聚维酮碘治疗睑缘炎的临床疗效分析

目的 探讨聚维酮碘局部应用治疗睑缘炎的l临床效果.方法 2007年3-10月对52例(102只眼)睑缘炎随机分为2组.实验组33例(54只眼).将眼睑翻转.充分暴露睑缘.用5%聚维酮碘棉棒涂擦睑缘,每日一次,连续7d;对照组29例(48只眼),局部应用氧氟沙星液眼液、妥布霉素地塞米松眼膏点眼,连续7d.根据患者治疗后的症状体征改善程度分为有效、显效、无效进行统计分析.结果 实验组:总体有效率88.9%,显效率63.0%,有效率25.9%,无效率11.1%;对照组:总体有效率72.9%,有效率41.7%.显效率31.3%,无效率27.1%.总体有效率和显效率实验组明显高于对照组,两组比较均有统计学意义(P＜0.01).结论 聚维酮碘局部应用治疗睑缘炎是一种疗效显著,无明显副反应,简单易行,经济实惠的好方法,值得扩广应用.

Clinical therapy investigation of blepharitis by povidone iodine

Objeetive To investigate the clinical effect of local treatment in blepharitis by povidone iodine.Method 52 cases (102 eyes)with blepharitis divide into two groups in random from March to October in 2007.33 cases(54 eyes)were in experiment group.First,inversed blepharon,then exposed palpebral margin,used cotton stic with 5% povidone iodine inunction it(qdx 7d).29 cases(48 eyes)were in contrast group which treat by ofloxacin eye drop and tobramycin-decacortin eye mastic.On the basis of symptom and physical sign in amelioration,we divided patients into 3 groups,utility,apparent effect,inefficiency by statistics analysis.Result Experiment group:general utility efficiency was 88.9% ,apparent efficiency was 63.0%,utility efficiency was 25.9%,inefficiency was 11.1%.Contrast group:general utility efficiency was 72.9%,apparent efficiency was 31.3%,utility efficiency was 41.7%,inefficiency was 27.1%.General utility efficiency of experiment group was significantly higher than contrast group (P＜0.01).ConelusionLocal treatment in blepharitis by povidone iodine have a significant effect,have no phanero-ill effect,and it's simple cheap to treat.This therapy is worth to extend application.