基础医学与临床 ›› 2019, Vol. 39 ›› Issue (3): 396-399.

• 临床研究 • 上一篇    下一篇

对比玻璃酸钠与rb-bFGF治疗LASEK术后角膜上皮修复及敏感性恢复的作用

杨琨,薛超,金颖,耿维莉   

  1. 天津市眼科医院
  • 收稿日期:2018-11-20 修回日期:2018-12-20 出版日期:2019-03-05 发布日期:2019-03-05
  • 通讯作者: 杨琨 E-mail:yangkun997@163.com

Comparison of the effects between sodium hyaluronate and rb-bFGF in corneal epithelium repair and corneal sensitivity recovery after LASEK surgery

  • Received:2018-11-20 Revised:2018-12-20 Online:2019-03-05 Published:2019-03-05

摘要: 目的 对比玻璃酸钠滴眼液与重组牛碱性成纤维细胞生长因子(rb-bFGF)凝胶在准分子激光角膜上皮瓣下角膜磨镶术(LASEK)术后角膜上皮修复及敏感性恢复方面的作用。方法 选取2017年5月至2018年8月在天津市眼科医院接受LASEK手术的患者60例(120只眼),随机分为2组,分别使用0.3%玻璃酸钠滴眼液及rb-bFGF眼用凝胶治疗3个月。于术后1周、1和3个月行泪液分泌实验(SⅠT)、泪膜破裂时间(BUT)、角膜上皮完整性评估以及角膜敏感性检查。结果术后两组的SⅠT和BUT随治疗时间逐渐恢复,至术后3个月时均大致恢复到正常水平。术后1月时,rb-bFGF组角膜上皮完全恢复正常眼数(53眼,88.3%)显著高于玻璃酸钠组(45眼,75.0%)(P<0.05)。术后3月,rb-bFGF组各方位的角膜敏感性显著高于玻璃酸钠组(P<0.05)。结论 0.3%玻璃酸钠及rb-bFGF均能有效缓解LASEK术后导致的干眼,但在角膜上皮修复和敏感性恢复方面rb-bFGF作用更显著。

关键词: 关键词:玻璃酸钠, 重组牛碱性成纤维细胞生长因子, LASEK, 角膜上皮修复, 角膜敏感性

Abstract: Objective To evaluate the effects of 0.3% sodium hyaluronate eye drops and recombinant bovine basic fibroblast growth factor (rb-bFGF) after LASEK surgery in corneal epithelium repair and corneal sensitivity recovery. Methods Prospective control study was carried out. A total of 60 patients (120 eyes) were divided into sodium hyaluronate group and rb-bFGF group, each group was administrated with 0.3% sodium hyaluronate or rb-bFGF after the surgery for 3 months, respectively. The examination of Schirmer Ⅰ Test (SⅠT), tear film break-up time(BUT), corneal epithelium integrity evaluation and Cochet-Bonnet esthesiometer were performed in 1 week, 1 month and 3 months, respectively. Results After the surgery, the SⅠT and the BUT test were gradually recovered with treatment time and both returned to normal level approximately in 3 months. After 1 month, the corneal epithelium totally recovered cases in rb-bFGF group (53eyes, 88.3%) were significant higher than that in the sodium hyaluronate group (45eyes, 75.0%)(P<0.05). After 3 months, the corneal sensitivity in all the examination positions in the rb-bFGF group was significantly higher than the sodium hyaluronate group(P<0.05). Conclusions Both sodium hyaluronate and rb-bFGF have the effects to release the dry eye syndrome after LASEK surgery, however,rb-bFGF is more effective in corneal epithelium repair and corneal sensitivity recovery.

Key words: Key words: Sodium hyaluronate, Recombinant bovine basic fibroblast growth factor, LASEK, Corneal epithelium repair, Corneal sensitivity

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