摘要
目的对比分析糖尿病合并年龄相关性白内障与年龄相关性白内障术后并发症等情况。方法回顾性分析本院收治的60例年龄相关性白内障患者的临床资料,根据是否合并糖尿病分为两个研究组别,对照组为24例(共27只患眼)糖尿病合并年龄相关性白内障患者,观察组为36例(共40只患眼)单纯年龄相关性白内障患者。两组均接受白内障超声乳化摘除术联合人工晶状体植入术治疗。对比术后最佳矫正视力、并发症发生情况、切口愈合情况。结果两组患者术后1周、1个月以及3个月的最佳矫正视力都无明显差异性(P>0.05),术后1周的并发症发生率相比,观察组更低,持续随访一个月,观察组切口愈合不良率更低(P<0.05)。结论并糖尿病的年龄相关性白内障会增加术后并发症发生风险,同时不利于切口愈合,需于术前积极控制血糖,做好术前准备,选择最佳手术时机,以积极改善预后。
Objective To compare and analyze about diabetes complicated with age-related cataract and postoperative complications of age-related cataract.Methods The clinical data of 60 patients with age-related cataract admitted to our hospital were retrospectively analyzed.According to whether they were complicated with diabetes,they were divided into two groups.The control group was 24 patients(27 eyes in total)of diabetes patients with age-related cataract,and the observation group was 36 patients(40 eyes in total)with simple age-related cataract.Both groups received phacoemulsification combined with intraocular lens implantation.The best corrected visual acuity,incidence of complications and wound healing were compared.Results There was no significant difference in the best corrected visual acuity at 1 week,1 month and 3 months after operation between the two groups(P>0.05).The incidence of complications at 1 week after operation was lower in the observation group than that in the observation group.The rate of poor wound healing was lower in the observation group after one month of continuous follow-up(P<0.05).Conclusion Age-related cataract with diabetes will increase the risk of postoperative complications,and it is not conducive to wound healing.It is necessary to actively control blood sugar before operation,make good preparation before operation,and select the best operation time to improve the prognosis.
作者
杨妮
谭运莉
盛丹泓
王学明
YANG Ni;TAN Yunli;SHENG Danhong;WANG Xueming(Department of Ophthalmology,Korla Hospital of the Second Division of Xinjiang Production and Construction Corps,Korla,Xinjiang,841000,China)
出处
《新疆医学》
2023年第10期1230-1232,1244,共4页
Xinjiang Medical Journal
