CAJ | 학술논문

目的：：观察及比较不同切口白内障超声乳化术对患者综合状态的影响程度。方法：选取2012-11/2014-05于本院进行超声乳化术进行治疗的60例白内障患者为研究对象,将其根据疾病情况分为A组(角膜切口组)30例和 B 组(角巩膜缘切口组)30例,然后将两组患者的上皮和切口修复时间、治疗前后的泪膜破裂时间、泪液分泌量、角膜染色评分及泪液相关指标进行分别统计及比较。结果：B组的上皮和切口修复时间构成均好于A组,治疗后1,7,14,28 d的泪膜破裂时间、泪液分泌量、角膜染色评分及泪液相关指标也显著地好于A组,均P<0.05,两组上述比较指标有显著性差异。结论：角巩膜缘切口在超声乳化术中的应用价值相对更高,对患者的不良影响更小且术后综合状态恢复更快。
목적：：관찰급비교불동절구백내장초성유화술대환자종합상태적영향정도。방법：선취2012-11/2014-05우본원진행초성유화술진행치료적60례백내장환자위연구대상,장기근거질병정황분위A조(각막절구조)30례화 B 조(각공막연절구조)30례,연후장량조환자적상피화절구수복시간、치료전후적루막파렬시간、루액분비량、각막염색평분급루액상관지표진행분별통계급비교。결과：B조적상피화절구수복시간구성균호우A조,치료후1,7,14,28 d적루막파렬시간、루액분비량、각막염색평분급루액상관지표야현저지호우A조,균P<0.05,량조상술비교지표유현저성차이。결론：각공막연절구재초성유화술중적응용개치상대경고,대환자적불량영향경소차술후종합상태회복경쾌。
AlM:To observe and compare the influence of different incision cataract phacoemulsification on comprehensive state in patients. METHODS: Sixty patients with cataract who were treated with phacoemulsification in our hospital from November 2012 to May 2014 were selected as research object, and they were divided into group A ( corneal incision group) 30 cases and group B ( corneoscleral rim incision group) 30 cases according to the disease state. Epithelial and incision repair time, tear break-up time, tear secretion, corneal staining score and tear related indexes before and after the treatment of two groups were respectively analyzed and compared. RESULTS: The epithelial and incision repair time constitution of group B were better than those of group A, the incision repair time, tear break - up time, tear secretion, corneal staining score and tear related indexes at 1,7, 14 and 28d after the treatment were all significantly better than those of group A too, there were all significant differences (all P<0. 05).CONCLUSlON: The application value of corneoscleral rim incision in the patients with cataract phacoemulsification is relatively higher,and bad influence of this method for the patients is smaller, the postoperative recovery of comprehensive state are faster.