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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

改良弯针式异物剔除针在非穿透性角膜异物剔除术患者中的应用

王琳,张亚军* ,张迎,何倩,郑阿妮

(咸阳市第一人民医院,陕西 咸阳,712000)

浏览次数:176次 下载次数:344次

摘要:

目的 观察分析改良弯针式异物剔除针在非穿透性角膜异物剔除患者中的应用效果。方法 选择2015 年9 月至2017年3 月在我院诊治的382 例(401 只患眼)非穿透性角膜异物患者,随机分为试验组与对照组,每组191 例患者(试验组200 只患 眼,对照组201 只患眼)。试验组使用改良弯针式异物剔除针进行治疗,对照组使用一次性1 mL 注射器的4 号针头治疗。比 较两组患者治疗的一次性剔除率、异物残存率、损伤范围小于0.1 mm 几率和继发性角膜感染发生率。结果 试验组患者一次 性剔除率明显高于对照组,异物残留率、损伤范围小于0.1 mm 几率和继发性角膜感染发生率明显低于对照组患者,差异具 有统计学意义(P<0.05)。结论 使用改良弯针式角膜异物剔除针为非穿透性角膜异物患者实施角膜异物剔除术,具有一次性 剔除率高、不容易引起继发性角膜感染、对角膜异物周围组织损伤小和角膜异物残留率低的优点,可显著提高患者的临床治 疗效果,值得在临床上推广使用。

关键词:改良弯针式异物剔除针;非穿透性角膜异物;眼科护理

中图分类号:R779.65文献标志码:A文章编号:2096-1413(2018)02-0070-02

    Application of modified curved needle-shaped foreign body needle in non-penetrating corneal foreign body removal patients
    WANG Lin, ZHANG Ya-jun *, ZHANG Ying, HE Qian, ZHENG A-ni

    (the First People``s Hospital of Xianyang, Xianyang 712000, China)

    ABSTRACT: Objective To observe and analyze the application effect of modified curved needle-shaped foreign matter-removing needle in non-penetrating corneal foreign body rejection patients. Methods A total of 328 patients (401 eyes) with non-penetrating corneal foreign body rejection treated in our hospital from September 2015 to March 2017 were selected, and randomly divided into observation group (191 cases, 200 eyes) and control group (191 cases, 201 eyes). The observation group was treated with modified needle-shaped foreign matter-removing needle, and the control group was treated with disposable 4-needle needle 1 mL syringe. The one-time rejection rate, corneal foreign body retention rate, probability of injury around range <0.1 mm and incidence of secondary corneal infection were compared between the two groups. Results The one-time rejecting rate of corneal foreign bodies in the observation group was significantly higher than that in the control group (P<0.05). The corneal foreign body retention rate, proportion of corneal foreign body tissue damage around range<0.1 mm and incidence rate of the secondary corneal infection in the observation group were significantly lower than those in the control group. (P<0.05). Conclusiton Modified curved needle-type corneal foreign body rejection device has several advantages in the treatment of non-penetrating corneal foreign body, with high one-time rejection rate, low corneal foreign body residual rate, small corneal foreign body tissue damage and harder to cause the secondary corneal infection. It is worthy to be promoted in the clinical treatment.
    KEYWORDS: modified curved needle-type foreign body rejection; non-penetrating corneal foreign body; ophthalmic care

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