老年白内障患者术后眼压升高相关影响因素分析  

Analysis of related influencing factors of postoperative elevated intraocular pressure in elderly cataract patients

作　　者：张琼[1] 朴勇虎[1] ZHANG Qiong;PU Yonghu(Cataract Zone 3,Zhengzhou Second Hospital,Zhengzhou,Henan 450052,China)

机构地区：[1]郑州市第二人民医院白内障三病区,河南郑州450052

出　　处：《现代医药卫生》2024年第22期3884-3887,3892,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨老年白内障手术患者术后眼压升高的影响因素。方法采用整群抽样方式选取2020年6月至2023年6月该院眼科收治的进行手术治疗的老年白内障患者182例作为研究对象,经医院电子病历系统收集相关资料,分析老年白内障手术患者术后眼压升高的影响因素。结果182例患者中术后眼压升高16例(8.79%)。不同年龄、眼部炎症反应、手术时间、合并基础疾病、术后眼压波动、晶状体皮质或黏弹剂残留患者术后眼压升高发生率比较,差异均有统计学意义(P<0.05);不同病程、使用糖皮质激素、性别、高度近视、术眼、遗传史患者术后眼压升高发生率比较,差异均无统计学意义(P>0.05);年龄大于或等于70岁、手术时间大于或等于3 h、有眼部炎症反应、术后眼压波动大于或等于8 mm Hg、合并基础疾病、有晶状体皮质或黏弹剂残留是老年白内障手术患者术后发生眼压升高的危险因素,差异均有统计学意义(P<0.05)。结论老年白内障手术患者术后眼压升高与年龄、眼部炎症反应、手术时间、合并基础疾病、术后眼压波动、晶状体皮质或黏弹剂残留有关。Objective To explore the influencing factors of postoperative elevated intraocular pressure in elderly cataract patients.Methods A total of 182 elderly cataract patients who underwent surgery in the hospital from June 2020 to June 2023 were selected by cluster sampling method.The relevant data were collected through the hospital's electronic medical record system to analyze the influencing factors of postoperative elevated intraocular pressure in the elderly cataract patients.Results In 182 elderly cataract patients,16 cases(8.79%)had postoperative elevated intraocular pressure.There were significant differences in the incidence of postoperative elevated intraocular pressure among the patients with different ages,ocular inflammatory reaction,operation time,combined basic diseases,postoperative intraocular pressure fluctuation and residual lens cortex or viscoelastic agent(P<0.05).There was no significant difference in the incidence of postoperative elevated intraocular pressure among the patients with different course of disease,glucocorticoid use,sex,high myopia,surgical eyes and genetic history(P>0.05).Age greater than or equal to 70 years,operation time greater than or equal to three hours,ocular inflammatory reaction,postoperative intraocular pressure fluctuation greater than or equal to 8 mmHg,combined with basic diseases,lens cortex or viscoelastic residue were the risk factors for postoperative elevated intraocular pressure in the elderly cataract patients,and the differences were statistically significant(P<0.05).Conclusion The postoperative elevated intraocular pressure in the elderly cataract patients is related to age,ocular inflammatory response,operation time,underlying diseases,postoperative intraocular pressure fluctuation,and lens cortex or viscoelastic residue.

关 键 词：老年白内障 眼压升高 白内障超声乳化术 眼部炎症反应 眼压波动 

分 类 号：R779.66[医药卫生—眼科]