青光眼滤过性手术围手术期眼压与疗效的关系分析  

Analysis of the Relationship between Glaucoma Filtration Surgery and Perioperative IOP Efficacy

作　　者：宋昱[1] 

机构地区：[1]江苏省泰州市中医院眼科,江苏泰州225300

出　　处：《中外医疗》2016年第31期91-93,共3页China & Foreign Medical Treatment

摘　　要：目的探析青光眼滤过性手术围手术期眼压与疗效的关系。方法随机选取该院2012年1月—2015年1月收治的青光眼患者需手术的60只眼,术前已经进行了药物降眼压治疗,根据围手术期眼压高低及前房深浅情况分为A组和B组,各为30只眼,比较两组术前术后眼压变化及临床效果。结果 A组术后眼压(14.5±2.2)mm Hg,视力(0.3±0.2),周边前房深度>1/3CT^2/3CT,B组术后眼压(18.4±3.1)mm Hg,视力(0.2±0.1),周边前房深度1/4CT^2/3CT mm,两组比较差异有统计学意义,P<0.05;A组并发症发生率3.33%与B组20.0%比较差异有统计学意义,P<0.05。结论临床上对于青光眼的治疗最为常见手术方式为滤过性手术,而其手术效果具有可控性,在围术期控制好眼压,可提高治疗效果,提高预后。Objective Of glaucoma filtration surgery perioperative intraocular pressure and effect relationship. Methods Random selection our hospital in January 2012 to January 2015 angle closure glaucoma were treated 60 eyes required surgery, according to perioperative intraocular pressure and anterior chamber were divided into groups A and B, each 30 eyes, two group were taken trabeculectomy treatment, A group administered perioperative IOP lowering treatment, conventional treatment group B were compared preoperative and postoperative intraocular pressure changes and clinical effect.Results A postoperative intraocular pressure（14.5±2.2） mm Hg, visual acuity（0.3±0.2）, peripheral anterior chamber depth1/3CT - 2/3CT, IOP in group B（18.4±3.1） mm Hg, visual acuity（0.2±0.1）, peripheral anterior chamber depth 1/4CT- 2/3CT mm, the difference was significant, P〈0.05; A complication rate of 3.33% compared with group B 20.0% significant difference, P〈0.05. Conclusion Clinically for the treatment of glaucoma, the most common surgical procedure for the filtering operation, and its results of operations controllable, perioperative control the intraocular pressure, can improve the therapeutic effect and improve the prognosis.

关 键 词：青光眼 滤过性手术 围手术期眼压 疗效 

分 类 号：R774[医药卫生—眼科]