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目的 评价局部用药与激光联合治疗应用于中学生沙眼普治的效果,探讨沙眼治疗的有效方法。方法 将某校高一年级1~4班137名学生沙眼患者列为实验组, 5~8班132名学生沙眼患者作为对照组。实验组用1%丁卡因对患者上睑结膜、上穹窿部、下睑结膜、下窈窿部及眦部结膜行表面麻醉后,用激光烧灼滤泡及乳头,术后用四环素涂抹, 6h后,白天滴10%磺胺醋酰钠眼水,每日4次,夜间抹四环素眼膏。对照组仅给药物治疗。结果 实验组1个月治愈率74. 45%, 3个月治愈率98. 54%,复发率6. 6%。对照组1个月治愈率51. 52%, 3个月治愈率73. 48%,复发率43. 29%。激光治疗沙眼无明显不良反应,安全性好。结论 局部用药与激光联合治疗应用于中学生沙眼普治,较单纯局部用药效果好,复发率低,而且安全方便,值得推广。
Objective To evaluate the effect of topical application of laser combined with laser therapy on the treatment of trachoma in secondary school students and to explore the effective method of trachoma treatment. Methods One hundred and seventy-three trachoma patients with Grade 1 ~ Grade 4 in one school year were enrolled as experimental group and 132 students with trachoma of 5-8 classes as control group. The experimental group with 1% tetracaine on the patients with upper conjunctiva, suprachamber, lower eyelid conjunctiva, inferior orifice and epigastric conjunctiva line surface anesthesia, with a laser ablation follicular and nipple, postoperative tetracycline smear, 6h After the day drops of 10% sulfadiazine sodium water, 4 times a day, wipe tetracycline eye ointment at night. Control group only given drug treatment. Results The experimental group 1 month cure rate 74. 45%, 3 months cure rate 98. 54%, the recurrence rate of 6.6%. The control group 1 month cure rate 51. 52%, 3 months cure rate 73. 48%, the recurrence rate was 43.29%. Laser treatment of trachoma no obvious adverse reactions, good safety. Conclusion The combination of topical and laser therapy is suitable for secondary treatment of traumatic eyes. Compared with the simple local administration, the combination of topical and laser treatment is effective and has a low recurrence rate. It is safe and convenient and worthy of promotion.