超声乳化吸出联合人工晶体植入术对老年性白内障患者视功能的影响  

Effect of Phacoemulsification Combined with Intraocular Lens Implantation on Visual Function in Senile Cataract Patients

作　　者：赵爱云 ZHAO Aiyun(Department of Ophthalmology,Dongming County People’s Hospital,Heze 274600,China)

机构地区：[1]山东省东明县人民医院眼科,山东菏泽274600

出　　处：《中国伤残医学》2024年第16期66-69,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨超声乳化吸出联合人工晶体植入术对老年性白内障患者视功能的影响。方法:选择2022年3月—2024年1月东明县人民医院收治的60例老年性白内障患者为研究对象,按随机数字表法将其分为研究组和对照组,各30例。对照组采用小切口非超声乳化白内障摘除术联合人工晶状体植入术治疗,研究组采用超声乳化吸出联合人工晶体植入术治疗。比较两组临床疗效、视功能、泪膜功能及并发症发生情况。结果:研究组治疗总有效率90.00%高于对照组的66.67%,差异有统计学意义(P<0.05)。治疗后3个月,研究组视功能指数量表评分高于对照组,泪膜破裂时间长于对照组,干眼症状评分量表评分低于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率6.67%低于对照组的26.67%,差异有统计学意义(P<0.05)。结论:超声乳化吸出联合人工晶体植入术治疗老年性白内障患者可有效改善其视功能及泪膜功能,且并发症较少,临床效果较好,具有应用价值。Objective:To investigate the effect of phacoemulsification combined with intraocular lens implantation on visual function in senile cataract patients.Methods:Sixty patients with senile cataract treated in Dongming County People’s Hospital from March 2022 to January 2024 were selected as the study objects,and were divided into a study group and a control group according to random number table method,with 30 cases in each group.The control group was treated with small incision non-phacoemulsification cataract extraction combined with intraocular lens implantation,while the study group was treated with phacoemulsification combined with intraocular lens implantation.The clinical efficacy,visual function,tear film function and the accurrence of complications were compared between the two groups.Results:The total effective rate of the study group was 90.00%,higher than 66.67%of the control group,the difference was statistically significant(P<0.05).Three months after treatment,the Visual Fuction Index Scale score of the study group was higher than that of the control group,the tear Break-Up Time was longer than that of the control group,and the score of Standardized Dry Eye Symptom Assessment Form was lower than that of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 6.67%lower than 26.67%in the control group,the difference was statistically significant(P<0.05).Conclusion:Phacoemulsification combined with intraocular lens implantation can effectively improve the visual function and tear film function of senile cataract patients with fewer complications,it has good clinical effect,and has application value.

关 键 词：老年性白内障 超声乳化吸出 人工晶体植入术 视功能 

分 类 号：R77[医药卫生—眼科]