超声乳化联合蓝光滤过型人工晶状体植入术对白内障患者术后视功能康复及睡眠质量的影响  

Effect of phacoemulsification combined with blue light filtering intraocular lens implantation on postoperative visual function rehabilitation and sleep quality in cataract patients

作　　者：李兵兵 赵斐 丁均 LI Bingbing;ZHAO Fei;DING Jun(Department of Ophthalmology,Danjiangkou First Hospital,Shiyan,Hubei,442700,China)

机构地区：[1]丹江口市第一医院眼科,湖北十堰442700

出　　处：《当代医学》2024年第19期90-94,共5页Contemporary Medicine

摘　　要：目的探讨超声乳化联合蓝光滤过型人工晶状体植入术对白内障患者术后视功能康复及睡眠质量的影响。方法选取2019年5月至2022年5月丹江口市第一医院收治的500例白内障患者作为研究对象,按照随机数字表法分为对照组与观察组,每组250例。对照组予以小切口白内障囊外摘除+人工晶状体植入术治疗,观察组予以超声乳化联合蓝光滤过型人工晶状体植入术治疗。比较两组视功能、图形视觉诱发电位、眼压及前房角变化、睡眠质量、生命质量及并发症发生情况。结果术后,观察组角膜散光低于对照组,视力大于对照组,差异有统计学意义(P<0.05);术后,观察组高空间频率P100波振幅、低空间频率P100波振幅均高于对照组,高空间频率P100波潜时、低空间频率P100波潜时均低于对照组,差异有统计学意义(P<0.05);术后,观察组眼压低于对照组,前房角大于对照组(P<0.05);术后,观察组生理、心理、社会、环境评分均高于对照组,差异有统计学意义(P<0.05);两组匹兹堡睡眠质量指数比较差异无统计学意义。观察组并发症发生率为5.20%,低于对照组的10.40%,差异有统计学意义(P<0.05)。结论超声乳化联合蓝光滤过型人工晶状体植入术治疗白内障效果更佳,能加快患者视功能恢复,改善图形视觉诱发电位变化,提高术后生命质量,且不会影响患者睡眠质量,安全可靠。Objective To investigate the clinical effect of phacoemulsification combined with blue light filtering intraocular lens implantation on postoperative visual function rehabilitation and sleep quality in cataract patients.Methods A total of 500 cataract patients admitted to the Danjiangkou First Hospital from May 2019 to May 2022 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 250 cases in each group.The control group was treated with small incision extracapsular cataract extraction+intraocular lens implantation,and the observation group was treated with phacoemulsification combined with blue light filtering intraocular lens implantation.The visual function,pattern visual evoked potential,intraocular pressure,anterior chamber angle,sleep quality,life quality and complications were compared between the two groups.Results After operation,the corneal astigmatism in the observation group was lower than that in the control group,and the visual acuity was higher than that in the control group,the differences were statistically significant(P<0.05);after operation,the amplitude of P100 wave with high spatial frequency and the amplitude of P100 wave with low spatial frequency in the observation group were higher than those in the control group,and the latency of P100 wave with high spatial frequency and the latency of P100 wave with low spatial frequency were lower than those in the control group,the differences were statistically significant(P<0.05);after operation,the intraocular pressure in the observation group was lower than that in the control group,and the anterior chamber angle was larger than that in the control group,the differences were statistically significant(P<0.05);after operation,the scores of physiology,psychology,society and environment in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);there was no significant difference in

关 键 词：白内障 超声乳化 人工晶状体植入术 视功能 睡眠质量 

分 类 号：R779.66[医药卫生—眼科]