摘要
目的：探讨微切口超声乳化吸除术对糖尿病性白内障患者的临床疗效。方法选择糖尿病性白内障患者30例，按治疗方法不同分为两组，观察组18例（26眼）采取微切口超声乳化吸除术，对照组12例（19眼）施行微切口非超声乳化囊外摘除术，观察两组术后不同时间矫正视力及并发症发生情况。结果观察组视力矫正率（≥0．3）为88．46％，显著高于对照组的63．2％，两组视力矫正率差异有统计学意义（χ2＝4．067，P ＜0．05）；观察组术后2 h、6 h、12 h 和24 h 4个时刻眼压值分别为（18．05±3．90）mmHg、（20．88±4．21）mmHg、（24．37±4．90）mmHg、（16．43±3．11）mmHg，均显著低于对照组的（21．48±4．02）mmHg、（25．27±4．33）mmHg、（28．95±5．20）mmHg、（20．06±3．08）mmHg，差异均有统计学意义（t ＝2．89、4．22、3．44、3．05，均 P ＜0．05），术后观察组并发症明显少于对照组（χ2＝10．197，P ＝0．001）。结论糖尿病性白内障患者在空腹血糖控制良好情况下采用微切口超声乳化吸除术安全有效。
Objective To observe the clinical outcome of microincision phacoemulsification on diabetic cataract.Methods 18 cases （26 eyes）with diabetic cataract and 2 cases （19 eyes）with diabetic cataract were treated with small incision non phacoemulsification,the corrected visual acuity and complications were observed in different point after operation.Results The vision correction of the observation group was higher than in the control group（88.46% vs 63.2%,P 〈0.05）.The intraocular pressures of the observation group[（18.05 ±3.90）mmHg, （20.88 ±4.21）mmHg,（24.37 ±4.90）mmHg 16.43 ±3.11）mmHg]were lower than in the control group[（21.48 ± 4.02）mmHg,（25.27 ±4.33）mmHg,（28.95 ±5.20）mmHg,（20.06 ±3.08）mmHg]at 2h,6h,12h and 24h （t =2.89,4.22,3.44,3.05,all P 〈0.05）.The complication after operation was lower in the observation group than in the control group （χ2 =10.197,P =0.001）.Conclusion Diabetic cataract patients take the microincision phacoemulsi-fication is safe and effective when patients could control the fasting blood -glucose well.As long as strengthening preoperative preparation and postoperative observation treatment can obtain good effect.
出处
《中国基层医药》
CAS
2016年第23期3605-3608,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
超声乳化
微切口
糖尿病性白内障
Bounce emulsification
Micro -incision
Diabetic cataract
