绷带型角膜接触镜在滞留型铁质角膜异物取出术后的应用

Effect of bandage contact lens after removal of delayed corneal iron foreign body

:161-163
 

目的:观察绷带型角膜接触镜在滞留型铁质角膜异物取出术后的临床疗效。方法:对角膜深层异物取出术后患者 105 例 105 眼,随机分为戴镜组与对照组,两组均为滞留型角膜异物,实施角膜异物取出术,比较两组患者术后 137 d 的眼部疼痛程度及术后 7 d 角膜上皮愈合情况。结果:术后 137 d ,两组患者眼部疼痛程度评分差异有统计学意义P<0.05;术后 7 d 两组患者角膜上皮缺损情况差异有统计学意义P<0.05)。无感染患者。结论:配戴绷带型角膜接触镜能有效缓解滞留型角膜异物取出术后患者的眼部刺激症状,加速术后角膜创面修复。

Objective: To investigate the effects of bandage contact lenses on corneal irritation and wound healing after the removal of delayed corneal iron foreign body. Methods: A total of 105 patients 105 eyes) with delayed removal of corneal iron foreign body were divided into two groups. Patients in both groups received the removal of corneal foreign body. Patients in group 1 wore bandage contact lenses after surgery, and their counterparts in group 2 did not receive any further treatment after surgery except eye drops. The differences in eye irritation at 1, 3 and 7 d) and corneal epithelial healing at 7 d) were observed between two groups. Results: The mean pain score was significantly lower in group 1 than that in group 2 at 1, 3 and 7 d after surgery all P<0.05. The rate of complete corneal epithelial healing at 7 d was significantly higher in group 1 than that in group 2 P<0.05. Conclusion: Bandage contact lenses can accelerate the recovery of corneal wounds, improve the healthcare efficiency and effectively alleviate eye irritation.

基层医院建立青少年屈光发育档案的影响因素及对策

Influencing factors and countermeasures of adolescent refractive development archives in primary hospitals

:13-17
 

目的:探索适合本地实际情况的屈光发育档案管理模式。方法:总结本区屈光发育档案推行数据,采用鱼骨图系统分析影响屈光发育档案在基层医院推行的关键因素。结果:影响屈光发育档案在基层医院推行的关键因素包括家庭因素、个人因素、学校因素、医院因素。建议通过与学校加强合作,进行健康教育,加强与学生、家长的沟通,开发简易技术,加强医院信息化建设,逐步建立适合本地实际情况的屈光发育档案管理模式。结论:在基层医院建立青少年屈光发育档案受多种因素影响,需平衡家庭、学校、医院的关系,加强数字化平台建设。

Objective: To explore an appropriate management model of refractive development archives suitable for local conditions. Methods: The main influencing factors of refractive development archives in primary hospitals were analyzed by using fishbone diagram. Results: The influencing factors included family factors, personal behavior, school and medical factors. It was recommended to improve the cooperation with school and strengthen communication with students and parents. The hospital should develop simple technologies to strengthen the construction of information technology. An appropriate model of refractive development archives was established according to the local situation. Conclusion: The establishment of adolescent refractive development archives in primary hospitals is affected by many factors. It is necessary to balance the relationship among families, schools and hospitals, and strengthen the construction of digital platforms.

其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览