青光眼滤过性手术围手术期眼压与疗效的关系分析

发布时间：2017-12-28 00:33

本文关键词：青光眼滤过性手术围手术期眼压与疗效的关系分析　出处：《中外医疗》2016年31期 　论文类型：期刊论文

【摘要】：目的探析青光眼滤过性手术围手术期眼压与疗效的关系。方法随机选取该院2012年1月—2015年1月收治的青光眼患者需手术的60只眼,术前已经进行了药物降眼压治疗,根据围手术期眼压高低及前房深浅情况分为A组和B组,各为30只眼,比较两组术前术后眼压变化及临床效果。结果 A组术后眼压(14.5±2.2)mm Hg,视力(0.3±0.2),周边前房深度1/3CT~2/3CT,B组术后眼压(18.4±3.1)mm Hg,视力(0.2±0.1),周边前房深度1/4CT~2/3CT mm,两组比较差异有统计学意义,P0.05;A组并发症发生率3.33%与B组20.0%比较差异有统计学意义,P0.05。结论临床上对于青光眼的治疗最为常见手术方式为滤过性手术,而其手术效果具有可控性,在围术期控制好眼压,可提高治疗效果,提高预后。
[Abstract]:Objective to explore the relationship between intraoperative intraoperative intraocular pressure (IOP) and curative effect in glaucoma filtering surgery. 60 eyes of patients with glaucoma surgery in our hospital from January 2012 to January 2015 the method of randomly selected, before surgery has been carried out according to the drug intraocular intraocular pressure and anterior chamber depth during perioperative period were divided into A group and B group, each of 30 eyes, intraocular pressure and clinical effects were compared between the two groups before and after surgery. Results in A group, the postoperative intraocular pressure (14.5 + 2.2) mm Hg (0.3 + 0.2), visual acuity, peripheral anterior chamber depth 1/3CT~2/3CT, B group of postoperative intraocular pressure (18.4 + 3.1) mm Hg (0.2 + 0.1), visual acuity, peripheral anterior chamber depth 1/4CT~2/3CT mm, there was significant difference between two groups, P0.05; difference comparison of rates of 3.33% and 20% in group B group A complications had statistical significance, P0.05. Conclusion the most common treatment for glaucoma is filtration surgery. The operation effect is controllable. Perioperative intraocular pressure control can improve the therapeutic effect and prognosis.
【作者单位】：江苏省泰州市中医院眼科;
【分类号】：R779.6
【正文快照】： 青光眼是以眼压升高,视神经萎缩,视功能损害为特征的一种眼病,降眼压是其治疗目的,部分患者使用药物等其他治疗方式效果不佳的情况下需要手术治疗,其中滤过手术是最常用的,主要有小梁切除术、非穿透小梁切除术等[1],小梁切除术是目前应用最为广泛,且效果明显的一种滤过手术方

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