頁籤選單縮合
題 名 | 術前使用0.1% Diclofenac Sodium或0.1% Indomethacin對白內障手術之影響=The Effect of Topical Diclofenac Sodium and Indomthacin on Cataract Surgery |
---|---|
作 者 | 游建章; 曾國亮; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 37:1 1998.03[民87.03] |
頁 次 | 頁29-34 |
分類號 | 416.744 |
關鍵詞 | 白內障手術; Diclofenac sodium; Indomethacin; Extracapsular cataract extraction and posterior chamber intraocular lens implantation; Prostaglandin; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究一共收集51位病人50隻眼睛接受囊外白內障摘除合併後房人工水晶禮植 入手術,以隨意及雙盲方式分為三組。第一組有20隻病眼,點0.1% Diclofenac Sodium; 第二組有20隻病眼,點0.1% Indomethacin;第三組有19隻病眼,點生理食鹽水(Normal saline)作為對照組。從術前一天開始,每天四次,並於術前二小時開始每半小時點眼一次, 再點四次。我們於手術前及人工水晶體植入前分別記錄瞳孔大小;並於術後第一天評估前房反 應並測定眼壓。所有手術均由同一位醫師完成。統計結果顯示,在手術中瞳孔大小的變化及 術後眼壓升高情形方面,三組間無統計上的差異(P>0.05);術後第一天,在前房發炎反應方 面,對照組比實驗組(第一及二組)為厲害,但只有第一組和對照組間有統計上差異(p<0.05), 而實驗組間並無明顯統計上差異(p>0.05)。我們認為術前使用非類固醇性抗發炎眼藥水,可 有效地減少囊外白內障摘除合併人工水晶體植入手術之術後早期前房發炎反應,而0.1% Diclofenac sodium之效果和0.1% Indomethacin差異不大。 |
英文摘要 | Fifty-nine eyes of fifty-one patients scheduled for extracapsular cataract extraction and posterior chamber intraocular lens implantation were randomly. double-blindly assigned to received either (1) pretreatment with one drop of diclofenac sodium 0.1 % four times per day for the day before surgery plus one drop of diclofenac sodium 0.1% every 30 minutes for four doses, beginning 2 hours before surgery along with the dilating drops; (2) pretreatment with one drop of indomethacin 0.1 % with the same protocol as the previous prescribed; (3) pretreatment with one drop of normal saline as a placebo with the same protocol. The pupil size was measured before surgery and before IOL implantation. Aqueous cells and flare were assessed and intraocular pressure was measured on the first postoperative day. All surgeries were performed by the same surgeon. On the first postoperative day, anterior chamber inflammation was more severe in control group than experimental groups. The difference between groups 1 and control group was statistically significant (p< 0.05). But the difference between experimental groups was not statistically significant (p>0.05). There was no statistically significant difference in the amount of surgical-induced miosis and in the members of eyes with raised post-operative intraocular pressure among these three groups. We concluded that the pretreatment with an NSAID, either diclofenac sodium 0.1% or indomethacin 0.1%, before extracapsular cataract extraction with intraocular lens implantation can reduce the early postoperative anterior-chamber inflammation. |
本系統中英文摘要資訊取自各篇刊載內容。