眼碱烧伤后干眼表现及TGF-β表达的研究

Bo Jiang, Tao Li, Man She, Xiaoqian Yao
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摘要

目的探讨眼碱烧伤后干眼的表现及TGF-β的表达。方法采用病例-对照研究。选取该院2017年1月至2018年6月26例I-IV度碱烧伤患者33眼作为观察组,选取10例正常人10眼作为对照组。随访时间3个月。分别于眼碱烧伤后1 d、1、3个月观察两组患者的视力、眼压、BUT、SchirmerⅠ试验、泪病毒高度和角膜厚度。western-blot检测TGF-β1、TGF-β2蛋白表达。结果眼碱烧伤后3个月,观察组BUT、Schirmer I测试均低于对照组(P<0.05)。眼碱烧伤后各组角膜厚度、泪病毒高度均高于对照组(P<0.05)。TGF-β1、TGF-β2蛋白表达与BUT呈显著负相关(P=0.046、0.036),TGF-β2蛋白表达与角膜厚度呈显著正相关(P=0.024)。结论眼碱烧伤可引起眼干眼,泪液中TGF-β1和TGF-β2的表达可能与眼碱烧伤后干眼的发生有关。关键词:烧伤,碱,眼;干眼病;10月;转化生长因子-β1;TGF -β2
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of manifestations of dry eye and TGF-β expression after ocular alkali burn
Objective To investigate the manifestation of dry eye and TGF-β expression in patients after ocular alkali burns. Methods This is a case-control study. Total of 33 eyes of 26 cases with alkali burns of I-IV degrees from Jan.2017 to Jun.2018 in this hospital were selected as observation group, and 10 eyes of 10 cases of normal people were selected as control group. The followed-up time was 3 months. The visual acuity, intraocular pressure, BUT, SchirmerⅠtest, lacrimal rivus height and corneal thickness were observed at 1 day, 1 and 3 months after ocular alkali burn. The protein expression of TGF-β1 and TGF-β2 were examined with western-blot analysis. Results BUT and Schirmer I test in the observation group were lower than those in the control group at 3 months after ocular alkali burn (P<0.05). The corneal thickness and the lacrimal rivus height at each time after ocular alkali burn were higher than those in the control group(P<0.05). The protein expressions of TGF-β1 and TGF-β2 were significantly negatively correlated with BUT(P=0.046, 0.036), and TGF-β2 was significantly positively correlated with corneal thickness (P=0.024). Conclusion Ocular alkali burns can cause dry eye, and the expressions of TGF-β1 and TGF-β2 in tears may be related to the occurrence of dry eye after ocular alkali burn. Key words: Burn, alkali, ocular; Dry eye; OCT; TGF-β1; TGF-β2
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