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[摘要]
目的:评价氦氖激光联合TDP照射治疗眼部带状疱疹的效果。
方法:选取眼部带状疱疹患者22例22眼进行氦氖激光联合TDP照射(A组),并将结果与既往采用药物治疗的眼部带状疱疹患者22例22眼(B组)的病程时间、眼部并发症的发生率、疼痛缓解时间进行比较。
结果:A组治愈率为91%,B组治愈率为73%,两组比较差异无统计学意义(χ2=1.375,P﹥0.05); A组平均治愈天数为8±2.22d,B组为12±1.88d,两组比较差异有统计学意义(t=5.22,P<0.05); A并发症的发生率为18%,B组为59%,两组比较差异有统计学意义(χ2=6.86,P<0.05); A组治疗平均缓解疼痛天数为5±1.23d,B组为10±1.34d,两组比较差异有统计学意义(t=11.17,P<0.05)。
结论:氦氖激光联合TDP照射能明显缩短眼部带状疱疹的治疗时间,缩短病程,减少并发症的发生率,缓解疼痛,对眼部带状疱疹的治愈率无明显影响。
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[Abstract]
AIM: To evaluate the effect of He-Ne laser combined with TDP irradiation in the treatment of herpes zoster ophthalmicus.
METHODS: Totally 22 patients(22 eyes)with herpes zoster ophthalmicus were treated by He-Ne laser irradiation combined with TDP(Group A). Another 22 patients(22 eyes)with herpes zoster ophthalmicus(Group B)were treated by medication. The duration of the disease, the incidence of complications, and the time of pain relief were compared between the two groups.
RESULTS: The cure rate of Group A was 91%, that of Group B was 73%, there was no significant difference between the two groups(χ2=1.375, P>0.05). The average cure time of Group A was 8±2.22d, Group B was 12±1.88d, the difference between the two groups was statistically significant(t=5.22, P<0.05). The complication rate of Group A was 18%, Group B was 59%, the difference between the two groups was statistically significant(χ2=6.86, P<0.05). The average pain relief time of Group A was 5±1.23d, Group B was 10±1.34d, the difference between the two groups was statistically significant(t=11.17, P<0.05).
CONCLUSION: He-Ne laser combined with TDP irradiation can shorten the treatment time of herpes zoster ophthalmicus, shorten the course of disease, reduce the incidence of complications, relieve pain, with no significant effect on the cure rate of herpes zoster ophthalmicus.
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