摘要
目的 探讨糖尿病患者糖化血红蛋白 (Hb Alc)水平对白内障术后反应的影响。方法 6 0例 (6 0眼 )伴有糖尿病的白内障患者和 40例 (4 0眼 )非糖尿病白内障患者术前测定糖化血红蛋白值 ,对两组患者的术后反应进行对比分析 ,并分析 Hb Alc升高与术后反应严重程度的关系。结果 术前 Hb Alc水平与白内障术后反应有显著相关性 (rs=0 .82 6 ,P <0 .0 1) ,Hb Alc≥ 9%的患者术后眼前段反应明显高于 Hb Alc<9%组和对照组患者 (P <0 .0 5 )。 Hb Alc<9%与对照组术后反应差异无统计学意义 (P >0 .0 5 )。结论 Hb Alc测定对糖尿病患者白内障术后反应的预测及疗效评价是一项重要的临床指标。
Objective To explore the influence of HbAlc value to the postoperative inflammation in the anterior segment in diabetic patients.Method The prospective HbAlc values of 60 case(60 eyes)cataract patients with diabetic mellitus(DM) and 40 case(40 eyes) without DM were detected.The postoperative inflammation in the anterior segment were compared and analysed between the two groups.The relationship of HbAlc value and the severity of postoperative inflammation was analysed.Results There is significant correlation between HbAlc level and inflammation in the anterior segment(r s=0.826,P<0 01).Patients with higher HbAlc level(especially HbAlc≥9%)will have more serious inflammation than control group and those with HbAlc<9% group(P<0 05).There is no significant differences of anterior segment inflammation between the patients with HbAlc<9% and control group(P>0 05) Conclusion HbAlc value can be an important clinical index for predicting the postoperative inflammation,and evalute the theraputic effect of cataract surgery in diabetic patients.
出处
《临床眼科杂志》
2001年第4期296-298,共3页
Journal of Clinical Ophthalmology
