85岁以上老年白内障患者的围手术期处理  

Perioperative treatment of cataract patients aged 85 and over

作　　者：王梓[1] 李一壮[1] 陈晖[1] 卢善华[1] 

机构地区：[1]南京大学医学院附属鼓楼医院南京宁益眼科中心,江苏省南京市210008

出　　处：《实用老年医学》2008年第5期352-354,共3页Practical Geriatrics

摘　　要：目的探讨围手术期对≥85岁老年白内障患者进行综合因素处理的临床效果。方法对168例，208眼≥85岁老年白内障患者进行全面的术前检查、耐心的心理疏导和认真的术前准备后行小切口手法碎核白内障摘除联合人工晶状体植入术，观察术后视力，角膜内皮细胞等情况。结果术后1周，矫正视力〈0．05者11只眼（5．29％），0．05-0．1者10只眼（4．81％），0．1～0．4者72只眼（34．61％），≥0．5者115只眼（55．29％）。术后角膜内皮细胞平均丢失率为9．03％。结论对≥85岁老年白内障患者围手术期进行综合因素处理，可降低手术风险，提高手术效果。Objective To investigate the effects of comprehensive perioperative treatment on patients aged 85 and over. Methods Small-incision manual nuclear fragmentation cataract extraction with implantation of posterior chamber intraocular lens was performed on 208 eyes. The data of the postoperative vision and the count of the corneal endothelia cells were analyzed. Results The vision one week postoperatively was less than 0. 05 in 11 eyes （5. 29% ）, 0. 05 - 0. 1 in 10 eyes（4. 81% ）, 0. 1 -0. 4 in 72 eyes（34. 61% ） and 0. 5 or better than 0. 5 in 115 eyes （55.29%） respectively. The average loss of the count of corneal endothelial cells was 9. 03%. Conclusions Comprehensive perioperative treatment on cataract patients aged 85 and over can lower the risk of cataract surgery, and enhance the effectiveness of the surgery.

关 键 词：白内障 围手术期处理 小切口 手法碎核 角膜内皮细胞 

分 类 号：R779.66[医药卫生—眼科] R619[医药卫生—临床医学]