小切口非超声乳化术和超声乳化术治疗白内障合并青光眼的临床效果分析  

Clinical effect analysis of small incision non-phacoemulsification cataract surgery and phacoemulsification surgery in the treatment of cataract complicated with glaucoma

作　　者：杨慧 YANG Hui(Heze Home Economics Vocational College,Heze 274300,China)

机构地区：[1]菏泽家政职业学院,274300

出　　处：《中国实用医药》2022年第22期78-81,共4页China Practical Medicine

摘　　要：目的比较分析白内障合并青光眼患者应用小切口非超声乳化术和超声乳化术治疗的临床效果。方法60例白内障合并青光眼患者,随机分为对照组和观察组,每组30例。对照组患者接受超声乳化术治疗,观察组患者接受小切口非超声乳化术治疗。比较两组患者治疗前后视力水平、眼部临床指标及眼压水平、并发症发生情况、生活质量评分。结果观察组治疗前后的视力分别为(0.29±0.01)、(0.64±0.08),与对照组的(0.31±0.06)、(0.65±0.05)比较差异均无统计学意义(P>0.05);治疗后,两组患者的视力水平均高于治疗前,差异具有统计学意义(P<0.05)。治疗后,两组患者的中央前房深度、周边前房深度以及房角开放度均明显大于治疗前,且观察组患者的中央前房深度(3.51±0.06)mm、周边前房深度(4.04±0.31)mm以及房角开放度(36.45±8.26)°均明显大于对照组的(2.28±0.04)mm、(3.19±0.30)mm、(30.29±7.88)°,差异具有统计学意义(P<0.05)。两组患者的眼压水平以及并发症发生率比较差异均无统计学意义(P>0.05)。观察组患者生活质量中物质生活、生理功能、心理功能、社会功能评分及总分分别为(50.24±8.53)、(60.97±8.15)、(75.36±10.51)、(76.92±9.59)、(68.33±8.51)分,均高于对照组的(48.32±8.81)、(48.65±8.33)、(60.45±11.72)、(61.64±9.36)、(58.77±6.35)分,差异具有统计学意义(P<0.05)。结论白内障合并青光眼患者采用小切口非超声乳化术和超声乳化术治疗均有确切疗效,患者的视力均能得到有效提升,且均未造成明显的并发症,安全性较高。但小切口非超声乳化术治疗对患者造成的损伤较小,患者的恢复更快,预后生活质量更佳,值得广泛应用。Objective To compare and analyze the clinical effect of small incision nonphacoemulsification cataract surgery and phacoemulsification surgery in the treatment of cataract complicated with glaucoma.Methods A total of 60 patients with cataract and glaucoma were randomly divided into control group and observation group,with 30 cases in each group.Patients in the control group received phacoemulsification surgery,and patients in the observation group received small incision non-phacoemulsification cataract surgery.The visual acuity and ocular clinical indicators before and after treatment,intraocular pressure level,occurrence of complications,and quality of life scores were compared between the two groups.Results The visual acuity of the observation group before and after treatment were(0.29±0.01)and(0.64±0.08),and the differences were not statistically significant compared with(0.31±0.06)and(0.65±0.05)of the control group(P>0.05).After treatment,the visual acuity of the two groups were higher than those of this group before treatment,and the difference was statistically significant(P<0.05).After treatment,the central anterior chamber depth,peripheral anterior chamber depth and chamber angle opening of the two groups were significantly greater than those of this group before treatment;the central anterior chamber depth(3.51±0.06)mm,peripheral anterior chamber depth(4.04±0.31)mm and chamber angle opening(36.45±8.26)°in the observation group were significantly greater than(2.28±0.04)mm,(3.19±0.30)mm and(30.29±7.88)°in the control group;the differences were statistically significant(P<0.05).There was no statistically significant difference in intraocular pressure and the incidence of complications between the two groups(P>0.05).The scores of material life,physiological function,psychological function,social function and total scores of the observation group were(50.24±8.53),(60.97±8.15),(75.36±10.51),(76.92±9.59),and(68.33±8.51)points,which were higher than(48.32±8.81),(48.65±8.33),(60.45±11.72),(61

关 键 词：白内障合并青光眼 小切口非超声乳化术 超声乳化术 

分 类 号：R779.66[医药卫生—眼科]