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目的探讨维生素C联合脂溶性维生素Ⅱ对白内障术后角膜水肿的改善作用。方法选取驻马店市中心医院眼科2014年3月—2015年3月收治的白内障术后出现角膜水肿的71例(共72只眼)患者为研究对象,随机分为观察组36例(共37只眼)和对照组35例(共35只眼),给予对照组常规西药治疗,给予观察组在常规西药基础上加用维生素C联合脂溶性维生素Ⅱ治疗;比较两组水肿治疗效果、水肿消失时间、患者住院时间、并发症发生情况。结果观察组水肿治疗总有效率为97.22%显著高于对照组82.86%(P<0.05),与对照组相比,观察组水肿消失时间(4.43±1.54)d、住院时间(5.02±1.00)d显著较短(P<0.05),且观察组并发症发生率为5.56%显著低于对照组22.86%(P<0.05)。结论维生素C联合脂溶性维生素Ⅱ对白内障术后角膜水肿的改善作用显著,且可缩短患者水肿消失和住院时间,减少并发症发生,推荐广泛应用于临床。
Objective To investigate the effect of vitamin C combined with fat-soluble vitamin Ⅱ on corneal edema after cataract surgery. Methods 71 patients (72 eyes) with corneal edema after cataract surgery were selected from Department of Ophthalmology, Central Hospital of Zhumadian City from March 2014 to March 2015 were randomly divided into observation group (37 eyes) ) And 35 cases (35 eyes) of the control group. The patients in the control group were treated with conventional western medicine. The observation group was treated with vitamin C and fat-soluble vitamin II on the basis of conventional western medicine. The edema effect, Patients hospitalized, complications occurred. Results The total effective rate of edema in observation group was 97.22%, which was significantly higher than that in control group (82.86%, P <0.05). Compared with control group, edema disappearance time in observation group was 4.43 ± 1.54 d and hospitalization time was 5.02 ± 1.00 d (P <0.05). The complication rate in observation group was 5.56%, which was significantly lower than that in control group (22.86%, P <0.05). Conclusions Vitamin C combined with fat-soluble vitamin Ⅱ has a significant effect on improving corneal edema after cataract surgery. It can shorten the disappearance of edema and hospitalization and reduce the incidence of complications. It is recommended for clinical application.