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环孢素(0.05%)联合双氯芬酸钠滴眼液治疗干眼症

Cyclosporine (0.05%) Combined with Diclofenac Sodium Eye Drops for the Treatment of Dry Eye Disease.

作者信息

Bai Run, Liu Li-Ping, Chen Zhen, Ma Qiong

机构信息

Department of Ophthalmology, Urumqi Military Region General Hospital Urumqi Xinjiang, Urumqi 830099, China.

出版信息

J Ophthalmol. 2022 Oct 15;2022:2334077. doi: 10.1155/2022/2334077. eCollection 2022.

Abstract

OBJECTIVE

To assess the clinical efficacy of cyclosporine (0.05%) combined with diclofenac sodium eye drops (0.1%) in the treatment of dry eye disease.

METHODS

A prospective analysis was performed on clinical information of 128 patients diagnosed with dry eye at the ophthalmic clinic of the General Hospital of Xinjiang Military Command of the Chinese People's Liberation Army from August 2020 to August 2021. Specifically, patients were randomly divided into a control group and a study group. In addition to conventional treatment, patients in the control group were treated with cyclosporine (0.05%) eye drops; while in the study group, patients received cyclosporine (0.05%) combined with diclofenac sodium eye drops (0.1%). Subsequently, comparisons and analysis were performed before and after treatment between the two groups in the clinical symptom questionnaire score of dry eye disease, the corneal fluorescein staining (CFS) score, determination of tear film break-up time (BUT), Schirmer I test (SIT) score, and curative effect.

RESULTS

After treatment, the clinical symptom scores and CFS scores were decreased while the BUT and SIT scores were increased in both groups; besides, compared with the control group, the clinical symptom scores and CFS scores were much lower while the BUT and SIT scores were higher in the study group. Moreover, the overall response rate in the study group (96.9%) was much better than that in the control group (79.7%); and the differences between the two groups were statistically significant ( < 0.05).

CONCLUSION

The combination of cyclosporine (0.05%) and diclofenac sodium eye drops (0.1%) based on conventional treatment can be applied to the clinical treatment of dry eye disease due to its good clinical effects on relieving dry eye symptoms.

摘要

目的

评估0.05%环孢素联合0.1%双氯芬酸钠滴眼液治疗干眼症的临床疗效。

方法

对2020年8月至2021年8月在中国人民解放军新疆军区总医院眼科门诊确诊为干眼症的128例患者的临床资料进行前瞻性分析。具体而言,将患者随机分为对照组和研究组。对照组患者在常规治疗基础上使用0.05%环孢素滴眼液;研究组患者则使用0.05%环孢素联合0.1%双氯芬酸钠滴眼液。随后,对两组患者治疗前后的干眼症临床症状问卷评分、角膜荧光素染色(CFS)评分、泪膜破裂时间(BUT)测定、泪液分泌试验(SIT)评分及疗效进行比较分析。

结果

治疗后,两组患者的临床症状评分和CFS评分均降低,BUT和SIT评分均升高;此外,与对照组相比,研究组的临床症状评分和CFS评分更低,BUT和SIT评分更高。而且,研究组的总有效率(96.9%)明显优于对照组(79.7%);两组间差异具有统计学意义(<0.05)。

结论

在常规治疗基础上,0.05%环孢素与0.1%双氯芬酸钠滴眼液联合应用于干眼症的临床治疗,因其对缓解干眼症状具有良好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ac/9588351/7bed5148098e/JOPH2022-2334077.001.jpg

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