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目的探讨环孢霉素A(CsA)联合地塞米松局部滴眼预防高危穿透角膜移植(PKP)免疫排斥反应的效果。方法将77眼高危PKP分为CsA组(37眼):2%CsA蓖麻油溶液联合地塞米松满眼;对照组(40眼)单独使用地塞米松滴眼。采用生存曲线进行比较。结果术后2年,两组植片存活率分别为78%和60%,差异有显著性(P<0.05)。结论2%CsA蓖麻油溶液联合地塞米松溶液局部滴眼是预防高危PKP免疫排斥反应的一种较好方法。
Objective To investigate the effect of CsA plus dexamethasone topical eye drops in preventing high-risk penetrating keratoplasty (PKP) immune rejection. Methods 77 high risk PKP patients were divided into CsA group (37 eyes): 2% CsA castor oil solution combined with dexamethasone eye; control group (40 eyes) used dexamethasone alone. Survival curves were used for comparison. Results Two years after operation, the survival rates of the two groups were 78% and 60%, respectively, with significant differences (P <0.05). Conclusion The local eye drops of 2% CsA castor oil solution and dexamethasone solution are a good way to prevent high-risk PKP immune rejection.