摘要
目的:探讨糖尿病性白内障术中前房注射曲安奈德的临床效果。方法:采用随机对照的方法,将80例糖尿病性白内障随机分为两组,实验组41例,采用小切口白内障摘除人工晶体植入术,术毕前房注入曲安奈德2 mg;对照组39例,术式同实验组,术毕前房不注入曲安奈德。观察术后角膜水肿、角膜内皮细胞密度、前房渗出、后囊混浊,眼压并发症等情况。结果:两组角膜水肿、前房渗出、房水闪辉、后囊混浊与对照组相比较有统计学意义(P<0.05),眼压、角膜内皮细胞密度、瞳孔黏连无统计学意义(P>0.05)。结论:术中前房注射曲安奈德可以有效地减少糖尿病性白内障患者术后并发症的发生,临床效果稳定可靠。
Objective：To evaluate the clinical effects of triamcinolone acetonide（TA） injected in anterior chamber on diabetic complicated cataract extraction.Methods：80 cases（80 eyes） diabetic complicated cataract extraction and intraocular lens implantation were radomly divided into two groups,experimental group（41 eyes） was injected triamcinolone acetonide 2 mg in anterior chamber while control group（39 eyes） was injected normal sodium.The corneal edema,corneal endothelial cell density,postoperative anterior fibrin formation,aqueous flares,pupil adhesion,posterior capsule opacification,intraocular pressure in two groups were observed.Result：The difference was statistically significant between the two groups in corneal edema,postoperative anterior fibrous exudates,aqueous flare and posterior capsule opacification（P0.05）,but there was no statistical significance between two groups in corneal endothelial cell density,postoperative intraocular pressure and pupil adhesion（P0.05）.Conclusion：The anterior chamber injection of triamcinolone acetonide was a safe and effective way to decrease anterior chamber inflammation and reduce complication.
出处
《内蒙古医学杂志》
2011年第7期785-788,共4页
Inner Mongolia Medical Journal
关键词
眼科手术
白内障
糖尿病
前房渗出
曲安奈德
Ophthalmologic Operation
Cataract
Diabetic Mellitus
Fibrous Exudates
Triamcinolone Acetonide
