目的:探讨中老年屈光异常性视疲劳戴镜矫正对干眼症治疗疗效的影响。方法:将86例40～58岁的干眼症合并屈光异常性视疲劳病例,按1∶1随机分为药物治疗组和药物+戴镜联合治疗组,治疗3mo。观察治疗前后的眼部症状、泪液分泌量、泪膜破裂时间、角膜荧光素染色等疗效性指标。结果:随访3mo,两组患者泪液分泌量、泪膜破裂时间和角膜荧光素染色都有显著性差异(P<0.05),联合治疗组效果明显优于药物治疗组。结论:戴镜矫正配合药物联合治疗干眼可明显改善干眼症状,增加泪液分泌量,延长泪膜破裂时间,改善角膜上皮情况,较单纯药物治疗理想。

AIM:To investigate the influences of correction with spectacles in middle-aged and aged patient with ametropic asthenopia on xerophthalmia. METHODS: Eighty-six xerophthalmia patients combined with ametropic asthenopia aged 40-58 years old were randomly divided into drug treated group and drug-spectacles treated group, clinical symptoms and physical signs before and after treatment were observed. RESULTS: Clinical symptoms and physical signs were improved after treatment in both groups, there were statistical differences between the two groups(P<0.05), and the curative effect in drug-spectacles group was better than that in drug treated group. CONCLUSION: Drug-spectacles treatment has better effect on improving symptoms and physical signs.

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