超声乳化术与小切口非超声乳化术治疗白内障疗效比较  

Comparison of Phacoemulsification and Small Incision Non-phacoemulsification in the Treatment of Cataract

作　　者：张云 孙玉亮 王斌 ZHANG Yun;SUN Yu-liang;WANG Bin(Department of Ophthalmology,Municipal Oriental Hospital,Lianyungang,Jiangsu Province,222042 China)

机构地区：[1]江苏省连云港市市立东方医院眼科,江苏连云港222042

出　　处：《中外医疗》2020年第19期29-31,共3页China & Foreign Medical Treatment

摘　　要：目的对比白内障患者应用超声乳化术与小切口非超声乳化术治疗的临床效果。方法随机选取该院2018年1月—2019年10月收治的60例白内障患者分为两组进行研究,对照组30例,实验组30例。对照组给予小切口非超声乳化术治疗,实验组给予超声乳化术治疗,对比两组临床疗效、泪液分泌试验、泪膜破裂时间及并发症发生情况。结果实验组临床总有效率为93.33%,对照组临床总有效率为73.33%,实验组显著高于对照组(χ^2=4.320,P<0.05)。实验组治疗前泪液分泌试验、泪膜破裂时间分别为(2.65±0.41)min、(4.25±0.34)s,对照组数据分别为(2.64±0.44)min、(4.31±0.32)s,组间差异无统计学意义(t=0.090、0.700,P>0.05);实验组治疗后泪液分泌试验、泪膜破裂时间分别为(5.45±0.63)min、(7.23±0.56)s,对照组数据分别为(2.56±0.53)min、(5.64±0.53)s,实验组显著优于对照组(t=19.230、11.290,P<0.05)。实验组并发症发生率为3.33%,对照组并发症发生率为23.33%,实验组显著低于对照组(χ^2=5.190,P<0.05)。结论超声乳化术治疗白内障的效果更加显著,延长了泪膜破裂时间,降低了并发症发生率,具有一定的临床价值。Objective To compare the clinical effects of phacoemulsification and small incision non-phacoemulsification in cataract patients.Methods Sixty cataract patients admitted to the hospital from January 2018 to October 2019 were randomly selection divided into two groups for study,30 cases in the control group and 30 cases in the experimental group.The control group was given small incision non-phacoemulsification treatment,and the experimental group was given phacoemulsification treatment to compare the clinical efficacy,tear secretion test,tear film rupture time and complications of the two groups.Results The total clinical effective rate of the experimental group was 93.33%,and the total clinical effective rate of the control group was 73.33%.The experimental group was significantly higher than the control group(χ^2=4.320,P<0.05).The tear secretion test and tear film rupture time of the experimental group before treatment were(2.65±0.41)min and(4.25±0.34)s,and the control group data were(2.64±0.44)min and(4.31±0.32)s,the difference between groups were not statistical significance(t=0.090,0.700,P>0.05);the tear secretion test and tear film rupture time of the experimental group were(5.45±0.63)min,(7.23±0.56)s,and the control group data were(2.56±0.53)min,(5.64±0.53)s,the experimental group was significantly better than the control group(t=19.230,11.290,P<0.05).The incidence of complications in the experimental group was 3.33%,and the incidence of complications in the control group was 23.33%.The experimental group was significantly lower than the control group(χ^2=5.190,P<0.05).Conclusion Phacoemulsification is more effective in treating cataracts,prolongs the tear film rupture time,reduces the incidence of complications,and has extremely high clinical promotion value.

关 键 词：白内障 超声乳化术 小切口非超声乳化术 临床疗效 

分 类 号：R779[医药卫生—眼科]