不同白内障超声乳化术切口对糖尿病患者术后眼表的影响  

Effect of Different Incision of Phacoemulsification on Ocular Surface of Diabetic Patients

作　　者：苏琪[1] 张新[1] 赵燕[1] 程玉瑛[1] 宋耕[1] 张骞颖 SU Qi;ZHANG Xin;ZHAO Yan(The First Hospital of Hebei Medical University, Hebei Shijiazhuang 050031, China)

机构地区：[1]河北医科大学第一医院眼科,河北石家庄050031

出　　处：《河北医学》2021年第5期794-799,共6页Hebei Medicine

基　　金：河北省医学科学研究重点课题,(编号:20180206)。

摘　　要：目的:研究不同白内障超声乳化术切口对糖尿病患者术后眼表的影响。方法:以纳入我院收治的120例糖尿病合并白内障患者为研究对象,均接受超声乳化术。将患者分为三组各40例40眼,A组采取角巩膜缘切口,B组采取上方透明角膜切口,C组采取颞侧透明角膜切口。术前及术后1、7、14、30d对所有患者进行干眼症状评分、角膜荧光素染色(FL)评分及泪膜破裂时间(BUT)、基础泪液分泌试验(SIt)研究。结果:三组术后的干眼症状评分上升,BUT缩短,FL评分增高,SIt降低。并且A组术后的指标恢复均显著优于B组和C组(均P<0.05)。结论:超声乳化术中采取角巩膜缘切口对泪膜稳定性影响较小,安全性较好。Objective:To study the effect of different phacoemulsification incision on ocular surface of diabetic patients.Methods:120 cases of diabetic patients with cataract in our hospital were selected as the research object,all of them received phacoemulsification.The patients were divided into three groups,40 cases and 40 eyes in each group.Group A was treated with limbal incision,group B was treated with upper clear corneal incision,and group C was treated with temporal clear corneal incision.Dry eye symptom score,corneal fluorescein staining(FL)score,tear film break-up time(but)and basic tear secretion test(SIT)were evaluated before operation and 1,7,14,30 days after operation.Results:Postoperative dry eye symptom scores increased,BUT shortened,FL score increased,and SIt decreased in all three groups.In addition,postoperative index recovery of group A was significantly better than that of group B and Group C(both P<0.05).Conclusion:In phacoemulsification,corneoscleral incision has little effect on tear film stability and good safety.

关 键 词：白内障 超声乳化术 角巩膜缘切口 上方透明角膜切口 颞侧透明角膜切口 

分 类 号：R47[医药卫生—护理学]