| 代 敏,李高峰,廖 英,易艳花,余钦其,魏 蓉.不同泪道硅胶引流管留置时间对慢性泪囊炎患者视力、生活质量及复发率的影响[J].,2021,(4):768-771 |
| 不同泪道硅胶引流管留置时间对慢性泪囊炎患者视力、生活质量及复发率的影响 |
| The Effect of Different Retention Time of Silicone Drainage Tube for Lacrimal Passage on Vision, Quality of Life and Recurrence Rate of Chronic Dacryocystitis Patients |
| 投稿时间：2020-07-27 修订日期：2020-08-22 |
| DOI：10.13241/j.cnki.pmb.2021.04.036 |
| 中文关键词: 泪道硅胶引流管 留置时间 慢性泪囊炎 视力 生活质量 复发率 |
| 英文关键词: Silicone drainage tube for lacrimal passage Retention time Chronic dacryocystitis Vision Quality of life Recurrence rate |
| 基金项目:湖南省卫生计生委科研计划项目（C2016131） |
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| 中文摘要: |
| 摘要 目的：探讨不同泪道硅胶引流管留置时间对慢性泪囊炎患者的生活质量、视力及复发率的影响。方法：回顾性选取2018年1月~2019年12月期间于我院就诊的慢性泪囊炎患者91例（128眼），根据术后泪道硅胶引流管留置时间分为A、B两组，其中A组泪道硅胶引流管留置时间6周，44例（61眼），B组泪道硅胶引流管留置时间12周，47例（67眼）。对比两组疗效、视力、并发症发生率、主诉溢泪发生率、生活质量及复发率。结果：A组拔管当天的总有效率高于B组（P<0.05），两组拔管后3个月总有效率对比无明显差异（P>0.05）。拔管后6个月两组社会功能、躯体疼痛、精神健康、生理功能、精力、情感职能、生理职能、总体健康维度评分均较术前升高（P<0.05），但两组组间对比未见统计学差异（P>0.05）。两组患者术前、拔管后3个月视力组间及组内比较均未见统计学差异（P>0.05）。两组患者主诉溢泪发生率比较未见统计学差异（P>0.05）。A组并发症发生率、复发率低于B组（P<0.05）。结论：泪道硅胶引流管留置时间的长短对慢性泪囊炎患者疗效、视力、生活质量、主诉溢泪发生率无明显影响，但留置6周者并发症发生率、复发率低于留置12周者，提示临床应视患者具体情况尽量缩短泪道硅胶引流管留置时间。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of different retention time of silicone drainage tube for lacrimal passage on the quality of life, vision and recurrence rate of chronic dacryocystitis patients. Methods: 91 cases (128 eyes) of chronic dacryocystitis patients who came to our hospital from January 2018 to December 2019 were selected retrospectively. According to the time of catheter retention after operation, they were divided into two groups: group A and group B, among group A had catheter for 6 weeks and 44 cases (61 eyes). Group B was had catheter for 12 weeks, 47 cases (67 eyes). The curative effect, vision, complication rate, incidence rate of chief complaint of tear spillation, quality of life and recurrence rate were compared between the two groups. Results: The total effective rate of extubation day in group A was higher than that of group B(P<0.05), and there was no statistically significant difference between the two groups in the total effective rate 3 months after extubation(P>0.05). The scores of social function, physical pain, mental health, physiological function, energy, emotional function, physiological function and overall health in the two groups at 6 months after extubation were all higher than those before operation (P<0.05), but there was no statistical difference between the two groups (P>0.05). There was no statistical difference of vision between the two groups before operation, 3 months after extubation and within the group (P>0.05). There was no statistical difference in the incidence rate of chief complaint of tear spillation between the two groups(P>0.05). The incidence rate of complications and recurrence rate in group A were lower than those in group B(P<0.05). Conclusion: The duration of indwelling of the silica gel drainage tube in the lacrimal duct has no significant influence on the curative effect, vision, quality of life, and incidence rate of chief complaint of tear spillation in patients with chronic dacryocystitis. However, the complication rate and recurrence rate of patients who have been indwelling for 6 weeks are lower than those who have been indwelling for 12 weeks, suggesting that the duration of indwelling of the silica gel drainage tube in the lacrimal duct should be shortened as much as possible according to the specific conditions of patients. |
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