彭清华教授运用宣散退翳法治疗外伤性角膜损伤术后经验

总结彭清华教授运用宣散退翳法治疗外伤性角膜损伤术后经验。彭清华教授认为外伤性角膜损伤术后病因病机以卫外不固、风热侵袭为标,气血失和、正气不足为本。治疗上强调标本结合同治,将扶正、祛邪、退翳诸法合参,确立轻清宣透以疏散风热,调理气血以扶助正气,明目退翳以消散翳障的辨治思路,可改善临床症状,延缓病程进展,并注重精神调摄,预防疾病再发,取得良好临床疗效。

儿童眼外伤性角膜损伤或穿孔行多层羊膜覆盖治疗的研究

目的：研究儿童眼外伤性角膜损伤或穿孔行多层羊膜覆盖治疗的效果。方法：随机选取2012-05/2015-05我院收治的儿童眼外伤性角膜损伤或穿孔患儿60例72眼,依据治疗方法将这些患儿分为两组,研究组30例36眼和对照组30例36眼。给予对照组患儿单层羊膜覆盖治疗,给予研究组患儿多层羊膜覆盖治疗。结果：研究组患儿的羊膜持续时间显著长于对照组（P〈0.05）,角膜水肿消退时间均显著短于对照组（P〈0.05）,新生血管生成〈3个象限比例28%（10/36）显著高于对照组17%（6/36）（P〈0.05）,无生成比例11%（4/36）显著低于对照组28%（10/36）（P〈0.05）,视力为0.3~1.0占11%（4/36）显著高于对照组3%（1/36）（P〈0.05）,手动/眼前~0.1占56%（20/36）显著低于对照组72%（26/36）（P〈0.05）。结论：儿童眼外伤性角膜损伤或穿孔行多层羊膜覆盖治疗的效果良好。

眼外伤性角膜损伤或穿孔患者行多层羊膜覆盖治疗的研究

目的探讨双层羊膜遮盖治疗外伤性角膜损伤或穿孔的临床疗效。方法以80例眼角膜损伤患者为研究对象,随机将其分为观察组和对照组,各40例。观察组采用双层羊膜移植术进行治疗,对照组采用结膜瓣遮盖治疗,观察2组患者的治疗效果。结果观察组与对照组患者的治愈率分别为95.0%、70.0%,观察组治疗效果明显优于对照组,组间比较差异具有统计学意义(χ2=8.658,P<0.05)。结论双层羊膜覆盖治疗眼外伤性角膜损伤或穿孔患者具有操作简单、效果显著的优点,值得在临床上推广应用。

多层羊膜覆盖治疗眼外伤性角膜穿孔或损伤的效果

目的探究多层羊膜覆盖治疗眼外伤性角膜穿孔或损伤的效果。方法选取2016年6月至2018年6月医院收治的眼外伤性角膜穿孔或损伤患者100例(100眼)为研究对象,根据患者入院单双号将其分为对照组和研究组,各50例。对照组采用常规治疗,研究组采用多层羊膜覆盖治疗。比较两组治疗效果和视力恢复状况。结果研究组的治疗总有效率显著高于对照组,差异具有统计学意义(P<0.05);研究组视力>0.70的患者占比显著高于对照组,差异具有统计学意义(P<0.05)。结论多层羊膜覆盖治疗眼外伤性角膜穿孔或损伤,有助于患者视力及早恢复正常,并可提高治疗效果,促进患者恢复正常生活。

Effect of Seawater Soaking on Explosive Cornea Injury

Objective: To observe the changes in corneal tissue after explosive corneal injury and the effect of seawater soaking on the healing of cornea after explosive injury with the help ofoptical microscope. Methods: Make 10 similar explosive injury models of rabbit′s eyeball using 10 adult greyrabbits. For each rabbit, both eyes are artificially injured through explosion; its right eye is the comparison eye and after the injury the left eye is soaked in seawater for 30 minutes.Conduct slit lamp examinations, fluorescein dyeing, and ultrasonic cornea thickness metering on the corneas at intervals, that is, before the injury, 1 , 2, 3, 4, 5, 7, 9, 12, 15days after the injury respectively. Examine the corneas under the optical microscope andmake comparisons.Results: The corneal thickness of the experiment eye becomes apparently thicker than thatof the comparison eye after the injury. The corneal clouding of the former apparentlyaggravates compared with the latter. The healing of corneal epithelium in the injured eye isslower compared with that in the comparison eye. Comparative examination under the opticalmicroscope shows: after the injury, the corneal tissue of the experiment eye changesdistinctly, its healing is delayed and the vascularization degree becomes high in cornealstroma.Conclusion: Scars and vascularization of various degrees will appear in corneal stroma afterexplosive injuries. Seawater soaking will have bad effects on the healing of the corneainjured in explosions.