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双氯芬酸-地塞米松联合治疗术后炎症:前瞻性双盲研究

[Diclofenac-dexamethasone combination in treatment of postoperative inflammation: prospective double-blind study].

作者信息

Othenin-Girard P, Borruat X, Bovey E, Pittet N, Herbort C P

机构信息

Hôpital Jules Gonin, Service d'ophtalmologie, Université de Lausanne.

出版信息

Klin Monbl Augenheilkd. 1992 May;200(5):362-6. doi: 10.1055/s-2008-1045766.

DOI:10.1055/s-2008-1045766
PMID:1614101
Abstract

In a prospective randomized double masked study including 40 patients we evaluated the anti-inflammatory effect of a combination of dexamethasone acetate 0.1% + diclofenac 0.1% drops compared to dexamethasone acetate 0.1% + placebo drops, after ECCE + posterior chamber lens implantation. Anterior chamber (AC) flare and cells were measured with the laser flare-cell meter Kowa FC-1000. The group receiving the dexamethasone-diclofenac combination showed a more rapid decrease of AC flare which was significant at days D3 (P less than 0.003) and D12 (p less than 0.028). The reduction of AC cells was comparable in both groups, showing however a strong tendency toward a lower cell count in the group receiving diclofenac at days D12 and D30 (p less than 0.08). Tolerance of diclofenac was good and comparable to the placebo.

摘要

在一项纳入40例患者的前瞻性随机双盲研究中,我们评估了在白内障囊外摘除术(ECCE)联合后房型人工晶状体植入术后,0.1%醋酸地塞米松+0.1%双氯芬酸滴眼液组合与0.1%醋酸地塞米松+安慰剂滴眼液相比的抗炎效果。使用Kowa FC - 1000激光散射细胞仪测量前房(AC)的闪光和细胞数。接受地塞米松 - 双氯芬酸组合治疗的组前房闪光下降更快,在第3天(P<0.003)和第12天(P<0.028)时具有显著差异。两组前房细胞数的减少情况相当,但在第12天和第30天时,接受双氯芬酸治疗的组细胞数有明显更低的趋势(P<0.08)。双氯芬酸的耐受性良好,与安慰剂相当。

相似文献

1
[Diclofenac-dexamethasone combination in treatment of postoperative inflammation: prospective double-blind study].双氯芬酸-地塞米松联合治疗术后炎症:前瞻性双盲研究
Klin Monbl Augenheilkd. 1992 May;200(5):362-6. doi: 10.1055/s-2008-1045766.
2
Randomized clinical trial of a new dexamethasone delivery system (Surodex) for treatment of post-cataract surgery inflammation.一种新型地塞米松给药系统(Surodex)治疗白内障术后炎症的随机临床试验。
Ophthalmology. 1999 Feb;106(2):223-31. doi: 10.1016/S0161-6420(99)90060-X.
3
[Minimally inflammatory cataract surgery].[微创炎性白内障手术]
Klin Monbl Augenheilkd. 1996 Dec;209(6):331-9. doi: 10.1055/s-2008-1035330.
4
[Anti-inflammatory effect of topical diclofenac sodium (Voltarène Ophta) after argon laser trabeculoplasty: preliminary results of a prospective double-blind method].
Klin Monbl Augenheilkd. 1992 May;200(5):358-61. doi: 10.1055/s-2008-1045765.
5
Phase II results of an intraocular steroid delivery system for cataract surgery.用于白内障手术的眼内类固醇给药系统的II期研究结果。
Ophthalmology. 1999 Jun;106(6):1172-7. doi: 10.1016/S0161-6420(99)90262-2.
6
Safety and efficacy of a dexamethasone anterior segment drug delivery system in patients after phacoemulsification.地塞米松前节段给药系统在白内障超声乳化术后患者中的安全性和有效性。
J Cataract Refract Surg. 2004 Apr;30(4):761-8. doi: 10.1016/j.jcrs.2003.08.028.
7
[Usefulness of the Laser FLare Cell Meter (LFCM, Kowa FC-1000) for evaluating inflammation of the anterior chamber in clinical practice].[激光闪辉细胞仪(LFCM,Kowa FC - 1000)在临床实践中评估前房炎症的实用性]
Klin Monbl Augenheilkd. 1991 May;198(5):470-3. doi: 10.1055/s-2008-1046014.
8
Posterior capsule opacification after phacoemulsification in patients with postoperative steroidal and nonsteroidal treatment.接受术后甾体类和非甾体类治疗患者白内障超声乳化术后的后囊膜混浊
J Cataract Refract Surg. 2004 Feb;30(2):316-20. doi: 10.1016/j.jcrs.2003.07.006.
9
[Effect of diclofenac and flurbiprofen on the course of inflammation after cataract extraction].双氯芬酸和氟比洛芬对白内障摘除术后炎症进程的影响
Ophthalmologe. 1994 Aug;91(4):482-5.
10
Two clinical trials of an intraocular steroid delivery system for cataract surgery.两项关于用于白内障手术的眼内类固醇给药系统的临床试验。
Trans Am Ophthalmol Soc. 1999;97:261-74; discussion 274-9.

引用本文的文献

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The role of NSAIDs in the management of postoperative ophthalmic inflammation.非甾体抗炎药在术后眼部炎症管理中的作用。
Drugs. 2007;67(9):1291-308. doi: 10.2165/00003495-200767090-00004.
2
Treatment of cystoid macular edema with non-steroidal anti-inflammatory drugs and corticosteroids.
Doc Ophthalmol. 1999;97(3-4):381-6. doi: 10.1023/a:1002135518856.
3
Ocular diclofenac. A review of its pharmacology and clinical use in cataract surgery, and potential in other inflammatory ocular conditions.眼部用双氯芬酸。其药理学、在白内障手术中的临床应用及在其他眼部炎症性疾病中的应用潜力综述。
Drugs Aging. 1992 Nov-Dec;2(6):473-86. doi: 10.2165/00002512-199202060-00004.