中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
8期
584-587
,共4页
焦晓玉%暴静玲%杨家鹏%徐萍
焦曉玉%暴靜玲%楊傢鵬%徐萍
초효옥%폭정령%양가붕%서평
曲安奈德%前房注射%白内障,并发性%超声乳化%植入,晶状体,人工
麯安奈德%前房註射%白內障,併髮性%超聲乳化%植入,晶狀體,人工
곡안내덕%전방주사%백내장,병발성%초성유화%식입,정상체,인공
Triamcinolone acetonide%Injection,anterior chamber%Cataract,complicated%phacoemulsification%Implantation,lens,intraocular
目的 探讨小剂量曲安奈德在葡萄膜炎并发性白内障及糖尿病性白内障手术中的应用和临床效果.方法 将43例(48眼)葡萄膜炎并发白内障及糖尿病性白内障随机分为两组:试验组21例(24眼)行晶状体超声乳化吸出人工晶状体植入术,手术完成后前房内注入曲安奈德0.1ml(1 mg).对照组22例(24眼)行超声乳化吸出人工晶状体植入术,手术完成后前房内不注入曲安奈德,观察并对比两组术后前房渗出、眼压变化、后囊浑浊及视力恢复情况.结果 试验组与对照组术后1d、2d、3d视力比较差异有统计学意义(x2=5.371,P=0.020).试验组与对照组术后前房渗出比较差异有统计学意义(x2=4.269,P=0.039).术后后囊浑浊两组间差异有统计学意义(x2=4.547,P=0.033).两组术后眼压均在正常范围,两组间差异无统计学意义(t=0.345,P=0.551).结论 并发性白内障手术完成后前房内注射曲安奈德与对照组比较,术后视力恢复快,前房渗出与后囊浑浊明显减轻,曲安奈德对眼压无明显影响,无明显并发症发生.
目的 探討小劑量麯安奈德在葡萄膜炎併髮性白內障及糖尿病性白內障手術中的應用和臨床效果.方法 將43例(48眼)葡萄膜炎併髮白內障及糖尿病性白內障隨機分為兩組:試驗組21例(24眼)行晶狀體超聲乳化吸齣人工晶狀體植入術,手術完成後前房內註入麯安奈德0.1ml(1 mg).對照組22例(24眼)行超聲乳化吸齣人工晶狀體植入術,手術完成後前房內不註入麯安奈德,觀察併對比兩組術後前房滲齣、眼壓變化、後囊渾濁及視力恢複情況.結果 試驗組與對照組術後1d、2d、3d視力比較差異有統計學意義(x2=5.371,P=0.020).試驗組與對照組術後前房滲齣比較差異有統計學意義(x2=4.269,P=0.039).術後後囊渾濁兩組間差異有統計學意義(x2=4.547,P=0.033).兩組術後眼壓均在正常範圍,兩組間差異無統計學意義(t=0.345,P=0.551).結論 併髮性白內障手術完成後前房內註射麯安奈德與對照組比較,術後視力恢複快,前房滲齣與後囊渾濁明顯減輕,麯安奈德對眼壓無明顯影響,無明顯併髮癥髮生.
목적 탐토소제량곡안내덕재포도막염병발성백내장급당뇨병성백내장수술중적응용화림상효과.방법 장43례(48안)포도막염병발백내장급당뇨병성백내장수궤분위량조:시험조21례(24안)행정상체초성유화흡출인공정상체식입술,수술완성후전방내주입곡안내덕0.1ml(1 mg).대조조22례(24안)행초성유화흡출인공정상체식입술,수술완성후전방내불주입곡안내덕,관찰병대비량조술후전방삼출、안압변화、후낭혼탁급시력회복정황.결과 시험조여대조조술후1d、2d、3d시력비교차이유통계학의의(x2=5.371,P=0.020).시험조여대조조술후전방삼출비교차이유통계학의의(x2=4.269,P=0.039).술후후낭혼탁량조간차이유통계학의의(x2=4.547,P=0.033).량조술후안압균재정상범위,량조간차이무통계학의의(t=0.345,P=0.551).결론 병발성백내장수술완성후전방내주사곡안내덕여대조조비교,술후시력회복쾌,전방삼출여후낭혼탁명현감경,곡안내덕대안압무명현영향,무명현병발증발생.
Objective To investigate clinical effect of small dose triamcinolone acetonide in uveitis complicated cataract and diabetic cataract operation application.Methods In 43 cases (48 eyes) of uveitis complicated cataract and diabetic cataract were randomly divided into two groups:test group 21 cases (24eyes) cataract phacoemulsification and intraocular lens implantation after the completion of the operation,anterior chamber injection of triamcinolone acetonide 0.1 ml (1 mg).A control group of 22 cases (24 eyes)in phacoemulsification and intraocular lens implantation,after the completion of the operation of anterior chamber no injection of triamcinolone acetonide,we observed and compared the two groups of postoperative anterior chamber exudative,posterior capsular opacification,intraocular pressure changes and visua acuity recovery.Results In the trial group and control group after 1 D,2 D,3 D visual comparison,the difference was statistically significant (x2=5.371,P=0.020).The test group and the control group the postoperative anterior chamber exudative had asignificant difference (x2=4.269,P=0.039).Postoperative posterior capsule opacity of the difference between the two groups was significant (x2 =4.547,P =0.033 ).Two groups of postoperative intraocular pressure in the normal range,the difference between the two groups was not statistically significant ( t=0.345,P=0.551).Conclusion Cataract operation after completion of the test group and anterior chamber injection of tramcinolone acetonide in comparison with the control group,postoperative visual acuity recovered rapidely.anterior chamber exudative and posterior capsular opacification is reduced apparently,triamcinolone acetonide on intraocular pressure had no significant effect,no obvious complication.
