摘要
作为临床中最常见的慢性眼表疾病,干眼症的特点是泪膜不稳定和眼表受损,这些问题与泪液质量、数量或动力学异常有关,进而导致眼睛感到不舒适。目前,干眼症的发病率正在逐渐上升,引起对其关注增加。传统治疗方法主要集中在通过替代泪液和最大限度地保持眼内泪液来缓解症状,而未能解决根本病因。随着对干眼症病理学认识的提高,已经提出了许多新的治疗方法。治疗干眼症的主要药物是人工泪液类滴眼液,辅助治疗可以采用非甾体类抗炎药和皮质类固醇,以缓解干眼症的不适。对于干眼症的长期用药,免疫抑制剂可作为一种有效选择。此外,自体血清和地夸磷索四钠也被广泛认可,有着良好的发展前景。
关键词: 干眼症;药物治疗;新进展;人工泪液
Abstract
As the most common chronic ocular surface disease in clinical practice, dry eye syndrome is characterized by unstable tear film and damage to the ocular surface, which are related to abnormal tear quality, quantity, or dynamics, leading to discomfort in the eyes. At present, the incidence rate of dry eye is gradually rising, causing increased attention to it. Traditional treatment methods mainly focus on relieving symptoms by replacing tears and maximizing the retention of intraocular tears, but fail to address the underlying causes. With the increasing understanding of the pathology of dry eye syndrome, many new treatment methods have been proposed. The main medication for treating dry eye syndrome is artificial tear eye drops, and auxiliary treatment can use non steroidal anti-inflammatory drugs and corticosteroids to alleviate discomfort in dry eye syndrome. Immunosuppressants can be an effective choice for long-term medication for dry eye syndrome. In addition, autologous serum and dexamethasone tetrasodium are widely recognized and have good development prospects.
Key words: Dry eye syndrome; Drug therapy; New developments; Artificial tears
参考文献 References
[1] 陆海,王兴,闫瑾等.干眼症患者药物治疗管理模式的建立和评价[J].中国医院药学杂志,2023,43(14):1624-1628.
[2] 刘院斌,武忠华,任志凤,等.聚乙烯醇滴眼液在翼状胬肉术中应用对术后早期干眼的作用[J].中国老年学杂志, 2022, 42(1):99-101.
[3] 薛慧.玻璃酸钠滴眼液联合贝复舒滴眼液治疗干眼症的疗效观察[J].中国现代药物应用,2021,15(01):196-198.
[4] 熊廷彦,张宁.氯替泼诺滴眼液联合0.1%他克莫司滴眼液治疗干眼症患者的临床疗效[J].临床合理用药杂志, 2022, 15(15):159-161.
[5] 郝蕾.0.02%氟米龙滴眼液辅治干眼症的疗效及对泪液中炎症因子含量的影响[J].实用防盲技术,2023,18(4): 164 -166,163.
[6] 陈婷,崔宇辉,黄晖.普拉洛芬联合海露玻璃酸钠滴眼液对白内障术后干眼症的临床效果[J].临床研究,2023,31 (11): 51-53.
[7] 杜英涛,胡长娥.复明胶囊联合双氯芬酸钠滴眼液对白内障术后干眼症患者的效果[J].西藏医药,2023,44(06):73-75.
[8] 马文婷,赵铭,王升,等.自体血清联合玻璃酸钠治疗白内障术后干眼症疗效及对患者泪液炎症因子的影响[J].陕西医学杂志,2022,51(9):1129-1132.