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雷公藤多甙治疗人工晶体植入术后眼内炎症反应的临床研究 被引量:18

Effects of tripterygium wilfordii polyglyco-sidium on intraocular inflammatory reaction after intraocular lens implantation
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摘要 目的动态观察雷公藤多甙对人工晶体植入术后眼内炎症反应的影响,估价雷公藤多甙的临床治疗效果及其抗炎作用的机制。方法120例老年性白内障随机分为2组,施行白内障囊外摘除及后房型人工晶体植入术。1组为雷公藤多甙治疗组;2组为激素治疗组。术后1、3、7及14天定量观察前房水混浊、人工晶体表面沉着物和纤维蛋白反应。结果雷公藤多甙治疗组术后第1、3、7及14天房水混浊、人工晶体表面沉着物和纤维蛋白反应低于激素治疗组(P<0.05)。结论雷公藤多甙能降低人工晶体植入术后眼前节炎症反应,雷公藤多甙治疗优于激素治疗。 Objective The effects of tripterygium wilfordii polyglyco-sidium (TWP) on intraocular inflammatory reaction after extracapsular cataract extraction and intraocular lens (IOL) implantation were studied. Methods 120 cases with senile cataract were divided into two groups: (1)Patients received TWP after IOL implantation; (2) patients received prednisone after IOL implantation.The slit-lamp was used to observe inflammatory cells and fibrinous exudate in the aqueous humor and cellular deposits on IOL on the 1st,3rd,7th and 14th postoperative days.Results The study indicated that on the 1st,3rd,7th and 14th postoperative days the inflammatory cells and fibrinous exudate in the aqueous humor and cellular deposits on IOL were significantly lower in TWP-treated group than that in steroid-treated group (P<0.05).Conclusions TWP is effective in reducing postoperative anterior ocular inflammation after extracapsular cataract extraction and IOL implantation. The TWP is more effective than the steroid in suppressing postoperative intraocular inflammatory reaction.
出处 《中华眼科杂志》 CAS CSCD 北大核心 1998年第5期332-335,共4页 Chinese Journal of Ophthalmology
关键词 雷公藤 人工晶体植入术 手术后 眼内炎 Lenses, intraocular Tripterygium wilfordii Inflammation
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参考文献6

  • 1周朝晖,何守志,梁延杰.雷公藤多甙对兔眼人工晶体表面细胞学反应的影响[J].军医进修学院学报,1998,19(1):46-48. 被引量:4
  • 2周朝晖,中华眼底病杂志,1997年,4卷,245页
  • 3沈自尹,中国中西医结合杂志,1992年,12卷,443页
  • 4周朝晖,白内障手术及并发症,1991年,212页
  • 5张晓群,上海免疫学杂志,1989年,9卷,314页
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