20%富血小板血浆与20%自体血清暴露后角膜胶原结构的比较

Nila Kurniasari, E. Retnowati, Windhu Purnomo
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Result The collagen density in the 20% PRP group shows 88.9% grade 2 and 44.4 % grade 2 for the 20% AS group. The collagen thickness in the 20% PRP group is 55.41 and 67.62 for the 20% AS group. The keratosit cell count in the 20% PRP group are 54.56 and 45.47 in the 20% AS group. There is significant difference in the collagen density between 20% PRP and 20% AS treatment (p= 0.066). There is significant difference in the collagen thickness between 20% PRP and 20% AS treatment (p= 0,224). There is significant difference in the keratosit cell count between 20% PRP and 20% AS treatment (p= 0,227). 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摘要

目的比较20% PRP与20% AS对氢氧化钠暴露后角膜胶原结构的治疗效果。方法对18只新西兰大白兔进行单纯后测设计的实验研究。将样品随机分为两组,每组9只。每只兔右眼在全身麻醉下以1N NaOH碱损伤。第一组给予20% PRP滴眼液,第二组给予20% AS滴眼液。7 d结束时,对所有家兔实施安乐死并去核,获取组织病理学数据。测定胶原蛋白密度、胶原蛋白厚度和角质细胞。对结果进行分析,比例量表数据采用独立T检验,顺序量表数据采用Mann-Whitney检验。结果20% PRP组胶原密度为88.9% 2级,20% AS组为44.4% 2级。20% PRP组胶原蛋白厚度为55.41,20% AS组为67.62。20% PRP组角质形成细胞计数为54.56,20% AS组为45.47。20% PRP处理与20% AS处理的胶原密度差异有统计学意义(p= 0.066)。20% PRP处理与20% AS处理的胶原蛋白厚度差异有统计学意义(p= 0,224)。20% PRP组与20% AS组的角化细胞计数差异有统计学意义(p= 0.227)。结论从统计分析来看,20% PRP与20% AS暴露后角膜胶原结构无明显差异,从我们的研究来看,20% PRP滴眼液与20% AS滴眼液相比,碱化学眼损伤后角膜愈合参数无明显改善。
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COMPARISON IN CORNEAL COLLAGEN STRUCTURE BETWEEN 20% PLATELET RICH PLASMA AND 20% AUTOLOGOUS SERUM THERAPY POST NATRIUM HIDROKSIDA EXPOSURE
Objective to compare therapy response between 20% PRP and AS 20% on cornea post sodium hydroxide exposure on collagen structure. Methods this is a true experimental study with post test only design on 18 New Zealand white rabbits. Sample were divided randomly to two groups, each with 9 rabbits. The right eye of each rabbit were exposed to alkali injury with 1N NaOH under general anesthesia. First group was given 20% PRP eyedrops and 20% AS for the second group. And the end of the 7 day periode, all rabbits were euthanized and enucleated to obtain histopthological data. Collagen density, collagen thickness and keratosit cell were evaluated. The result will be analyzed, ratio scale data will be tested with independent T- test, and ordinal scaled data will be tested with Mann-Whitney test. Result The collagen density in the 20% PRP group shows 88.9% grade 2 and 44.4 % grade 2 for the 20% AS group. The collagen thickness in the 20% PRP group is 55.41 and 67.62 for the 20% AS group. The keratosit cell count in the 20% PRP group are 54.56 and 45.47 in the 20% AS group. There is significant difference in the collagen density between 20% PRP and 20% AS treatment (p= 0.066). There is significant difference in the collagen thickness between 20% PRP and 20% AS treatment (p= 0,224). There is significant difference in the keratosit cell count between 20% PRP and 20% AS treatment (p= 0,227). Conclusion From the statistik analysis shows that there is no significant difference in corneal collagen structure between 20% PRP and 20% AS therapy post natrium hidroksida exposure, from our study there is no significant better corneal healing parameters in post alkali chemical ocular injury with 20% PRP eyedrops compare to 20% AS eyedrops.
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