医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2013年
7期
1393-1395
,共3页
近视%超声乳化白内障吸除术%晶体 ,人工%眼内压
近視%超聲乳化白內障吸除術%晶體 ,人工%眼內壓
근시%초성유화백내장흡제술%정체 ,인공%안내압
Myopia%Phacoemulsification%Lenses,Intraocular%Intraocular Pressure
[目的]探讨近视程度与白内障超声乳化联合人工晶体植入术后眼压变化的相关性。[方法]将115例（130只眼）接受超声乳化联合人工晶体植入术治疗的老年性白内障患者按眼轴长度分成非近视组（NM组）、低度近视组（LM组）和高度近视组（HM组），分别检测3组术前、术后4 h、8 h、12 h、24 h、48 h、72 h眼压并进行统计学分析。[结果]3组术后4h时眼压值均较术前轻度升高，至8h时差异已有显著性（P ＜0．05），12 h时眼压值开始回落，24 h时 NM 组和 LM 组眼压值已接近术前水平，且差异无显著性（ P ＞0．05），而HM组仍明显高于术前水平，差异有显著性（P ＜0．05）。HM组术后8h、12h、24h眼压均显著高于NM组和LM组，差异均有统计学意义（ P＜0．05），而NM 组和LM组各时间点眼压比较差异均无显著性（ P ＞0．05）。LM组、HM组术后8 h、12 h眼压与术前眼压均呈显著正相关（LM 组：r8h ＝0．48，P ＝0．021， r12h ＝0．42，P ＝0．025；HM组：r8h＝0．52，P ＝0．018，r12h ＝0．49，P ＝0．020）。此外，HM组术后24 h眼压与术前眼压亦呈显著正相关（r24h ＝0．61，P＝0．015）。[结论]近视程度与白内障超声乳化联合人工晶体植入术后眼压变化存在明显相关性，近视程度越高及术前眼压越高者，术后早期眼压越容易升高。
[目的]探討近視程度與白內障超聲乳化聯閤人工晶體植入術後眼壓變化的相關性。[方法]將115例（130隻眼）接受超聲乳化聯閤人工晶體植入術治療的老年性白內障患者按眼軸長度分成非近視組（NM組）、低度近視組（LM組）和高度近視組（HM組），分彆檢測3組術前、術後4 h、8 h、12 h、24 h、48 h、72 h眼壓併進行統計學分析。[結果]3組術後4h時眼壓值均較術前輕度升高，至8h時差異已有顯著性（P ＜0．05），12 h時眼壓值開始迴落，24 h時 NM 組和 LM 組眼壓值已接近術前水平，且差異無顯著性（ P ＞0．05），而HM組仍明顯高于術前水平，差異有顯著性（P ＜0．05）。HM組術後8h、12h、24h眼壓均顯著高于NM組和LM組，差異均有統計學意義（ P＜0．05），而NM 組和LM組各時間點眼壓比較差異均無顯著性（ P ＞0．05）。LM組、HM組術後8 h、12 h眼壓與術前眼壓均呈顯著正相關（LM 組：r8h ＝0．48，P ＝0．021， r12h ＝0．42，P ＝0．025；HM組：r8h＝0．52，P ＝0．018，r12h ＝0．49，P ＝0．020）。此外，HM組術後24 h眼壓與術前眼壓亦呈顯著正相關（r24h ＝0．61，P＝0．015）。[結論]近視程度與白內障超聲乳化聯閤人工晶體植入術後眼壓變化存在明顯相關性，近視程度越高及術前眼壓越高者，術後早期眼壓越容易升高。
[목적]탐토근시정도여백내장초성유화연합인공정체식입술후안압변화적상관성。[방법]장115례（130지안）접수초성유화연합인공정체식입술치료적노년성백내장환자안안축장도분성비근시조（NM조）、저도근시조（LM조）화고도근시조（HM조），분별검측3조술전、술후4 h、8 h、12 h、24 h、48 h、72 h안압병진행통계학분석。[결과]3조술후4h시안압치균교술전경도승고，지8h시차이이유현저성（P ＜0．05），12 h시안압치개시회락，24 h시 NM 조화 LM 조안압치이접근술전수평，차차이무현저성（ P ＞0．05），이HM조잉명현고우술전수평，차이유현저성（P ＜0．05）。HM조술후8h、12h、24h안압균현저고우NM조화LM조，차이균유통계학의의（ P＜0．05），이NM 조화LM조각시간점안압비교차이균무현저성（ P ＞0．05）。LM조、HM조술후8 h、12 h안압여술전안압균정현저정상관（LM 조：r8h ＝0．48，P ＝0．021， r12h ＝0．42，P ＝0．025；HM조：r8h＝0．52，P ＝0．018，r12h ＝0．49，P ＝0．020）。차외，HM조술후24 h안압여술전안압역정현저정상관（r24h ＝0．61，P＝0．015）。[결론]근시정도여백내장초성유화연합인공정체식입술후안압변화존재명현상관성，근시정도월고급술전안압월고자，술후조기안압월용역승고。
[Objective] To explore the correlation between myopia degree and the change of intraocular pressure(IOP) after phacoemulsification combined with intraocular lens (IOL ) implantation .[Methods] Ac-cording to the axial length of the eyes ,115 cases of senile cataract (130 eyes) treated with phacoemulsification plus IOL implantation were divided into non-myopia group(group NM) ,low myopia group(group LM) and high myopia group(HM group) .IOP of 3 groups before operation ,4h ,8h ,12h ,48h and 7h after operation were detected and statistically analyzed .[Results]Compared with before operation ,IOP of 3 groups 4h after operation were mildly elevated ,and there was significant difference at 8h after operation( P<0 .05) .IOP be-gan to fall at 12h .IOP of group NM and group LM approached the preoperative level at 24h ,but there was no significant difference( P >0 .05) .IOP of group HM was still higher than that before operation ,and there was significant difference( P <0 .05) .IOP of HM group at 8h ,12h and 24h after operation were markedly higher than those in group NM and group LM group ,and there were significant differences ( P <0 .05) ,but there was no significant difference between group NM and group LM at each time point ( P >0 .05) .IOP of group LM and group HM at 8h and 12h after operation had significantly positive correlation with IOP before opera-tion(LM group:r8h=0 .48 ,P =0 .021 ,r12h =0 .42 ,P =0 .025;HM group:r8h =0 .52 ,P =0 .018 ,r12h =0 .49 ,P=0 .020) .In addition ,IOP of group HM at 24h after operation also had significantly positive correla-tion with IOP before operation(r24h =0 .61 ,P =0 .015) .[Conclusion] The degree of myopia is obviously cor-related to the changes of IOP after phacoemulsification plus IOL implantation .The higher the degree of myopia is ,the higher the preoperative IOP has .The early IOP after operation increases more easily .
