CAJ | 학술논문

目的：探讨白内障超声乳化手术后泪膜和眼表的变化。方法随机选择在我院行白内障超声乳化术患者162例（162眼），观察术前及术后第1 d、7 d、1 mo、3 mo自觉症状（DES）、泪膜破裂时间（BUT）、基础泪液分泌试验（Sit ）、角膜荧光素染色评分（CFS ）并进行统计学分析。结果术后1 d、7 d、1 mo患者自觉症状较术前增加，与术前相比差异有统计学意义（ P＜0．05）；术后1 d、7 d内Sit增加，与术前相比差异有统计学意义（P＜0．05）；术后1 d、7 d、1 mo BUT缩短，与术前相比差异有统计学意义（P＜0．05）；术后1 d、7 d CFS增高；与术前相比差异有统计学意义（ P＜0．05）。结论白内障超声乳化术后1个月内泪膜稳定性会受到影响，应注意术前泪膜功能检测及术中、术后对泪膜的保护。
목적：탐토백내장초성유화수술후루막화안표적변화。방법수궤선택재아원행백내장초성유화술환자162례（162안），관찰술전급술후제1 d、7 d、1 mo、3 mo자각증상（DES）、루막파렬시간（BUT）、기출루액분비시험（Sit ）、각막형광소염색평분（CFS ）병진행통계학분석。결과술후1 d、7 d、1 mo환자자각증상교술전증가，여술전상비차이유통계학의의（ P＜0．05）；술후1 d、7 d내Sit증가，여술전상비차이유통계학의의（P＜0．05）；술후1 d、7 d、1 mo BUT축단，여술전상비차이유통계학의의（P＜0．05）；술후1 d、7 d CFS증고；여술전상비차이유통계학의의（ P＜0．05）。결론백내장초성유화술후1개월내루막은정성회수도영향，응주의술전루막공능검측급술중、술후대루막적보호。
Objective To investigate the tear film after phacoemulsification and ocular surface changes . Methods Randomly selected hospital phacoemulsification in patients with 1 6 2 cases(1 6 2 eyes) ,respectively ,in the preoperative and postoperative 1 d ,7 d ,1 mo ,3 mo row symptoms (DES ) , tear film break -up time (BU T ) ,basal tear secretion test (Sit ) ,corneal fluorescein staining score (CFS ) .Comparison of preoperative and postoperative differences before each period of the data .Results 1 d、7 d、1 mo postoperative discomfort in the patient complained of eye surgery compared with preoperative increased .compared with the preoperative sta-tistically significant ( P<0 .0 5 );Sit inside after 1 d、7 d increase ,compared with the preoperative statistically significant(P<0 .05 );1 d、7 d、1 mo within BUT shortened ,compared with the preoperative statistically sig-nificant( P<0 .0 5 );After surgery1 d、7 d CFS increased ,compared with the preoperative statistically significant ( P<0 .0 5 ) .Conclusion Postoperative period ,phacoemulsification affect tear film stability ,it should be noted before the tear film function tests and intraoperative and postoperative protection of the tear film .