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聚乙烯覆盖物与含人工泪液的聚乙烯覆盖物预防重症患者干眼症的效果:一项随机对照临床试验

Effectiveness Of Polyethylene Cover Versus Polyethylene Cover With Artificial Tear Drop To Prevent Dry Eye In Critically Ill Patients: A Randomized Controlled Clinical Trial.

作者信息

Nikseresht Tahereh, Abdi Alireza, Khatony Alireza

机构信息

Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Clin Ophthalmol. 2019 Nov 12;13:2203-2210. doi: 10.2147/OPTH.S233404. eCollection 2019.

Abstract

PURPOSE

To compare the effectiveness of polyethylene cover versus polyethylene cover with artificial tear drop to prevent dry eye in critically ill patients.

METHODS

In this clinical trial, 208 patients were randomly assigned into two groups of polyethylene cover, and polyethylene cover with artificial tear drop. In each of the two groups, one eye was randomly selected as a control eye and the other was considered as an intervention eye. In the polyethylene cover group, the eye was covered with polyethylene. In the polyethylene cover and artificial tear drop group, an artificial tear drop was applied every 8 hrs to the eye, and then it was covered with polyethylene. The control eye received the routine intensive care unit eye care (washing the inside of the eye and the eyelids with distilled water). In both groups, the eyes were examined for eye dryness by an ophthalmologist for 5 days.

RESULTS

The incidence of dry eye after the use of both polyethylene cover and polyethylene cover with artificial tear drop methods was lower than that of a conventional method. Both methods of polyethylene covering and polyethylene covering with artificial tear drop were effective, but clinically, the method of polyethylene cover with artificial tear drop was more effective.

CONCLUSION

Both methods of polyethylene covering and polyethylene covering with artificial tear drop were more effective than a conventional method, but the method of polyethylene cover with artificial tear drop was clinically more effective. Therefore, it is recommended for use in critically ill patients.

摘要

目的

比较聚乙烯眼罩与聚乙烯眼罩联合人工泪液预防重症患者干眼症的效果。

方法

在这项临床试验中,208例患者被随机分为聚乙烯眼罩组和聚乙烯眼罩联合人工泪液组。在两组中,每只眼睛被随机选择一只作为对照眼,另一只作为干预眼。在聚乙烯眼罩组,眼睛用聚乙烯覆盖。在聚乙烯眼罩联合人工泪液组,每8小时给眼睛滴一滴人工泪液,然后用聚乙烯覆盖。对照眼接受常规重症监护病房眼部护理(用蒸馏水冲洗眼内和眼睑)。两组均由眼科医生检查眼睛是否有干眼症,持续5天。

结果

使用聚乙烯眼罩和聚乙烯眼罩联合人工泪液方法后干眼症的发生率均低于传统方法。聚乙烯覆盖和聚乙烯覆盖联合人工泪液这两种方法均有效,但临床上,聚乙烯眼罩联合人工泪液的方法更有效。

结论

聚乙烯覆盖和聚乙烯覆盖联合人工泪液这两种方法均比传统方法更有效,但聚乙烯眼罩联合人工泪液的方法在临床上更有效。因此,推荐用于重症患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a838/6859212/8dcd392fee3f/OPTH-13-2203-g0001.jpg

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