摘要
目的探讨小切口非超声乳化白内障手术对硬核白内障患者散光控制情况的影响。方法选取寿光市中医医院2017年1月至2019年12月收治的硬核白内障患者102例为研究对象,采用随机数字表法分为对照组51例、观察组51例。对照组应用超声乳化白内障手术治疗,观察组应用小切口非超声乳化白内障手术治疗,对比两种手术方法对散光控制情况的影响。结果两组患者术后视力均改善,两组改善程度差异无统计学意义(P>0.05)。观察组角膜散光度低于对照组[(0.92±0.26)D比(1.32±0.55)D](t=20.463,P<0.05);观察组术后前房出血、巩膜受损、角膜水肿及房水闪辉发生率分别为1.9%、0.0%、2.9%、1.9%,均低于对照组的5.8%、3.9%、13.7%、9.8%(χ^(2)=4.995、6.045、5.337、5.137,均P<0.05);观察组患者的满意度为94.1%(48/51),高于对照组的80.3%(41/51)(χ^(2)=6.356,P<0.05)。结论应用小切口非超声乳化白内障手术治疗硬核白内障有满意的效果,能够更好地对散光现象进行控制,同时降低术后并发症发生率,提高患者的满意度。
Objective To investigate the effect of small-incision non-phacoemulsification cataract surgery on astigmatism control in patients with dense nuclear cataract.Methods A total of 102 patients with dense nuclear cataract who received treatment in Shouguang Hospital of Traditional Chinese Medicine from January 2017 to December 2019 were included in this study.They were randomly assigned to undergo phacoemulsification cataract surgery(control group,n=51)or small-incision non-phacoemulsification cataract surgery(observation group,n=51).The effect of two surgery methods on astigmatism control was compared.Results Visual acuity after cataract surgery improved in the two groups.There was no significant difference in visual acuity improvement between the control and observation groups(P>0.05).The corneal astigmatism in the observation group was significantly lower than that in the control group[(0.92±0.26)D vs.(1.32±0.55)D,t=20.463,P<0.05].After surgery,the incidences of hyphema,scleral damage,corneal edema,and aqueous flare in the observation group were 1.9%,0.0%,2.9%and 1.9%,respectively,which were significantly lower than 5.8%,3.9%,13.7%and 9.8%respectively in the control group(χ^(2)=4.995,6.045,5.337 and 5.137,all P<0.05).Patient satisfaction in the observation group was significantly higher than that in the control group[94.1%(48/51)vs.80.3%(41/51),χ^(2)=6.356,P<0.05].Conclusion Small-incision non-phacoemulsification cataract surgery in the treatment of dense nucleus cataract has a satisfactory effect because it can better control astigmatism,reduce the incidence of postoperative complications,and improve patient satisfaction than phacoemulsification cataract surgery.
作者
张海涛
Zhang Haitao(Department of Ophthalmology,Shouguang Hospital of Traditional Chinese Medicine,Shouguang 262700,Shandong Province,China)
出处
《中国基层医药》
CAS
2021年第2期263-266,共4页
Chinese Journal of Primary Medicine and Pharmacy
