断及治疗分析

Diagnosis and Treatment of Fungal Keratitis

目的探讨真菌性角膜炎的诊断方法及治疗效果。方法选取2014年2月~2015年2月我院收治的92例真菌性角膜炎患者为研究对象,回顾性分析其临床资料。结果 10%KOH湿片法与真菌培养的阳性检出率比较,差异无统计学意义（P〉0.05）;经真菌培养,镰刀菌属为主要致病菌属;轻度真菌性角膜炎患者行药物治疗,总有效率为100%,中度、重度真菌性角膜炎患者分别行药物及联合手术治疗,总有效率分别为88.4%与62.1%,差异有统计学意义（P〈0.05）。结论真菌性角膜炎患者通过10%KOH湿片法进行诊断,简便、快速、有效,通过及时诊断与针对性治疗,控制了病情,提高了生存质量。

Objective To study the effect of the diagnosis method and treatment of fungal keratitis. Methods 92 cases of patients with fungal keratitis were chosen as the research object in February 2014 - February 2015 in our hospital, the clinical data were retrospectively analyzed. Results 10% KOH wet method and fungi culture positive detection rate, there was no statistically significant difference （P〉0.05）. The fungi culture, sickle species as the main pathogenic bacteria. Mild fungal keratitis patients drug treatment, the total effective rate was 100%, moderate, severe fungal keratitis patients respectively drugs and joint surgery, total effective rate was 88.4% and 62.1% respectively, the difference was statistically significant （/~〈0.05）. Conclusion Patients with fungal keratitis, diagnosed by 10% KOH wet slice method is simple, rapid, effective, through the timely diagnosis and targeted treatment, the control of the disease, improve the quality of life.