糖化血红蛋白水平对糖尿病性白内障术后预后的影响  

Effect of glycosylated hemoglobin level on the prognosis of patients with diabetic cataract

作　　者：王友沛[1] 庞玲霞[2] 顾云峰[1] 陈鼎[3] 郑美琴[1] 

机构地区：[1]温州医科大学附属眼视光医院检验科,浙江温州325027 [2]温州医科大学基础医学院,浙江温州325035 [3]温州医科大学附属眼视光医院白内障专科,浙江温州325027

出　　处：《温州医科大学学报》2016年第6期451-453,共3页Journal of Wenzhou Medical University

基　　金：温州市科技局科技计划项目(Y20130155)

摘　　要：目的:探讨糖化血红蛋白(Hb A1c)与糖尿病性白内障患者术后眼前段反应及处理的关系。方法:选取92例糖尿病性白内障患者,术前检测Hb A1c值,其中A组49例Hb A1c≥9%,B组43例Hb A1c<9%,C组90例年龄相关性白内障患者作为对照。所有患者行白内障超声乳化联合人工晶状体植入手术,计算等效超声乳化时间(EPT),并比较术后眼前段反应及处理情况。结果:3组EPT比较差异无统计学意义(P>0.05);B组和C组术后眼前段反应及处理情况,差异无统计学意义(P>0.05);与B组和C组比,A组术后眼前段反应及处理情况差异有统计学意义(均P<0.05)。结论:术前Hb A1c的测定对糖尿病性白内障患者手术时间的选择有指导作用。Objective： To investigate the relationship between the HbAlc and the treatment of patients with diabetic cataract. Methods： Ninety-two cases of diabetic cataract patients were selected, HbAlc values were preoperatively detected, of which 49 cases of HbA 1 c ≥ 9% （group A）, another 43 cases of HbA 1 c〈9% （group B）; 90 patients with age-related cataract were selected as the control group （group C）. All patients underwent phaco- emulsification combined with intraocular lens implantation. Calculate equivalent phaeo time （EPT）, and compare the reaction and the treatment of the anterior segment. Results： There was no significant difference in EPT between the 3 groups （P〉0.05）. The reaction and treatment of the anterior segment between the B group and the C group were no significant difference （P〉0.05）. The reaction and the treatment of the A group were significantly different from those of the B group and the C group （all P〈0.05）. Conclusion： The preoperative determination of HbAlc in patients with diabetic cataract has a guiding role in the choice of operation time.

关 键 词：糖化血红蛋白 糖尿病 白内障 预后 

分 类 号：R776.1[医药卫生—眼科]