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结膜炎:对诊断和治疗的系统审查
1Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison.
JAMA
|October 24, 2013
概括
大多数细菌结膜炎病例在没有治疗的情况下都会消失. 然而,由特定感染或隐形眼镜佩戴者引起的细菌结膜炎需要使用抗生素. 过敏结膜炎的症状可以通过抗组胺剂和巨细胞稳定剂得到缓解.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 过敏和免疫学 过敏和免疫学
背景情况:
- 结膜炎,通常被称为粉红眼睛,是一种频繁的眼部疾病,具有不同的病因.
- 了解差异诊断和适当的管理对于有效的患者护理至关重要.
研究的目的:
- 审查结膜炎的诊断,管理和治疗策略.
- 探索在传染性结膜炎中使用抗生素和在过敏性结膜炎中使用非抗生素的选择.
主要方法:
- 通过PubMed,ISI知识网络和科克兰图书馆进行了全面的文献搜索,直到2013年3月.
- 文章是根据标题,摘要和参考审查来选择的.
主要成果:
- 病毒结膜炎是常见的,通常是自我限制的;细菌结膜炎是第二常见的原因,可以从局部抗生素中受益,特别是在特定的人群中.
- 细菌结膜炎的关键指标包括眼的质量和没有.
- 过敏性结膜炎影响着相当一部分人群,主要症状是,通过抗组胺药物和巨细胞稳定剂进行治疗.
结论:
- 无复杂的细菌结膜炎通常是自我限制的,但针对特定原因如淋病或克拉米迪亚以及与隐形眼镜相关的病例,建议使用抗生素治疗.
- 支持性护理是病毒性结膜炎的主要支柱.
- 抗胺剂和巨细胞稳定剂有效地管理过敏结膜炎症状.
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