摘要
目的探讨加替沙星滴眼液治疗细菌性结膜炎的临床效果。方法加替沙星组和氧氟沙星组各为120例，合计240例。采用计算机编程随机法，随机双盲对照试验。患者的纳入应能满足所有人选及排除标准，随机分为加替沙星组和氧氟沙星组，分别给予加替沙星滴眼液和相同浓度对照药氧氟沙星滴眼液，疗程7～14天。加替沙星滴眼液组：每日5次，每次1－2滴，滴入结膜囊内，氧氟沙星滴眼液组：每。日5次，每次1—2滴，滴入结膜囊内，随诊观察。结果本研究共分离临床致病菌67株，其对加替沙星、氧氟沙星、左氧氟沙星和环丙沙星的敏感率分别为98．51％、85．07％、95．52％、78．79％。表明加替沙星的细菌敏感率最高，与氧氟沙星比较，差异有统计学意义。加替沙星滴眼液治疗细菌性结膜炎的疗效不低于氧氟沙星滴眼液。结论结果表明，加替沙星滴眼液抗菌谱广、抗菌活性强，与氧氟沙星滴眼液疗效相当，安全性好，适于作为细菌性结膜炎的治疗用药。同时对革兰阳性菌和革兰阴性菌感染的眼表疾病，都有一定的治疗效果。
Objective To study the clinical efficacy of gatifloxacin eye drops for bacterial conjunctivitis. Methods A total of 240 cases that diagnosed as bacterial conjunctivitis were randomly divided into test group （gatifloxacin） and control group （floxacin）. A random double-blind and paralled study was conducted on 120 cases with gatifloxacin and floxacin eye drops for bacterial conjunctivitis. The drug delivery into conjunctival sac was performed at 7-14 days （one-two drops per time, five times per day）. Results Sixty-seven clinical common pathogenic bacteria were separated from the study. The antibacterial activity of gatifloxacin, floxacin, levofloxacin, ciprofloxacin was 98.51%, 85.07%, 95.52%, and 78.79% respectively. The antibacterial activity ofgatifloxacin was the highest, and the statistic difference between gatifloxacin and floxacin was found. The effect of gatifloxacin eye drops was not worse than floxacin eye drops. Conclusions The gatifloxacin eye drops has characteristics with broad spectrum, powerfull antibacterial activity. The linical effect of gatifloxacin eye drops is the same with floxaein eye drops. Gatifloxacin eye drops are safe and can be used to treat bacterial conjunctivitis. It has comparatively theropic value of ocular surface disease with Gram-positive bacterial and Gram-negetive bacterial.
出处
《中国实用眼科杂志》
CSCD
北大核心
2011年第6期574-582,共9页
Chinese Journal of Practical Ophthalmology
关键词
加替沙星滴眼液
细菌性结膜炎
细菌敏感率
Gatifloxacin eye drops
Bacterial conjunctivitis
Antibacterial activity
