L安尔碘稀释液治疗真菌性角膜炎临床观察.doc

局部清创联合50g/L安尔碘稀释液治疗真菌性角膜炎临床观察
(作者:___________单位: ___________邮编: ___________)
作者:罗知卫,李建南,姜德咏,蔡勇,彭向阳
【摘要】目的:观察局部清创联合50g/L安尔碘稀释液冲洗治疗真菌性角膜炎的临床疗效。方法:对61例61眼真菌性角膜炎患者采取局部清创联合50g/L安尔碘稀释液冲洗结膜囊联合药物保守治疗,观察其治疗效果。结果:经过局部清创联合安尔碘冲洗药物治疗,轻度者治愈率100%,中度者78%,重度者27%。结论:局部清创联合安尔碘冲洗对轻中度真菌性角膜溃疡治疗效果较好,对重度者效果欠佳。
【关键词】局部清创;安尔碘;冲洗;真菌性角膜炎
Abstract
AIM: To observe the effect of treatment of fungal keratitis with local bined with 50g/L anerdian type 3 disinfectant dilution used in conjunctival sac and medication.
METHODS: Sixtyone patients 61 eyes were treated with local bined with 50g/L anerdian type 3 disinfectant dilution used in conjunctival sac and medication and the effects were observed.
RESULTS: The cure rate was as the follows: of the mild 100%, of the moderate 78%, of the serious 27%.
CONCLUSION: The treatment result of local debridebined with 50g/L anerdian type 3 disinfectant dilution used in conjunctival sac and medication is better for the mild and the moderate,yet not effective for the serious cases.
KEYWORDS: local debridement; anerdian; washing; fungal keratitis
真菌性角膜炎是一种严重的感染性眼病,致盲率很高,多由角膜外伤,特别是植物性外伤后感染所致。近年来,由于抗生素、糖皮质激素等药物的使用,发病率逐年升高。目前受限于角膜供体的缺乏,大部分患者仍主要采取药物治疗。我院于2005/2009年对61例61眼真菌性角膜炎患者进行局部清创,50g/L安尔碘稀释液冲洗,联合抗真菌药物治疗,取得了较好的疗效。
1对象和方法

符合真菌性角膜炎诊断标准[1]61例61眼,男38例38眼,女23例23眼。左眼37眼,右眼24眼。年龄2~78岁。有明确植物性外伤史者47眼,原因不明者14眼,在他院滴用过抗生素药物49眼,其中既滴用抗生素眼液也滴用糖皮质激素眼液12