摘要
目的探讨老年性白内障应用小切口非超声乳化与超声乳化治疗的临床效果。方法选取该院2017年1月—2019年1月收治的老年白内障患者60例,按随机数字表法分为参照组和观察组。参照组采用超声乳化治疗,观察组采用小切口非超声乳化治疗。对比两组患者治疗前后视力检测情况、治疗前后角膜散光度、前房深度,统计两组患者术后并发症发生率。结果治疗前两组患者视力检测结果对比差异无统计学意义(χ^2=0.131、0.131,P=0.718、0.718);治疗后7 d、30 d观察组患者视力检测0.5~1比例分别为53.33%、83.33%均高于参照组的46.67%、80.00%,但两组数据对比差异无统计学意义(χ^2=0.267、0.111,P=0.606、0.739)。术前两组患者角膜散光度、前房深度对比差异无统计学意义(t=0.580、0.456,P=0.564、0.650),术后7 d、术后30 d观察组患者角膜散光度、前房深度改善情况均优于参照组,对比差异有统计学意义(t=4.098、3.080、2.758、2.452,P=0.000、0.003、0.008、0.017);观察组患者术后并发症发生率6.67%,低于参照组的26.67%,对比差异有统计学意义(χ^2=4.320,P=0.038)。结论老年性白内障行小切口非超声乳化治疗的效果更为显著,推广应用价值高。
Objective To investigate the clinical effects of small incision non-phacoemulsification and phacoemulsification in senile cataract. Methods Sixty elderly patients with cataract in our hospital from January 2017 to January 2019 were enrolled in the study. They were divided into reference group and observation group according to the random number table method. The reference group was treated with phacoemulsification, and the observation group was treated with small incision non-phacoemulsification. The visual acuity test before and after treatment, corneal astigmatism before and after treatment, and anterior chamber depth were compared between the two groups. The postoperative complication rate of the two groups was statistically analyzed. Results There was no statistically significant difference in visual acuity test between the two groups before treatment (χ^2=0.131, 0.131, P=0.718, 0.718). The ratio of visual acuity detection of 0.5-1 in the observation group was 53.33% and 83.33% respectively at 7 d and 30 d after treatment. There were 46.67% and 80.00% in the reference group, but there was no statistically significant difference between the two groups (χ^2=0.267, 0.111, P=0.606, 0.739). There was no statistically significant difference in corneal astigmatism and anterior chamber depth between the two groups (t=0.580, 0.456, P=0.564, 0.650). The corneal astigmatism and anterior chamber depth were improved in the observation group at 7 d and 30 d after operation. Compared with the reference group, the contrast was statistically significant(t=4.098, 3.080, 2.758, 2.452, P=0.000, 0.003, 0.008, 0.017);the postoperative complication rate of the observation group was 6.67%, which was lower than the 26.67% of the reference group. The difference was statistically significant (χ^2=4.320, P=0.038). Conclusion The small incision non-phacoemulsification treatment for senile cataract is more effective and has a high value for promotion and application.
作者
周军
ZHOU Jun(Department of Ophthalmology,Jiawang District People's Hospital,Xuzhou,Jiangsu Province,221011 China)
出处
《世界复合医学》
2019年第8期39-41,共3页
World Journal of Complex Medicine
关键词
老年性白内障
小切口非超声乳化
超声乳化
并发症
Senile cataract
Small incision non-phacoemulsification
Phacoemulsification
Complications
