摘要
目的通过使用开发【白内障手术效果监控管理系统】软件应用,来有效地防治白内障手术并发症,进一步提高白内障手术质量并评价该软件临床应用价值。方法在Windows XP操作系统下,使用Microsoft Visual FoxPro6．0关系数据库管理系统作为开发工具,采用面向对象的编程方法开发的数据库管理软件。并采用此系统管理软件对安徽省立医院眼科2000年1月1日至2002年12月31日三年住院的老年性白内障手术病例,进行多项数据统计分析。结果采用研发【白内障手术效果监控管理系统】,十分方便对安徽省立医院眼科近三年住院的老年性白内障手术患者902例,951只眼进行多项数据统计分析。其结果是：脱盲率为98．42％,脱残率为89．70％,人工晶体植入率为95．47％。82．96％白内障手术后矫正视力≥0．5,白内障手术并发症发生率35．96％,其手术并发症主要为角膜水肿、后囊混浊及屈光不正等。三年中每年的白内障手术方法进行分析。白内障超声乳化吸除术+人工晶体植入术逐年增加,并且其手术并发症呈逐年下降趋势。结论应用【白内障手术效果监控管理系统】对白内障手术患者能进行快速统计,并对手术效果及影响手术效果因素进行自动分析,将这些信息反馈给手术者,及时采用相应措施,从而有效地防治白内障手术并发症,进一步提高白内障手术质量。
Objective By programming and applying the computerized administration system of monitoring outcome of cataract surgery,surgery complication are effectively avoided and treated.The clinical application of the administration system is evaluated.Meth- ods In Windows XP,the software is programmed with Microsoft Visual FoxPro 6.0.Senile surgery cataract cases that were hospitalized in ophthalmology department of Anhui Provincial Hospital between Jan 1,2000 and Dec 31,2002 were statistically analyzed.Results By the computerized administration system of monitoring outcome of cataract surgery,cataract surgery was conveniently analyzed.In these cases, the rate of detaching blindness was 98.42%,the rate of detaching disability was 89.70%,the rate of intraocular lens implantation was 95.47%.After surgery,the corrected visual acuity of 0.5 or better was 82.96%.The rate of operative complication was 35.96%,the main operative complication were corneal edema,posterior capsule opacification(PCO) and ametropia et aL Within complication decrease.Con- clusions Because of the application of the administration system,cataract surgery cases were quickly calculated statistically,surgery out- come and interrelated factors were analyzed.Surgeons were feed back.So surgery complications and quality of surgery was improved.
出处
《实用防盲技术》
2006年第3期13-16,共4页
Journal of Practical Preventing Blind
关键词
白内障摘除术
治疗结果
组织和管理
计算机
Cataract extraction
Treatment outcome
Organization and administration
Computer
