初级门诊入院阶段红眼综合征非甾体抗炎治疗的鉴别诊断指标第2部分

Q4 Medicine
V. N. Trubilin, E. G. Polunina, A. A. Kozhukhov, V. V. Kurenkov, N. V. Moreva, A. V. Trubilin, K. V. Chinenova
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引用次数: 0

摘要

近年来,德尔菲法在科学实践中得到了广泛的应用。它基于对所研究对象的专家评估,该评估是在对某一特定领域的一组专家进行调查的基础上形成的。德尔菲法在眼科实践的各个领域的应用,使视觉压力诊断的实用建议、圆锥角膜的诊断和治疗方法、Sjögren综合征患者诊断和治疗的临床指南、根据干眼综合征发生的主要机制对干眼综合征的体征和症状进行分类等成为可能。在研究期间,眼科专家根据德尔菲法进行了一项调查,目的是开发一种差分算法,用于治疗患有属于"红眼综合征"类别的疾病中最常见的病理学之一——结膜炎的患者,从而确定关键症状,开出不同组的药物。根据俄罗斯眼科医师协会制定的临床指南,建议使用以下药物组:抗菌,防腐剂,抗组胺药,非甾体抗炎药,甾体抗炎药,抗病毒药物。本文介绍了在确定使用非甾体抗炎治疗结膜炎的适应症中获得的结果。这些包括:存在全身性疾病史,炎症持续时间超过7天,没有或存在粘液分泌物,痛感,眼睛不适,眼睛发红,以及炎症的生物显微镜征象,表现为轻度至中度结膜充血表达。所得结果对初级门诊眼科医生在治疗结膜炎这一眼科最常见的病理之一时选择合理的药物治疗具有重要的现实意义。根据炎症过程的严重程度选择药物治疗的量和类型的差异化方法将减少眼表的药物负荷。根据本文第一部分提供的数据,在长期停止炎症过程的背景下,它将导致干眼综合征体征的风险降低,并改善患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differential Diagnostic Indicators for the Appointment of Non-Steroidal Anti-Inflammatory Therapy in the Treatment of Red Eye Syndrome at the Stage of Primary Outpatient Admission. Part 2
In recent years, the Delphi method (DMt) has been widely used in scientific practice. It is based on an expert assessment of the object under study, which is formed on the basis of a survey of a group of experts in a particular field. The application of the Delphi method in various areas of ophthalmological practice has made it possible to develop practical recommendations for the diagnosis of visual stress, methods for diagnosing and treating keratoconus, to develop clinical guidelines for the diagnosis and treatment of patients with Sjögren’s syndrome, to classify the signs and symptoms of dry eye syndrome in accordance with the main mechanism of its occurrence and etc. A survey ophthalmologist expert conducted during the study, performed in accordance with the Delphi method, aimed at developing a differential algorithm in the treatment of patients with one of the most common pathologies among diseases belonging to the category of “red eye syndrome” — conjunctivitis, allowed identify key symptoms for prescribing different groups of drugs. In accordance with the clinical guidelines developed by the Russian Association of Ophthalmologists, the following groups of drugs are recommended for use: antibacterial, antiseptic, antihistamine, non-steroidal anti-inflammatory drugs, steroidal anti-inflammatory drugs, antiviral drugs. This article presents the results obtained in determining the indications for the use of non-steroidal anti-inflammatory therapy in the treatment of conjunctivitis. These include: the presence of a history of systemic diseases, the duration of inflammation for more than 7 days, the absence or presence of mucous discharge, complaints of a feeling of pain, discomfort in the eyes, their redness, as well as biomicroscopic signs of inflammation, which manifest themselves as mild to moderate conjunctival hyperemia expressiveness. The result obtained is of fundamental practical importance for primary outpatient ophthalmologists for choosing rational drug therapy in the treatment of one of the most common pathologies encountered in ophthalmic practice — conjunctivitis. A differentiated approach in choosing the volume and type of drug therapy based on the severity of the inflammatory process will reduce the drug load on the ocular surface. In accordance to the data presented in the first part of this article, it will lead to a decrease the risk of developing signs of dry eye syndrome against the background of a stopped inflammatory process in the long-term period and improving the quality of life in patients.
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来源期刊
Oftalmologiya
Oftalmologiya Medicine-Ophthalmology
CiteScore
0.60
自引率
0.00%
发文量
93
审稿时长
8 weeks
期刊介绍: The scientific journal Oftalmologiya is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Ophthalmology, Физиология, Клиническая медицина, Профилактическая медицина, Медико-биологические науки, Фармацевтические науки. Before sending a scientific article, we recommend you to read the section For authors. This will allow you to prepare an article better for publication, to make it more interesting for the readers and useful for the scientific community. By following these steps, you will greatly increase the likelihood of your scientific article publishing in journals included in international citation systems (e.g., Scopus). Then you may choose a different journal, select the journal included to list of SAC Russia journal list, or send your scientific work for review and publication.
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