CAJ | 학술논문

目的：观察超声乳化联合人工晶状体植入术治疗糖尿病患者白内障的临床疗效.方法：对同一时期32例(35只眼)糖尿病患者白内障(研究组)和73例(77只眼)非糖尿病单纯老年白内障患者(对照组)施行超声乳化联合人工晶状体植入术,观察并比较术后疗效和并发症.结果：对照组术后最佳视力＞0．4的有68只眼(88．3％),高于研究组的27只眼(77．1％),但组间比较差异无统计学意义(X2＝2．33,P＞0．05).研究组角膜水肿发生率为25．7％,显著高于对照组的2．6％,组间比较差异有统计学意义(X2＝14．52,P＜0．05)；纤维素性渗出发生率为17．1％,显著高于对照组的1．3％,组间比较差异有统计学意义(X2＝10．31,P＜0．05).结论：超声乳化联合人工晶状体植入术治疗糖尿病白内障安全、有效.
목적：관찰초성유화연합인공정상체식입술치료당뇨병환자백내장적림상료효.방법：대동일시기32례(35지안)당뇨병환자백내장(연구조)화73례(77지안)비당뇨병단순노년백내장환자(대조조)시행초성유화연합인공정상체식입술,관찰병비교술후료효화병발증.결과：대조조술후최가시력＞0．4적유68지안(88．3％),고우연구조적27지안(77．1％),단조간비교차이무통계학의의(X2＝2．33,P＞0．05).연구조각막수종발생솔위25．7％,현저고우대조조적2．6％,조간비교차이유통계학의의(X2＝14．52,P＜0．05)；섬유소성삼출발생솔위17．1％,현저고우대조조적1．3％,조간비교차이유통계학의의(X2＝10．31,P＜0．05).결론：초성유화연합인공정상체식입술치료당뇨병백내장안전、유효.
Objective:Toobserve the ef icacy of phacoemulsification and intraocular lensimplantation for diabetic cataract.Methods:32 patients (35eyes)with diabetic cataract(study group)and 73 cataract patients(77 eyes)with non-diabetic alone senile cataract(control group)inthe same period al received phacoemulsification and intraocularlens implantation and the ef icacy and postoperative complication-swere observed and compared.Result:There were 68 eyes(88.3%)in the control group getting postoperative best correctedvisual acuity >0.4 and 27 eyes (77.1%)in thestudy group,the dif erence be-tween groups was not significant(X2 =2.33,P>0.05).The incidencerate of corneal edema in the study group was 25.7% which wassignificantly higher than the rate of 2.6% in the control group,the dif er-ence between groups was statistical y significant(P<0.05);the incidence rate of ibrin exudation was 17.1% which was significantly higher than therate of 1.3% in the control group,the dif erence between groupswas statistical y significant (X2 =14.52,P<0.05)and 22.8% respectivelywhich were significantly higher than the control group,thedif erence between groups was statistical y significant(X2 = 10. 31,P<0.05).Conclusion:Thetreatment of phacoemulsification and intraocular lens implantationfor diabetic cataract is safe and ef ective.