双氯芬酸钠联合人工泪液治疗白内障术后干眼症的效果分析

Effect of Diclofenac Sodium Combined with Artificial Tears in the Treatment of Dry Eye after Cataract Surgery

目的观察双氯芬酸钠联合人工泪液治疗白内障术后干眼症的效果。方法该次实验以2017年6月—2018年5月间在该院进行治疗的80例白内障术后干眼症患者为例,所有患者被平均分成两组,按治疗手段差异进行分组。对照组仅用人工泪液治疗,实验组在人工泪液基础上实行双氯芬酸钠。比较两组患者症状指标评分、治疗有效率与生活质量改善情况。结果治疗后,实验组荧光染色、泪膜破裂症状改善情况优于对照组,差异有统计学意义(t=3.39 4,18.439,P<0.05);实验组治疗有效率95%高于对照组65%,差异有统计学意义(χ^2=11.250,P=0.001);实验组生活质量中生理功能、躯体功能、社会功能、情感功能评分优于对照组,差异有统计学意义(t=8.941、9.695、7.342、4.252,P<0.05)。结论白内障术后干眼症患者接受治疗过程中,可采纳双氯芬酸钠与人工泪液联合治疗方案。这种治疗方案能够有效加快患者恢复速度,缓解不良症状,大大提升患者的生活质量,安全科学。

Objective To observe the effect of diclofenac sodium combined with artificial tears in the treatment of dry eye after cataract surgery. Methods Eighty patients with dry eye syndrome after cataract surgery were treated in our hospital from June 2017 to May 2018. All patients were divided into two groups and divided into groups according to different treatment methods. The control group was treated only with artificial tears, and the experimental group was treated with diclofenac sodium on the basis of artificial tears. The scores of symptom indicators, treatment efficiency and quality of life were compared between the two groups. Results After treatment, fluorescent staining;tear film rupture of improvement of symptoms in the experimental group was better than that in the control group and the difference was statistically significant(t=3.39 4,18.439,P<0.05);the effective rate of the experimental group was 95% higher than that of the control group 65%,the difference was statistically significant (χ2 =11.250,P=0.001);the grade of physiological function, physical function, social function and emotional function in quality of life in the experimental group were better than those in the control group,the difference were statistically significant (t=8.941, 9.695, 7.342, 4.252, P< 0.05). Compared with the control group, the experimental group was greatly improved. Conclusion Patients with dry eye after cataract surgery can adopt the combination of diclofenac sodium and artificial tears. This treatment can effectively speed up the recovery of patients, alleviate the symptoms, greatly improve the quality of life of patients, and be safe and scientific.