左氧氟沙星凝胶、妥布霉素地塞米松眼膏与泪道探通术联合治疗新生儿泪囊炎的效果观察

摘要

Objective To patients with neonatal dacryocystitis underwent left Ofloxacin Gel, Tobramycin and Dexamethasone Ophthalmic Ointment and lacrimal surgery combined with treatment effects were observed.MethodsIn Ningxia Hui Autonomous Region Qingtongxia City People's Hospital during December 2015 to December 2016 for dacryocystitis in 130 cases according to the data analysis, using different treatment schemes were divided into two groups, 65 cases underwent lacrimal surgery as control group, 65 cases and left Ofloxacin Gel, Tobramycin and Dexamethasone Ophthalmic Ointment combined treatment as the observation group, blocking characters and comparison of complications two groups of clinical curative effect, lacrimal duct.ResultsIn the observation group, the total effective probability of 96.92% higher than the control group of 80.00%(P<0.05), and the nasal deformity, nasolacrimal duct, lacrimal bone deformity multiple adhesions or obstruction and lower incidence of membranous obstruction of lacrimal duct is lower than that of control group (P<0.05);the total complication rate in the observation group(3.08%) than the control group(21.54%)low (P<0.05).ConclusionNeonatal dacryocystitis underwent left Ofloxacin Gel, Tobramycin and Dexamethasone Ophthalmic Ointment and lacrimal surgery combined therapy can improve the clinical symptoms and characteristics of lacrimal duct obstruction, and reduce postoperative complications, which may be of clinical promotion and application.%目的 对患泪囊炎新生儿行左氧氟沙星凝胶、妥布霉素地塞米松眼膏和泪道探通手术联合治疗的效果进行观察.方法 分析宁夏回族自治区青铜峡市人民医院眼科2015年12月~2016年12月诊治为泪囊炎130例患儿资料,按照治疗时所用不同方案分成2组,将65例行单纯泪道探通手术治疗设为对照组,将65例泪道探通术与左氧氟沙星凝胶、妥布霉素地塞米松眼膏联合治疗设为观察组,对2组临床疗效、泪道阻塞性状和并发症进行对比.结果 观察组总有效率(96.92%)显著高于对照组(80.00%)(P<0.05),且鼻部畸形、鼻泪管骨性畸形、泪道多处粘连或阻塞和泪道下端膜性阻塞发生率比对照组低(P<0.05);观察组并发症总发生率(3.08%)显著低于对照组(21.54%)(P<0.05).结论 泪囊炎新生儿行左氧氟沙星凝胶、妥布霉素地塞米松眼膏和泪道探通手术联合治疗能够改善临床症状和泪道阻塞性状,且减少术后并发症发生,可被临床推广及应用.